Chin implant, right fit for me? (Photo)

Question

A extended wing medium silicone implant was used. I can’t help but feel more masculine as the chin seems wide and tall. I keep trying to love it and am finding it difficult.

Jeffrey H. Spiegel, MD · Answer

This is, in my opinion, not the best chin implant for you. It is not forward enough and points too far down.
We should be able to revise that to a better choice fairly easily, but, the current implant will likely need to be replaced or repositioned.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. I’m sorry that you’re unhappy with the result of your chin augmentation. You may require another surgery to reposition the current implant or replace it entirely. Chin implants are made with a variety of materials, though silicone is generally preferred because they are easy to customize to the ideal shape for each patient, and are easy to remove at a later date should that be desired. 
I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to review your surgical history, discuss your concerns with you, and help you decide on the best approach to achieve your aesthetic goals.

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs.

It is difficult to evaluate the appearance from the front view in selfies as the face generally appears narrower and more elongated.

I suggest that you should discuss your concerns with your surgeon and see what solution they are proposing to begin with.

Alternatives include:
- Replacement of the implant with one that predominantly advances the chin projection without increasing the vertical dimension. This could be a Medpor or custom made PEEK implant
- Replacement of the implant and genioplasty
- Replacement of the implant and advancement of the lower jaw and chin
- Replacement of the implant and injectable filler

It may help to do a simulation using computer imaging in 3D to understand better what it is that you wish to achieve with the chin augmentation to allow you to move forward. If various computer simulations do not produce an image that you like better, it may be preferable to keep the current implant.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.I have evaluated your case regarding the information you provided and your photos.It looks like a too big implant have been used for you. What can be done is to remove your implant and use a smaller implant, with shorter wings (or even without wings, it needs to be checked during face-to-face consultation). A different shaped implant would give you a more feminised look.

Michael P. Morrissette, DDS, FACS · Answer

It appears that despite the chin implant, your chin is still recessive in the lateral photo. In addition, there is lack of a definition of your mentolabial fold. I would recommend a CT to evaluate the current position of the implant. You may want to have the implant removed and undergo a sliding genioplasty procedure.  This procedure will give you additional forward projection yet maintain a narrow natural look.

Mats Hagstrom, MD (license on probation) · Answer

It would be better if you had a proper before and after pictures. If you don’t have those, then ask your surgeon to forward the ones they took. They have inconsistent pictures we can get a better understanding of the change created with the implant. It appears your surgeon focused significantly on vertical height to some degree at the cost of giving horizontal advancement. I think your vertical height was recently good in your before pictures and you primarily needed horizontal advancement. If you’re not happy with the outcome, then ask your provider about doing a revision. When asking for revision surgery, you should be very clear either what changes you’re hoping the procedure will achieve. 
Best,
Mats Hagstrom, MD

Gerald Wittenberg, MSc, DMD (retired) · Answer

Your facial growth pattern is vertical with a high slope to the jawline. The implant will always make the face look longer; so a genioplasty which manages the vertical and the projection is the best option

Chin implant, right fit for me? (Photo)

Answers (8)

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