I had a chin augmentation. Which was done with bone graft. Pre-op I knew something was wrong with my face so I decided to speak to a few doctors. Several gave their feedback on what they felt I needed, final Dr Nogueira called me. For me it’s obvious when you are speaking to someone who is passionate about what they do. And whilst you’d expect ever surgeon to be passionate, not came close to this doctor. He was specific and intentional in his language. Already just by the phone call, I knew this man was an expert in chins. We met shortly after in his clinic. Again his passion shone through. I was committed. From the phone call, but the face to face took it to another level. Post op: I’m one day post op, I love the result. This man was beyond skilled. And looking in the mirror I finally see in my reflection what I had wanted to see. A strong masculine chin, that fits the proportions of my face. This man was 100/10. I’m beyond happy. If you ever see this, thank you doctor. Pain: well, my hip hurts, but I expected that. It’s a pain well worth it for the final result.
Dr Nogueira did a fantastic job for my chin vertical enlargement procedure, using pelvic bone grafts. The procedure went smooth without any issues. I am over a year post op and could not be happier, the results look just like I dreamed they would, in my pre-op simulations. The first 2-3 days post were a bit tough with the pain at the leg when walking but it does improve every day. My suggestions for people planning to have such surgery : bring a food processor so that you can make an easy to eat, soft paste from any dish, for the first week of eating.
By far, the best doctor you can ever find. Dr Nogueria is professional, expert in his field, honest, methodological, critical, realistic and a humble human being which made me feel at ease. He genuinely cared about the results I was looking for and about my wellbeing, and for that I am extremely grateful. He spent plenty of time talking to me and answering all my questions. He even pointed out issues that the x-ray has revealed and has nothing to do with my surgery, and provided great advice on how I can manage them. He definitely goes the extra mile!. I was given a special one to one attention from the first consultation till the last post op meeting. I trust Dr. Nogueira 100% and I cannot recommend him and his team highly enough. Dr. Salmones, the anesthetist was so professional and a great person to talk to. She makes you feel you are in very good hands. And Yolanda answered all my emails and questions promptly and organized the operation very efficiently.
After failed rhinoplasty in Amsterdam I was desperate to fix it somewhere else. It took me months to do the research, I was anxious and scared of another disappointment. When I sent my pictures to Dr Alejandro he called me and pointed out everything that was bothering me. I decided to give it a shot even if, after my experience I didn’t know what the outcome will be. Now I’m only 3 weeks post op and I’m feeling relieved. My nose looks very good! I decided to share my experience to help people who need to fix what other doctors messed up!
Kind Doctor. I sent my postop ct scans (surgery was done by another surgeon) to him and after seeing the damage he just called me out of the blue and consoled me and gave me options to fix. He did not oversell either and told me he had not fixed a face like mine, but he was willing. I have not had surgery with him yet as im still consulting. If i do ill add another review.
Maravilloso. es una persona cercana, agradable y empática. Muchas gracias por su ayuda, ha sido un placer poder conocerle. Totalemente sincero y amable. Gran humanidad y un muy buen profesional, muy agradable
He tenido complejo con mis orejas desde pequeña y necesitaba reducirlas en tamaño o hacer algo por mejorarlas. De momento solamente puedo hablar del trato que he recibido por parte del doctor y todo el equipo, ya que la intervención ha sido hoy mismo pero aquí estoy, encontrándome genial, sin ningún dolor y escribiendo la reseña, que creo que es muy necesaria. He visto algunos comentarios en los que no dejan en muy buen lugar la forma de ser o de tratar a los pacientes del doctor. Yo solo puedo decir que el trato ha sido magnífico, me ha querido transmitir tranquilidad en todo momento, ha bromeado, me ha dicho todo con claridad y que pregunte lo que haga falta por muy "ridículas" que me puedan parecer mis dudas, que lo importante es que sepa todo y me quede tranquila. Por mi parte un 10. De la doctora Salmones igual, me ha tratado con un cariño inmenso, ha sido súper cuidadosa siempre conmigo y me ha transmitido mucha seguridad durante todo el proceso. Han resuelto ambos mis dudas en todo momento, y están disponibles para cualquier duda también desde el momento en que contacté por primera vez con ellos, y ofreciéndome seguimiento post cirugía. Cuando pase más tiempo y pueda hablar de los resultados haré otra reseña, pero necesitaba aclarar todo el tema del trato porque he visto comentarios que me han hecho estar más insegura, pero todo el equipo ha hecho que todas mis dudas al respecto se hayan aclarado y solo puedo agradecerles por lo bien que me han tratado. Muchas gracias a los dos, y a Yolanda y a los enfermeros del Hospital CERAM también.
