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Chin Implant: Under the Chin or Through the Mouth?

asked 1 year ago by tng27 in Tennessee
Latest answer by Douglas Stevens, MD
Question viewed 480 times
Tags: complication, incision

I've wanted to get a chin implant for quite some time. I want to know, is it definately "safer" to have the chin implant inserted under the chin than through the mouth? From what I have researched, it seems there are less complications if it is inserted under the chin vs. the mouth. I am not worried about a small scar, but more worried about nerve damage, etc. Is it rude to ask the doc how many he performs? What is a good amount in a year??

13 answers to Chin Implant: Under the Chin or Through the Mouth?

I prefer an external incision, under your chin, when performing Chin Implant Surgery.

Here's my rationale for advocating an external incision for chin implant surgery: The external incision under your chin heals nearly invisibly in everyone. There is no contamination of the implant from oral bacteria whan the external approach is used, and there is a lower likelihood of traumatizing the sensory mandibular nerves when the external approach is used. Lastly, the external approach of placing a chin implant is associated with less operating time, and less downtime... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Under the chin approach is preferred for chin implant placement

It is important to go to a facial plastic surgeon that performs many chin implants per year. A good number of implants would be 50 to 100 per year for the surgeon. The chin implant is best placed through a submental incision underneath the chin placed directly over the mandible underneath the periosteum. It is not advisable to have it done through the intraoral approach because of the migration of the implant upwards towards the teeth and chance of infection. There is much less... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Chin implant - through the mouth or under the chin

I don't think it is rude ever to ask how many someone does. It does not need to be fifty a year - but I think some idea of the confidence and experience someone has is a very reasonable question to ask. I have performed chin implants both ways and I must say that I much prefer the approach through the submental incision under the chin. I typically place anatomic implants because I like the more natural projection and the improvement they provide in the pre jowl area.... more

Douglas Stevens, MD
Fort Myers Facial Plastic Surgeon

Chin implant

I use either incision and visualization may actually be better through the mounth. The least amount of scars is always better in my experience. Nerve damage with numbness occurs more when an extended implant is used. You could also try a filler like radiece which should last about a year to see how it would look.

Edward J. Domanskis, MD
Orange County Plastic Surgeon

Chin Implant

The chances of nerve damage is probably the same and is operator dependant. The chances of infection is probably slightly higher when the implant is put through the mouth. Human mouth and the digestive enzymes of the saliva make the mouth approach have more infections. The nerve can be visualized by both approaches. Choose a competent BOARD CERTIFIED PLASTIC SURGEON(AMERICAN BOARD OF PLASTIC SURGERY) with experience. Choose the size and shape of the omplant very carefully... more

Samir Shureih, MD
Baltimore Plastic Surgeon

Chin implant approach

I personally prefer placement through the mouth unless it is an extended chin implant that is required to square the jaw or efface marrionette lines. Complication rates are essentially the same for both. A chin implant are a relatively simple procedure. I am not certain how many a year a physician needs to do to be "proficient." I personally find that I suggest it much more often than I perform it. Many of my patients just don't want to change their facial structure... more

Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon

Chin Implant Approaches Are All Safe

Asfar as I have been able to find in the literature, the rates of infection, numbness, etc, are the same for either intraoral or under the chin approach. I prefer the intraoral approach since the scar is hidden and have never had any significant problems with that approach. I would address it with your surgeon and seewhat they are comfortable with. Ultimately, it is up to you where you would like to have the scar, but in reality, the long term results shouldbe the same... more

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon

Under the chin or through the mouth chin implants

I am not sure about whether any study has shown increased nerve damage with one approach over the other but there are concerns about a higher infection rate with the intra oral approach. Injectable fillers are an option as Dr. Aldea has discussed. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Chin Implant: Under the Chin or Through the Mouth

NO! it is not rude to address the location of the incision. And yes I prefer the external approach over the intra oral one. You are fully iunderstranding this operation. Best of luck. From MIAMI , the "real" Dr. Darryl J. Blinski, 305 598 0091

Darryl J. Blinski, MD
Miami Plastic Surgeon

Chin implant - Where to make the incision?

This is a good and common question. Both the intraoral and submental (incision under chin) approach can be used. There are advantages and disadvantages to each approach and your surgeon should discuss these with you. I inform my patients and then let them decide which is best for them. In general, I prefer the submental approach because it is less likely to change the skin crease which is between the lower lip and the chin. The difference in risk of... more

Dean Fardo, MD
Atlanta Plastic Surgeon

Chin Implant Approach

A patient has every right to ask about the Surgeon's preferred surgical approach and the rationale for his/her decision. The intraoral approach has a higher infection rate, implant placement is more reliable with the submental approach, and the same submental incision used in Facelift can be utilized for an implant in a concurrent procedure. All of these factors contribute to my preference in using the submental approach. At the same time, many Surgeons prefer the... more

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

Chin implant approach

It is definitely not rude to ask your physician which approach he or she uses to place an implant. There are ups and downs of each approach. Though the mouth can never be completely sterilized, I prefer an intraorally. This provides excellent access and no visible scar. The blood supply to the face is copious, thus the risk of infection is remote. In the hands of an experienced board certified surgeon, the risk of nerve damage via either approach is also very... more

Jason R. Hess, MD
San Diego Plastic Surgeon

Chin Implant: Safer to go Under the Chin or Through the Mouth?

Regarding: "Chin Implant: Under the Chin or Through the Mouth? I've wanted to get a chin implant for quite some time. I want to know, is it definately "safer" to have the chin implant inserted under the chin than through the mouth? From what I have researched, it seems there are less complications if it is inserted under the chin vs. the mouth. I am not worried about a small scar, but more worried about nerve damage, etc. Is it rude to ask the doc how many he performs?... more