Chin Implant Q&A
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Considering Chin Implant, But I Want a Second Opinion. (photo)
asked 7 months ago by CuriousGurl
Latest answer by Robert L. Kraft, MD
Question viewed 386 times
Tags: enhancement, profile, second opinion
I am getting rhinoplasty, and the surgeon mentioned that my chin would look better projected more. I knew it always looked a little off, but I just thought it was the length and angle of my neck that bothered me. I don't know anything about chin implants, and was curious if one would improve my profile.
17 answers to Considering Chin Implant, But I Want a Second Opinion. (photo)
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Considering Chin Implant, But I Want a Second Opinion.
I have performed Rhinoplasty, Chin Implant and Cheek Implant surgeries for well over 20 years and from your photo it does appear that a chin implant would balance your profile. I place these through an incision under the chin and not through the mouth which can have unwanted side effects, IMHO.
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Conservative approach to rhinoplasty and chin augment
You could have both a rhinoplasty and the chin augment at once. It is more cost effective that way. However the appearance of the chin from profile view does not tell the whole story. Augmenting the chin changes the shape of the face. Personally, I prefer to perform the rhinoplasty and allow the patient to psychologically adapt to the improved appearance. In most instances, they ultimately decide not to augment the chin which, I think, says it all. Upselling is good for the surgeon's...
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Chin Implants and Rhinoplasty
In order to obtain a balance when a patient comes in for rhinoplasty, I think it’s very important to look at their lower face. If the patient has a microgenia, or small chin, I think a chin implant will improve their overall profile appearance. It is important to mention this to the patient and consider doing it simultaneously with the rhinoplasty.
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A chin implant would balance your face better
From your profile view, it appears the your chin is recessed . As long as you don't have a problem with the position of your upper teeth in relation to your lower teeth, a chin implant would be the correct procedure to balance your face. If your lower teeth are set back compared to your upper teeth then you may need to have the lower jawbone advanced forward. There are different types of chin implants depending on whether you need just the point of the chin augmented or if you need an...
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Joseph M. Perlman, MD
Houston Plastic Surgeon
Houston Plastic Surgeon
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Chin Enhancement to Improve Profile
A chin implant will improve your profile and actually improve your rhinoplasty results. A chin implant alone would improve facial proportions and give the illusion of a smaller less-projected nose.
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Chin implant for a better profile.
A chin implant would give you a better profile. Your chin would give you a better profile if it projected more. We have numerous examples on our website.
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Wise to combine chin implant with rhinoplasty?
From your profile photo you submitted it does appear that chin augmentation is a good consideration. It is very common to combine chin implant placement with rhinoplasty surgery. Most patients interested in rhinoplasty don't come to their surgeon looking to improve their chin, even though it is a great way to improve the overall balance of the face.
Ironically, I find that combining chin augmentation with rhinoplasty allows for an overall more conservative approach as the nose...
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Rhinoplasty and Chin Augmentation a Great Combo
Curious Gurl, you are wise to consider chin augmentation along with your rhinoplasty
Ideally, the chin should protrude forward enough for touch an invisible vertical line dropped from the upper and lower lips.
Right now, your facial anatomy does not quite fit that ideal.
There are three good reasons to combine with rhinoplasty: 1) One surgery, one recovery period, 2) More economical; most practices reduce the fee of the second procedure when done with the first....
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Chin implant with rhinoplasty?
Yes, I agree with your surgeon that, based on your profile view, you will benefit from a chin implant with the rhinoplasty to improve balance among your facial features. The effect will be subtle, but real.
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Chin implants need careful thought
Unlike nasal shaping which often goes unnoticed by others, a chin implant will carry very strong changes in your facial profile. A slightly retruded chin causes a degree of facial 'convexity' which is a very feminine trait. Based on your photo you could be a candidate, though this is best explored with computer simulation to help you understand if the change will be the real 'you' or not. The second opinion is an excellent idea.
Best of luck, peterejohnsonmd
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Peter E. Johnson, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
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Consider the implant type.
The type of chin implant should also be considered. I like an external approach which allows use of a Porex implant. This feels firm like bone and can be held in place by titanium screws. It is then unlikely to move or to cause bone resorption.
Mark D. Wigod, MD
Boise Plastic Surgeon
Boise Plastic Surgeon
+1
Rhinoplasty and Chin Implant
It is very common to undergo a chin implant with a rhinoplasty procedure. Balancing a "weak" chin can help lessen an over-projecting nose. The combination is often a significant positive change in facial balance in the right patient. Chin implants are usually well tolerated and something that you should consider. Even a small change can make a big difference - and it is always better to "under-do" a female chin, maintaining the feminine qualities of your face...
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Rhinoplasty
My advise based on one picture and one view, is to do the rhinoplasty then reevaluate whether you need a chin implant or not. Chin implants will give you projection but also widen the chin.
At one point may consider fat transfer to the chin to put it exactly where you want it .
Samir Shureih, MD
Baltimore Plastic Surgeon
Baltimore Plastic Surgeon
+1
Chin Augmentation and Rhinoplasty
Yes, I think a chin implant would be a definite consideration in your case. The forehead, nose and chin relationship is key when considering facial profile balance. Your plastic surgeon can discuss this further with you.
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Enhancement
Good picture. Yes you are a good chin augmentation candidate. The chin should extend t0 about 2-3 mm behind the lower lip if at all possible. I place chin augmentation silicone devices from an external approach and find them very reliable and essentially invisible except for the balance achieved between the upper middle and lower thirds of the face. Do it
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Chin implant with rhinoplasty
Based on the profile photo that you have provided a chin implant is certainly an option for you. I do perform chin implant placement along with rhinoplasty in about 3-5% of patients requesting rhinoplasty. I am certain that other rhinoplasty patients would also benefit from a chin implant, but, there are both surgical and financial constraints preventing them from moving forward on the chin implant procedure. In your case, I would suggest only a small chin/pre-jowl...
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Philip S. Schoenfeld, MD
Chevy Chase Facial Plastic Surgeon
Chevy Chase Facial Plastic Surgeon
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Chin Implant
Very few patients come in requesting a chin implant but it is so vital in shaping the face in so many patients. Of course, I need to see a full set of photos on you but a chin implant is a definite option for you. Typically this allows a surgeon to be more conservative with nose resulting in a very pleasing and natural result. I agree with your surgeon--talk further with them. Good luck!