Me operé de aumento de pecho con el dr Nogueira en el 2016. No puedo estar más contenta con el resultado, el tamaño adecuado, natural. Te resuelve todas tus dudas, con respuestas muy claras. Lo recomiendo sin dudar. Visite otras consultas pero cuando lo conocí sentí que debería ser el quien me operé y no me equivoque.
Outstanding! From first consultation to last post op meeting I felt special, was treated with absolute respect and kindness and owe a debt to gratitude to Doctors Nogeuria and Salmones. My sense of well-being is off the scale.
Wonderful work done on my eyelids! I had my lower eye lids done by Dr Nogueira to remobe massive eyebags and than another trip to this clinic for Dr Nogueira to treat my droopy upper eyelids and the results are amazing. From the start of my conversation with Yolanda to the end my operation and the post-op care everything was fantastic. I can't find the bestnwords to describe how happy I am with the results thanks to Dr Nogueira and his team.
It is absolutely impossible, physically and geometrically, to apply a chin implant to widen the chin and not adding a significant amount of anterior growth, it will (add anterior projection and volume).I strongly recommend you seek the help of a surgeon experienced in multidimensional genioplasties, in your case with bone supply as grafted material taken from elbow or iliac bones. This technique allows, for example, an exclusively horizontal augmentation of the chin (if this is your goal). It is true the vast majority of surgeons use the implants instead of the osseous surgery to adjust the chin, but this is a matter just of lack of experience and comfort ease; implants play no role when there is an autologous alternative which, actually, has plenty of superior advantages. Being an option, chin implants have serious disadvantages, especially in the mid and long term, patients are rarely happy with them after 5-6 years, all are out sooner or later. A quick research just on this website sheds light on the common, frequent and serious complications and side effects chin implants entail, like dislocation, malpositioning, infection, over or under corrections, visibility, fake looks, nerve damage, chronic pain, poor aesthetic results and in general patients' dissatisfaction; not to forget chin implants are not versatile, they are unable to provide vertical increase, horizontal axis modifications and in most cases sufficient anterior projection; as obvious as it sounds but we have to bear in mind chin implants play absolutely no role when the chin needs reduction of one of the spatial axes; actually it is very common receiving patients who seek chin implant removal and replacement by an osseous genioplasty in the same procedure. Fillers, another tempting resource, are a very dangerous option in chin reshaping, potentially destructive, unable to reshape and enhance respecting the basic principles of anatomical beauty, leading to mid and long term serious complications (granulomas, deformities, fistulae, etc) and the worst is they can't be removed in most cases. Burring the chin is, strictly said, osseous chin surgery but should neither be performed, ever, since just flattens the chin by destroying the natural dome of the jaw, deletes the labiomental crease and due to the detachment of the mentalis tendon this technique commonly leads to a droopy double chin, a serious aesthetic complication. A multidimensional sliding genioplasty allows to a versatile surgeon full customization for augmenting, reducing and leveling the chin in any of its spatial axes, leading to a myriad of combinations to suit every individual's chin anatomy and facial balance requirements; you can masculinize, feminize, round or make square, increase, decrease, supply bone graft, remove bone portions, slide fragments, etc. This absolutely impossible with other method than multidimensional sliding geniplasty, a technique providing a series of advantages among which worth mentioning:-lifetime procedure, no more revision or renewal procedures, unlike implants-more natural than implants, the procedure is totally undetectable-no visibility of implant edges during gestures, expression is even improved, nicer smile-improves the double chin effect at the sub-mental muscles (floor of mouth) hammock caused by lack of tension there; also improves the shape and tension of perioral muscles and tightens up the jowls, creating a beneficial side effect in form of an indirect facelift and neck lift, all patients see their face indirectly rejuvenated; implants do not offer this feature-no future displacements or neuritis of mental nerves-no droopy double chin (the mentalis tendon is not detached)-way lower rate of postoperative complications if compared with implants, like infections, displacements, neuritis, etc-no need for complex plates and screws or teeth braces that may need future removal; just steel wires synthesis may suffice, they stay buried into bone callus producing no disturbance The cons for the patient are essentially the costs associated with osseous genioplasties, however it sounds cheap if you consider the lifetime benefits; obviously the main disadvantage happens on surgeon's side, since it is more technically demanding than chin implants, few surgeons are experienced or comfortable with multidimensional osseous genioplasties (though I personally perform 100% of the chin procedures by this osseous method); patients have difficulty in finding surgeons experienced and comfortable in osseous genioplasties able to freely modify the chin shape and size based on their aesthetic and gender goals. You'll find in this website hundreds of negative experiences with chin implants in the short and mid term, do read my profile's Q&A and you'll find them too. I am doing osseous genioplasties for more than 15 years with the highest success and no one patient sought afterwards switching to chin implants, totally the opposite, I did many chin implant removals and one-staged osseous genioplasties to replace the implant and enhance the result. See the link below to find few cases of my own practice very similar to yours which I had the opportunity to operate successfully on, sharing a lot of common features with the technical problem you have posted. If you wish better grounded opinion well lit, focused and standard images have to be assessed: frontal, both lateral and both oblique views, also from underneath. Feel free to request any additional information from me.
