Chin implant before & after photos
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Chin Implants Gone Wrong

I got a chin implant last spring. I asked the surgeon's assistant to show me the implant before they put it in but I didn't got to see it. When they started the surgery, I was already too much asleep to ask for it again. My face looks rather too broad now, with a box-like appearance. My face was oval-shaped before. Do implants really change how the face looks at the front? What can be done about it?

Asked 39 months ago by Pristine
Sort 19 expert answers by:
+2

Choosing the correct chin implant

It is much more important for the patient to relate to his/her surgeon what type of an aesthetic result is the ultimate goal, then to visually choose the type of implant to be used.  It is up to a skilled and experienced surgeon to pick the right implant to achieve the desired result.  Chin implants come in many different styles and sizes, it is not reasonable to expect the patient to make this choice.  It is important to find the right surgeon whom you can trust to... more
Boris M. Ackerman, MD
Newport Beach Plastic Surgeon
+2

The Effect of Facial Implants

It is unlikely that your surgeon changed the implant from the one you were shown to a different one. There are circumstances when several sizes are considered and then chosen during the surgery. However, if that was the plan I am sure it would have been discussed ahead of time. Chin implants, as with other facial implants, change the appearance of the face from all views. Although chin implants give a more profound change to the profile view, they certainly do change your appearance when... more
Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon
+2

Imaging is Important for Facial Implants

Unfortunately, I think that even if you had seen the implant before surgery, it may have been difficult for you to have known what the result would have turned out like. Just like trying on clothes, you may really not know what it will look like until you see it on you. Of course, you don't want to wait until after surgery to know if you will like the result of your procedure. That's why many plastic surgeons use imaging to assure that the patient's desired result is communicated. Chin... more
Thomas T. Nguyen, MD
Orange County Plastic Surgeon
+2

Chin Implants can certainly change Facial Appearance

Hello Pristine, Based on the information you have provided it certainly sounds like a visit with your original Surgeon is in order. They should have on record the type of implant used, the size, if any alterations were made to it, etc. In addition you can also look at some before and after photos of yourself to see what changes the implant has made. Also important is that the Surgeon make sure that the implant is still in good position. With time and healing, Implants can shift and slide... more
Kamran Jafri, MD
New York Facial Plastic Surgeon
+1

Possible wrong implant

Chin implants come in two basic styles 1) short....meaning sits over mostly the point of the chin. and  2) extended....meaning wraps around the chin out past the jowls. It is important to choose the right implant for a patients facial shape, size and even personality.  Some men want an extended implant to get a more squared lower face look and some don't. Others may not look good in a short implant if they already have a pointed chin. It is important to look at all the styles be more
Richard Galitz, MD
Miami Facial Plastic Surgeon
+1

Chin Implants

There are several types of chin implants and each type comes in various shapes. Pre operative computer imaging, while not perfect, is probably the best way to see what results are possible. Variations in size, width and shape, can be loosely simulated to give you, and your plastic surgeon, and idea of what you are trying to achieve. Chin implants can be wide or narrow, large or small, rounded or square, tall or short. Some also allow intra-operative modification, and this may be... more
Joseph Mele, MD
Walnut Creek Plastic Surgeon
+1

Chin implant can have a tremendous impact on your looks

Chin implant can have a tremendous impact on your looks. Because it is placed in the lower third of your face it will have the most impact in this area. But overall, it can change the appearance of your face as a whole to a great degree.  The changes to a box like appearance instead of an oval can definitely happen.  It might improve a little more over the next couple of months since you had it in the spring and right now it is fall going on winter. Your Physician will know the... more
Philip Young, MD
Bellevue Facial Plastic Surgeon
+1

Chin Implant Changes Your Appearance

First, did you and the surgeon do preoperative imaging?  I think, especially with a chin implant, that it is important that you and the surgeon agree prior to surgery on how the results should look.  Once the imaging is done, the surgeon can take those photos into the operating room and match it as closely as possible.  There is no question that a chin implant changes the look and feel of your face.  My advice is that if you are unhappy with the look of your... more
John Bitner, MD
Salt Lake City Facial Plastic Surgeon
+1

