Is my chin implant too big? Should I consider removal? (Photos)

Question

I had chin implant on 6th of October 2024, and after more than 8 months, i still feel numb under my lips and my chin still feel thick, also my smile is still crooked. And what worse is i feel it’s too big for me. It doesn’t suit my face. I just had a consultation with another surgeon recently to have a second opinion and he also think that my implant is too big. So i’m looking for another opinion from another surgeons here, do you think my implant is too big? I would love to hear your opinion. I consider to remove my implant but I’m worried that it’s gonna make my chin worse. What do you think will happen if i remove my chin implant? And what the recovery will look like? Can it be done under local anasthesia? Also can i have my smile back to normal after removal? I also thinking to have a chin augmentation with fat graft. What’s your thoughts on that? What’s your recommendation? Thank you in advance for your answer.

Alejandro Nogueira, MD · Answer

They are appealing: quick surgery, cheap, outpatient management and veeery easy technical for the surgeon, even the less skilled and experienced can do them, however they have very bad downsides, in practical terms they have short duration due to pain, displacement, visibility, mobility, weird gestures, failing to achive goals, etc, and I mean this about silicone, medmore and any other material used for them.

You have microgenia, this is small bone developtment at the chin, therefore you need chin augmentation with bone supply (iliac grafting); not a case for sliding genioplasty giving there's nothing to slide, it is primery deficit of bone substance.

True that such a revision genioplasty is tricky, complex and need lots of experience and talent, among other goals the mentalis nerves have to be spared (routine maneouver) and the mentalis tendon be reattached to the bone surface via trans-osseous drilling (also routine).

Michael P. Morrissette, DDS, FACS · Answer

In females, large implants often give the chin a wider appearance and can look masculine. The amount of projection is fine but less width would be more feminine. In cases similar to yours, I remove the implant and perform a sliding genioplasty. This allows me to center the natural chin and keep the same width as before the implant. In addition, all the natural muscle reattach so that lip movement remains normal.

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Is my chin implant too big? Should I consider removal? (Photos)

Answers (2)

CHIN IMPLANT PROVIDERS NEAR YOU