Viewing your preoperative views you were a perfect candidate to a multidimensional genioplasty in order to augment your quite underdeveloped chin boneI agree your chin is too small and weak for your facial features; a comprehensive set of views is necessary to assess the profile requirements of reshaping/resizing. I strongly recommend you seek the help of a surgeon experienced in multidimensional genioplasties, in your case with bone supply as grafted material taken from elbow or iliac bones. It is true the vast majority of surgeons use the implants instead of the osseous surgery to adjust the chin, but this is a matter just of lack of experience and comfort ease; implants play no role when there is an autologous alternative which, actually, has plenty of superior advantages. Being an option, chin implants have serious disadvantages, especially in the mid and long term, patients are rarely happy with them after 5-6 years, all are out sooner or later. A quick research just on this website sheds light on the common, frequent and serious complications and side effects chin implants entail, like dislocation, malpositioning, infection, over or under corrections, visibility, fake looks, nerve damage, chronic pain, poor aesthetic results and in general patients' dissatisfaction; not to forget chin implants are not versatile, they are unable to provide vertical increase, horizontal axis modifications and in most cases sufficient anterior projection; as obvious as it sounds but we have to bear in mind chin implants play absolutely no role when the chin needs reduction of one of the spatial axes; actually it is very common receiving patients who seek chin implant removal and replacement by an osseous genioplasty in the same procedure. Fillers, another tempting resource, are a very dangerous option in chin reshaping, potentially destructive, unable to reshape and enhance respecting the basic principles of anatomical beauty, leading to mid and long term serious complications (granulomas, deformities, fistulae, etc) and the worst is they can't be removed in most cases. Burring the chin is, strictly said, osseous chin surgery but should neither be performed, ever, since just flattens the chin by destroying the natural dome of the jaw, deletes the labiomental crease and due to the detachment of the mentalis tendon this technique commonly leads to a droopy double chin, a serious aesthetic complication. A multidimensional sliding genioplasty allows to a versatile surgeon full customization for augmenting, reducing and leveling the chin in any of its spatial axes, leading to a myriad of combinations to suit every individual's chin anatomy and facial balance requirements; you can masculinize, feminize, round or make square, increase, decrease, supply bone graft, remove bone portions, slide fragments, etc. This absolutely impossible with other method than multidimensional sliding geniplasty, a technique providing a series of advantages among which worth mentioning:-lifetime procedure, no more revision or renewal procedures, unlike implants-more natural than implants, the procedure is totally undetectable-no visibility of implant edges during gestures, expression is even improved, nicer smile-improves the double chin effect at the sub-mental muscles (floor of mouth) hammock caused by lack of tension there; also improves the shape and tension of perioral muscles and tightens up the jowls, creating a beneficial side effect in form of an indirect facelift and neck lift, all patients see their face indirectly rejuvenated; implants do not offer this feature-no future displacements or neuritis of mental nerves-no droopy double chin (the mentalis tendon is not detached)-way lower rate of postoperative complications if compared with implants, like infections, displacements, neuritis, etc-no need for complex plates and screws or teeth braces that may need future removal; just steel wires synthesis may suffice, they stay buried into bone callus producing no disturbance The cons for the patient are essentially the costs associated with osseous genioplasties, however it sounds cheap if you consider the lifetime benefits; obviously the main disadvantage happens on surgeon's side, since it is more technically demanding than chin implants, few surgeons are experienced or comfortable with multidimensional osseous genioplasties (though I personally perform 100% of the chin procedures by this osseous method); patients have difficulty in finding surgeons experienced and comfortable in osseous genioplasties able to freely modify the chin shape and size based on their aesthetic and gender goals. You'll find in this website hundreds of negative experiences with chin implants in the short and mid term, do read my profile's Q&A and you'll find them too. I am doing osseous genioplasties for more than 15 years with the highest success and no one patient sought afterwards switching to chin implants, totally the opposite, I did many chin implant removals and one-staged osseous genioplasties to replace the implant and enhance the result. See the link below to find few cases of my own practice very similar to yours which I had the opportunity to operate successfully on, sharing a lot of common features with the technical problem you have posted. If you wish better grounded opinion well lit, focused and standard images have to be assessed: frontal, both lateral and both oblique views, also from underneath. Feel free to request any additional information from me.
