Chin Implant: mesh vs. plastic implant, what are the pros and cons of each type?

There are two ways to place a chin implant, through the mouth or via a small incision under the chin. The advantage of going under the chin is more direct placement and less likely to damage the sensory nerves or move. The advantage of the intraoral or mouth approach is that there is no scar but placement is harder. The types of implants are preformed usually medical grade plastic or Goretex covered. These are the best solid implants since they do not move and are inert. The other solid implants get integrated into the bone and are harder to remove if necessary and don't feel as natural.Finally, there are mesh types of implants. My preference is not to use them since they are extremely difficult to remove should removal be necessary or if they get infected they are hard to remove entirely. Also they are not as anatomic and are harder to conform around the jaw line. That being said several surgeons like them since they tend to blend with the tissue but are also prone to symmetry issues.Good luck with your decision but I would favor the more solid ones since they are more predictable, easy to remove and replace should the need arise and rarely get infected.

The material that is used is far less important than the type of surgery or style and size of the implant. For example, in cases where there is a deficiency in chin height then I prefer to perform a genioplasty and lengthen the chin while simultaneously advancing the chin. It tends to produce a more natural result. In cases where horizontal projection is required, then the size and dimensions of the implant become critical. Some surgeons have individual preferences for some material over others, but the end result is what's most important. 

Between many types of chin implants silicone seem to be predominantly used by surgeons preforming this type of surgery. It is much more important to find a surgeon experienced in this type of surgery than whether silicon, mesh or other implant is used. In some cases augmentation with fat grafts may work as well.Good luck.