3 consultations for a chin implant. Each surgeon recommends a different shape/size implant - How do I chose? (photos)

The 1st suggested an implant with extra height to avoid a strong labiomental fold. The second suggested strong frontal projection but no lateral wings as this would be too masculine. The third suggested conservative projection but wider/thicker on the sides to avoid a step change btw implant and jaw. The 3 surgeons are equally friendly, competent, highly rated. They all claim the implant size/shape they chose for me is the best for the results I want to achieve. How am I suppose to chose??!

Doctor Answers 2

3 consultations for a chin implant. Each surgeon recommends a different shape/size implant.

 Hi, I have performed many Chin Augmentations using chin implants for over 30 years.  From the photos, your chin is weak.  A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. 

 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.  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.  There are many different shapes, sizes and a couple of methods of placement and varying aesthetic judgement by different surgeons.

 I use extended anatomical, silastic implants through a small, curved incision under the chin.  This will provide the appropriate amount of front projection to the chin without making your chin masculine.

Hope this helps.


Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Three consultations for a chin implant, how do I choose?

From the one side profile photograph, it appears there's a significant weak in recessive chin profile for which a chin implant can improve. Chin implants are manufactured in a large array of sizes and shapes. In our practice, we have been using Implantech silastic chin implants for the last 25 years with an excellent success rate. We always use a chin implant that has lateral wings because the entire  chin needs to be augmented in three-dimensional fashion. Placement of a small and short implant on the front of the chin  will not look good. If the teeth are significantly out of alignment, consider a sliding Genioplasty by an oral surgeon. For more information including diagrams of the implants themselves, and many before-and-after results, please see the video and the link below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.