Chin Implant: Screws or None?

The pocket is usually made under a thin but strong membrane called the periosteum with the pocket made to the exact size. The pocket then shrinks down around the implant to hold if firmly in place and it will feel just like your chin - you will not be able to wiggle it. A a screw is not usually used for silicone implants (the most common type) but is used for others such as PTFE, Gortex, etc.

         The chin implant is placed directly onto the bone and feels like an extension of the bone.  The soft tissue is dedraped over the implant.  Pocket dissection needs to be done precisely so that the implant has little chance of moving either early after surgery, years after surgery, or after trauma.  Screws are not necessary but may be more useful in revisions.  Kenneth Hughes, MD Los Angeles, CA

I have not found screws to be helpful and have found that screws can occasionally create issues of their own (backing out, can be felt, extrude). If the implant is properly positioned and a small pocket is created that retains the implant in proper position, fixation is typically not required. I hope this information is helpful.Stephen Weber MD, FACS
Lone Tree Facial Plastic Surgeon