Replacing large chin implant with a smaller implant - Are titanium screws the only option to keep it in place?

Question

I am 54 male with a large Implatech face lengthening implant . I have had it for 8 years . I have never liked it. It’s still tight and too square. A surgeon I visited said he can removed it and replace it with a smaller button type implant. My concern was that the small implant will move around inside the large pocket . He said he uses stitches to secure it to the internal tissue to hold it in place . I have never heard of this . Can this work or are titanium screw the only option ?

Ozge Ergun, MD · Answer

No, titanium screws are not the only option to keep a chin implant in place. Other methods of securing chin implants include sutures or a combination of sutures and screws. The choice of method used to secure a chin implant during surgery is determined by a number of factors, including the size and shape of the implant, the anatomy of the patient, and the surgeon's preference. It is better to discuss your concerns with your surgeon and see what is the best option for you.

Michael I. Echavez, MD · Answer

A chin implant can be secured by using sutures to secure it to the tissue around it.  This is not unusual.  While a screw could be used, I have never found this to be necessary.

Replacing large chin implant with a smaller implant - Are titanium screws the only option to keep it in place?

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