Chin Implant or Fat Transfer?

I'm contemplating between chin implant and fat transfer to the chin. But, I'm confused between the two options, as to which one is better aesthetically and more lasting, also, which one gives a more natural result? If chin Implant is a better option then what kind of chin Implant is a better one in the market? Thanks in advance.

Doctor Answers 13

Chin Implant or Fat Transfer

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My preference is to use structural fat grafting, as much as possible, to enhance facial features. In many cases, the need for a solid implant can be eliminated by the careful and meticulous grafting of a patient's own fat. While the incidence of complications with facial implants is not high, certain problems may develop which require implant removal including infection and implant migration. Bone resorption (bone loss) has also been reported below solid facial implants. Neither of these problems are an issue with structural fat grafting.

The only setting in which I currently use a solid facial implant is for chin implant augmentation. Some patients with a 'weak' chin profile can be adequately improved by structural fat grafting alone. However, when the chin protrusion needs to be enhanced by a half centimeter or more, a chin implant is absolutely required. I prefer to use a soft, flexible, anatomic chin implant that conservatively enhances the anterior projection of the chin in profile. The chin implant is placed through an incision hidden underneath the chin, an area where many people already have a scar from a fall in childhood.

Moderate enhancement of chin projection in appropriate patients can dramatically enhance the profile, in a manner that is completely natural-appearing. It is remarkable how increasing chin prominence in some patients will reduce the apparent prominence of the nose, and restore an overall sense of harmony and balance to facial features.

 


Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

Chin augmentation

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Although soft tissue injection, including autolagous fat can help improve volume temporarily, they can resorb unevenly, migrate with inaccurate injection and harden or fibrose. If you are going through fat grafting for other areas, it may be good choice but I prefer a well placed chin implant. It doesn't take long to place and results are likely permanant and symmetric with good contour.

Edwin Ishoo, MD
Cambridge Facial Plastic Surgeon

Chin implant or fat??

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No question to this one--chin implant lasts forever, gives a better more predictable result and has no lumps or bumps, etc. See an experienced surgeon and you should be very happy with the results of an implant. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Chin Implant

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If done well, either will give you a natural appearing result.  However, a chin implant is more predictable and lasting.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Chin augmentation

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In short, chin implants are definitely more predictable and permanent while fat transfer is unpredictable and nonpermanent but less invasive.  You can achieve natural results with either one.

Dr Taban

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 91 reviews

Chin Implant or Fat Transfer? Chin Implant

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The beautiful thing about a well placed chin implant is that it will never change in size, and results are very consistent.  I most commonly use the Mittleman extended pre-jowl inmplant made out of silastic. Fat transfer allows for transplantation of fat cells from one area of the body (abdomen, outer thighs) to another.  Consistency of results has always been a concern with fat transfer. Secondly, the grafted fat cells will carry with them their native characteristics as far as expansion of contraction with weight loss and gain.  The amount of fat required to achieve a meaningful augmentation will put a patient in a category whereby the result could change with fluctuations in weight.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.9 out of 5 stars 103 reviews

Chin Implant vs Fat Transfer

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Chin implant will give permanent results. Fat may need to be injected multiple times and will not be permanent.

Nicole Schrader, MD, FACS
Princeton Facial Plastic Surgeon
5.0 out of 5 stars 29 reviews

Fat Transfer

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A chin implant can cause some bone erosion, and fat grafting can lose volume if not successful.  Both are risky in some ways.  See a Board Certified Plastic Surgeon for an evaluation. Thank you for your question and good luck with everything.

Vivek Bansal, MD
Danville Plastic Surgeon
4.9 out of 5 stars 26 reviews

Chin Implant vs Fat Transfer

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I would agree that a chin implant is a much better way of increasing your chin projection, and there are several reasons for this. For one, an implant provides for an easier means to get facial symmetry.  Secondly, it is a relatively quick procedure with very little down time.  Lastly, Fat Transfer has a variable degree of success after each treatment. A chin implant comes in different sizes so the patient can choose often times which one looks the best. I perform these routinely under local anesthetic in the office. A sizer is placed and the patient with a mirror can determine the best implant for them.

Fat Transfer is a terrific method for dealing with loss of volume to the cheeks, lower eyelids and lips and deep wrinkle lines on the face.

Chin implant vs Fat Grafting

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Although I fat grafting is one of my procedures of choice, in a young patient with an isolated chin issue I would opt for the chin implant.  While I agree that there are risks to every procedure, the chin implant is straightforward, long lasting and predictable.  If it is for aging face concerns and fat grafting is being done to other areas of the face I might be tempted to just proceed with fat grafting to the chin as well.  Good luck!

Hannah Vargas, MD
Kansas City Facial Plastic Surgeon
4.8 out of 5 stars 48 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.