Changing a chin implant

It's possible that your chin implant could be removed and trimmed down to decrease the size, or simply be replaced.  Without the benefit of an exam, and knowing which implant size/shape you have it's difficult to give further information.
Darrick E. Antell, MD
Manhattan Plastic Surgeon
+1

Choosing Implant Size, Shape, and Material

Yes chin implants can dramatically change facial shape, usually in a very positive way. The first important step is to make certain you and your surgeon are on the same page. Computer imaging is a nice way to discuss how big of an implant to choose. Another method to try is for the surgeon to inject either a filler material or even saline to communicate what your goals might be. Injecting fillers will give you the chin to try out for a few months, injecting... more
David Mabrie, MD
Bay Area Facial Plastic Surgeon
+1

Unhappy with Chin Implant

While it can be frustrating to not like the result of a cosmetic procedure, the good news is that you have options. Talk with your surgeon about what was done and possibly removing the implant. Most chin implants are fairly easy to remove and you can end up back where you started. While not the optimal result, it is much better than regretting your decision for surgery. Once the removal is healed, you can talk with your surgeon about a different kind of implant that may meet your desires... more
D.J. Verret, MD
Dallas Facial Plastic Surgeon
+1

Discuss your concerns with your cosmetic surgeon

Dear Pristine, I would agree that seeing the implant is less important than ensuring that you and your surgeon are on the same page in terms of the desired result. The implants out of the package have a prominent shape that is camouflaged by your tissue. It's difficult to look at this implant and visualize its effect on the chin shape without having had significant experience with this type of implant. I would recommend that you return to your plastic surgeon and discuss your... more
Stephen Weber, MD
Lone Tree Facial Plastic Surgeon
+1

Chin Implant concerns

Hello there. From what I can tell, you are unhappy with the way your procedure went. I would contact your surgeon who preformed it and ask for a follow up appointment. If its a complaint, they shouldn't charge you. Without your pictures I am unable to give you direct advice, but I wish you the best of luck!
Kimberly A. Henry, MD
Greenbrae Plastic Surgeon
+1

Choosing the right chin implant

Chin implants certainly can change your facial appearance - that's what they are used for. The change can be subtle or dramatic depending upon the need. An experienced surgeon will be able to select the correct implant for you after discussing your desires and the surgical goals. Fortunately, it is rather easy to change an implant if need be. Just ask your surgeon.
Randy J. Buckspan, MD
Austin Plastic Surgeon
+1

Chin implant choice

Choosing the right size and shape of chin implant is important, as is precise positioning of the implant. It is possible that your implant is not optimal but hard to comment without seeing you.
Sam Naficy, MD
Seattle Facial Plastic Surgeon
+1

Effect of facial implants

Chin implants come in many sizes, shapes, forms, and are composed of different materials. Those made of Silastic silicone, can be removed and reinserted with an either larger or smaller chin implant or it can be carved down to fit the facial aesthetic profile. Many times in our practice we carve the implants to customize them for the patient if there is not one that is available commercially that fits a patients’ exact wishes and desires.
William Portuese, MD
Seattle Facial Plastic Surgeon
+1

Go back to your doctor

The appearance you will get from a chin implant depends on your own starting point and also from the dimensions of the implant. Most implants are not designed to just augment the tip of the chin. Rather, they have enough width and length to fill in the little depression that can form in front of the jowl area. If the implant is large enough, it can change the shape of the face and jaw. Possibly, yours might need to be downsized but you should discuss all options with your doctor. more
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+1

Chin Implant choices

I am sure that your physician gave you what you asked for. However, even if he did show you the implant, sometimes it is hard for the untrained eye to extrapolate the shape of an implant to the changes on your face. There are several parameters which determine what an implant does to your face: 1) Width - the wider the implant the broader (more boxy) your jawline will appear. 2) Projection - the more projection, the more oval your jawline will appear. 3) Shape - different shapes can create... more
Robert M. Freund, MD
New York Plastic Surgeon
+1

Chin Implant

Chin implants usually make the lower third of the face stronger.  That means the chin is more prominent and often wider. It will change the person's appearance a bit.  If the implant was a porous implant, it can be shaved down a bit to soften the boxy look.
Steven Wallach, MD
Manhattan Plastic Surgeon
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