I think your chin needs more than a simple implant, since needs bone supply due to its hypoplastic features, not even being suitable a basic sliding genioplasty, you are a clear candidate for a multidimensional augmentation genioplasty.I agree your chin is too small and weak for your facial features; a comprehensive set of views is necessary to assess the profile requirements of reshaping/resizing. I strongly recommend you seek the help of a surgeon experienced in multidimensional genioplasties, in your case with bone supply as grafted material taken from elbow or iliac bones. It is true the vast majority of surgeons use the implants instead of the osseous surgery to adjust the chin, but this is a matter just of lack of experience and comfort ease; implants play no role when there is an autologous alternative which, actually, has plenty of superior advantages. Being an option, chin implants have serious disadvantages, especially in the mid and long term, patients are rarely happy with them after 5-6 years, all are out sooner or later. A quick research just on this website sheds light on the common, frequent and serious complications and side effects chin implants entail, like dislocation, malpositioning, infection, over or under corrections, visibility, fake looks, nerve damage, chronic pain, poor aesthetic results and in general patients' dissatisfaction; not to forget chin implants are not versatile, they are unable to provide vertical increase, horizontal axis modifications and in most cases sufficient anterior projection; as obvious as it sounds but we have to bear in mind chin implants play absolutely no role when the chin needs reduction of one of the spatial axes; actually it is very common receiving patients who seek chin implant removal and replacement by an osseous genioplasty in the same procedure. Fillers, another tempting resource, are a very dangerous option in chin reshaping, potentially destructive, unable to reshape and enhance respecting the basic principles of anatomical beauty, leading to mid and long term serious complications (granulomas, deformities, fistulae, etc) and the worst is they can't be removed in most cases. Burring the chin is, strictly said, osseous chin surgery but should neither be performed, ever, since just flattens the chin by destroying the natural dome of the jaw, deletes the labiomental crease and due to the detachment of the mentalis tendon this technique commonly leads to a droopy double chin, a serious aesthetic complication. A multidimensional sliding genioplasty allows to a versatile surgeon full customization for augmenting, reducing and leveling the chin in any of its spatial axes, leading to a myriad of combinations to suit every individual's chin anatomy and facial balance requirements; you can masculinize, feminize, round or make square, increase, decrease, supply bone graft, remove bone portions, slide fragments, etc. This absolutely impossible with other method than multidimensional sliding geniplasty, a technique providing a series of advantages among which worth mentioning:-lifetime procedure, no more revision or renewal procedures, unlike implants-more natural than implants, the procedure is totally undetectable-no visibility of implant edges during gestures, expression is even improved, nicer smile-improves the double chin effect at the sub-mental muscles (floor of mouth) hammock caused by lack of tension there; also improves the shape and tension of perioral muscles and tightens up the jowls, creating a beneficial side effect in form of an indirect facelift and neck lift, all patients see their face indirectly rejuvenated; implants do not offer this feature-no future displacements or neuritis of mental nerves-no droopy double chin (the mentalis tendon is not detached)-way lower rate of postoperative complications if compared with implants, like infections, displacements, neuritis, etc-no need for complex plates and screws or teeth braces that may need future removal; just steel wires synthesis may suffice, they stay buried into bone callus producing no disturbance The cons for the patient are essentially the costs associated with osseous genioplasties, however it sounds cheap if you consider the lifetime benefits; obviously the main disadvantage happens on surgeon's side, since it is more technically demanding than chin implants, few surgeons are experienced or comfortable with multidimensional osseous genioplasties (though I personally perform 100% of the chin procedures by this osseous method); patients have difficulty in finding surgeons experienced and comfortable in osseous genioplasties able to freely modify the chin shape and size based on their aesthetic and gender goals. You'll find in this website hundreds of negative experiences with chin implants in the short and mid term, do read my profile's Q&A and you'll find them too. I am doing osseous genioplasties for more than 15 years with the highest success and no one patient sought afterwards switching to chin implants, totally the opposite, I did many chin implant removals and one-staged osseous genioplasties to replace the implant and enhance the result. See the link below to find few cases of my own practice very similar to yours which I had the opportunity to operate successfully on, sharing a lot of common features with the technical problem you have posted. If you wish better grounded opinion well lit, focused and standard images have to be assessed: frontal, both lateral and both oblique views, also from underneath. Feel free to request any additional information from me.
