Chin implant added on after genioplasty?

Question

After having sliding genioplasty, I'm very happy with how my chin looks, in regards to its length. Let me go ahead and state I had this done six months ago and nearly all the swelling has gone down for the most part. I was wondering though, could I have a chin implant added on top to add more width and help balance out the rest of my face?

Anil R. Shah, MD · Answer

Revision chin surgery after a sliding genioplasty has more risks than first time surgery. Dissection planes may not be as easily lifted.  In addition, a sliding genioplasty often has hardware present (metal plates and screws) as well as an altered blood supply to the underlying structures.  Infections are theoretically more likely.Although the risks are higher, patients can have a chin implant after a sliding genioplasty.  Make sure you see a qualified surgeon who has a lot of experience placing chin implants and working with the face.

Kenneth Hughes, MD · Answer

This can be considered.  Find a plastic surgeon with ELITE credentials who performs hundreds 
of chin implants and facial procedures each year.  Then look at the 
plastic surgeon's website before and after photo galleries to get a 
sense of who can deliver the results.	Kenneth Hughes, MD Los Angeles, CA

John Frodel, MD · Answer

The key is the current degree of projection of your chin.  You don't want to over-project it as this can masculinize your lower face.  However, another issue is whether you need augmentation to the sides of your chin, which can be depressed after some genioplasties.

Barry L. Eppley, MD, DMD · Answer

A chin implant can always be added in front of a sliding genioplasty, either during the genioplasty or after. Because a sliding genioplasty often makes the chin more narrow as it comes forward, men often want more width or even more projection. A square chin implant can be added onto it as an overlay anytime later.

Samir Shureih, MD · Answer

In theory , yes you can have an implant after genioplasty.However one needs to look at an x-ray of your chin , because it might be very difficult to fit that implant with a gap in the bone due to the genioplasty.Samir Shureih MD. FACSsshureih@msn.com

Chin implant added on after genioplasty?

Answers (5)

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