Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years. I couldn't disagree with that particular doctors comments more. In 30 years, I can think of just a few instances that has occurred. When the correct aesthetically sized silastic chin implant is properly placed using a small, curved incision under the chin...it rarely gets infected or ever needs to be removed. That is a true representation of the safety, efficacy and reliability of a silastic chin implant. If an intra-oral approach is used, the implant isn't properly placed or is the wrong size....the removal rate may be increased but it's a complete exaggeration to say "lots of chin implants are removed ever, let alone in a few years". Perhaps the doctor making that statement isn't a chin implant expert...hence that might be his/her own personal experience using silastic chin implants but it certainly isn't the norm. When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin". Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face. Using the same incision, liposuction can be performed to reduce the fat and further shape the neck. Excess skin, from below the chin, can also be removed through the same incision. I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone). I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone. In my opinion, you are a good candidate for chin implant surgery. When consulting with surgeons perhaps ask not only is your chin weak but do they have experience performing chin augmentation? The attached video shows how I determine whether the chin is weak. The second part of what that surgeon said is absolutely correct. The selection of the proper size, shape and thickness as well as the proper placement of the silastic chin implant are all "key" elements in creating a naturally looking chin. If too large of an implant is used in a woman, the chin can look relatively masculine. That's where experience, performing chin implant surgery, comes into play.Hope this is helpful.