It is true the vast majority of surgeons use the implants instead of the osseous surgery to adjust the chin, but this is a matter just of lack of experience and comfort ease; implants play no role when there is an autologous alternative which, actually, has plenty of superior advantages. Being an option, chin implants have serious disadvantages, especially in the mid and long term, patients are rarely happy with them after 5-6 years, all are out sooner or later. A quick research just on this website sheds light on the common, frequent and serious complications and side effects chin implants entail, like dislocation, malpositioning, infection, over or under corrections, visibility, fake looks, nerve damage, chronic pain, poor aesthetic results and in general patients' dissatisfaction; not to forget chin implants are not versatile, they are unable to provide vertical increase, horizontal axis modifications and in most cases sufficient anterior projection; as obvious as it sounds but we have to bear in mind chin implants play absolutely no role when the chin needs reduction of one of the spatial axes; actually it is very common receiving patients who seek chin implant removal and replacement by an osseous genioplasty in the same procedure. Fillers, another tempting resource, are a very dangerous option in chin reshaping, potentially destructive, unable to reshape and enhance respecting the basic principles of anatomical beauty, leading to mid and long term serious complications (granulomas, deformities, fistulae, etc) and the worst is they can't be removed in most cases. Burring the chin is, strictly said, osseous chin surgery but should neither be performed, ever, since just flattens the chin by destroying the natural dome of the jaw, deletes the labiomental crease and due to the detachment of the mentalis tendon this technique commonly leads to a droopy double chin, a serious aesthetic complication. A multidimensional sliding genioplasty allows to a versatile surgeon full customization for augmenting, reducing and leveling the chin in any of its spatial axes, leading to a myriad of combinations to suit every individual's chin anatomy and facial balance requirements; you can masculinize, feminize, round or make square, increase, decrease, supply bone graft, remove bone portions, slide fragments, etc. This absolutely impossible with other method than multidimensional sliding geniplasty, a technique providing a series of advantages among which worth mentioning:-lifetime procedure, no more revision or renewal procedures, unlike implants-more natural than implants, the procedure is totally undetectable -no visibility of implant edges during gestures, expression is even improved, nicer smile-improves the double chin effect at the sub-mental muscles (floor of mouth) hammock caused by lack of tension there; also improves the shape and tension of perioral muscles and tightens up the jowls, creating a beneficial side effect in form of an indirect facelift and neck lift, all patients see their face indirectly rejuvenated; implants do not offer this feature-no future displacements or neuritis of mental nerves-no droopy double chin (the mentalis tendon is not detached) -way lower rate of postoperative complications if compared with implants, like infections, displacements, neuritis, etc-no need for complex plates and screws or teeth braces that may need future removal; just steel wires synthesis may suffice, they stay buried into bone callus producing no disturbance The cons for the patient are essentially the costs associated with osseous genioplasties, however it sounds cheap if you consider the lifetime benefits; obviously the main disadvantage happens on surgeon's side, since it is more technically demanding than chin implants, few surgeons are experienced or comfortable with multidimensional osseous genioplasties (though I personally perform 100% of the chin procedures by this osseous method); patients have difficulty in finding surgeons experienced and comfortable in osseous genioplasties able to freely modify the chin shape and size based on their aesthetic and gender goals. You'll find in this website hundreds of negative experiences with chin implants in the short and mid term, do read my profile's Q&A and you'll find them too. I am doing osseous genioplasties for more than 15 years with the highest success and no one patient sought afterwards switching to chin implants, totally the opposite, I did many chin implant removals and one-staged osseous genioplasties to replace the implant and enhance the result. See the link below to find few cases of my own practice very similar to yours which I had the opportunity to operate successfully on, sharing a lot of common features with the technical problem you have posted. If you wish better grounded opinion well lit, focused and standard images have to be assessed: frontal, both lateral and both oblique views, also from underneath. Feel free to request any additional information from me.
A comprehensive set of views is necessary to assess the profile requirements of reshaping/resizing. I strongly recommend you seek the help of a surgeon experienced in multidimensional genioplasties to reduce your chin. It is true the vast majority of surgeons use the implants instead of the osseous surgery to adjust the chin, but this is a matter just of lack of experience and comfort ease; implants play no role when there is an autologous alternative which, actually, has plenty of superior advantages. Being an option, chin implants have serious disadvantages, especially in the mid and long term, patients are rarely happy with them after 5-6 years, all are out sooner or later. A quick research just on this website sheds light on the common, frequent and serious complications and side effects chin implants entail, like dislocation, malpositioning, infection, over or under corrections, visibility, fake looks, nerve damage, chronic pain, poor aesthetic results and in general patients' dissatisfaction; not to forget chin implants are not versatile, they are unable to provide vertical increase, horizontal axis modifications and in most cases sufficient anterior projection; as obvious as it sounds but we have to bear in mind chin implants play absolutely no role when the chin needs reduction of one of the spatial axes; actually it is very common receiving patients who seek chin implant removal and replacement by an osseous genioplasty in the same procedure. Fillers, another tempting resource, are a very dangerous option in chin reshaping, potentially destructive, unable to reshape and enhance respecting the basic principles of anatomical beauty, leading to mid and long term serious complications (granulomas, deformities, fistulae, etc) and the worst is they can't be removed in most cases. Burring the chin is, strictly said, osseous chin surgery but should neither be performed, ever, since just flattens the chin by destroying the natural dome of the jaw, deletes the labiomental crease and due to the detachment of the mentalis tendon this technique commonly leads to a droopy double chin, a serious aesthetic complication. A multidimensional sliding genioplasty allows to a versatile surgeon full customization for augmenting, reducing and leveling the chin in any of its spatial axes, leading to a myriad of combinations to suit every individual's chin anatomy and facial balance requirements; you can masculinize, feminize, round or make square, increase, decrease, supply bone graft, remove bone portions, slide fragments, etc. This absolutely impossible with other method than multidimensional sliding geniplasty, a technique providing a series of advantages among which worth mentioning:-lifetime procedure, no more revision or renewal procedures, unlike implants-more natural than implants, the procedure is totally undetectable-no visibility of implant edges during gestures, expression is even improved, nicer smile-improves the double chin effect at the sub-mental muscles (floor of mouth) hammock caused by lack of tension there; also improves the shape and tension of perioral muscles and tightens up the jowls, creating a beneficial side effect in form of an indirect facelift and neck lift, all patients see their face indirectly rejuvenated; implants do not offer this feature-no future displacements or neuritis of mental nerves-no droopy double chin (the mentalis tendon is not detached)-way lower rate of postoperative complications if compared with implants, like infections, displacements, neuritis, etc-no need for complex plates and screws or teeth braces that may need future removal; just steel wires synthesis may suffice, they stay buried into bone callus producing no disturbance The cons for the patient are essentially the costs associated with osseous genioplasties, however it sounds cheap if you consider the lifetime benefits; obviously the main disadvantage happens on surgeon's side, since it is more technically demanding than chin implants, few surgeons are experienced or comfortable with multidimensional osseous genioplasties (though I personally perform 100% of the chin procedures by this osseous method); patients have difficulty in finding surgeons experienced and comfortable in osseous genioplasties able to freely modify the chin shape and size based on their aesthetic and gender goals. You'll find in this website hundreds of negative experiences with chin implants in the short and mid term, do read my profile's Q&A and you'll find them too. I am doing osseous genioplasties for more than 15 years with the highest success and no one patient sought afterwards switching to chin implants, totally the opposite, I did many chin implant removals and one-staged osseous genioplasties to replace the implant and enhance the result. See the link below to find few cases of my own practice very similar to yours which I had the opportunity to operate successfully on, sharing a lot of common features with the technical problem you have posted. If you wish better grounded opinion well lit, focused and standard images have to be assessed: frontal, both lateral and both oblique views, also from underneath. Feel free to request any additional information from me.
