Chin Implant but my Face is Crooked... It Looks Worse! Help Please! (photo)

Question

At 20 years old in March 2011, I had a nose job and chin implant. I love my nose but my implant looks terrible! My face is lopsided. I get asked if my chin is broken. It looks terrible from all angles. Is there anyway to fix this and give me a chin! And get rid of the cleft. All I do is cry at my reflection. I'm only 22. I don't want to be made fun of anymore. :(

John Bitner, MD · Answer

I'm sorry you have had to deal with this for the last couple of years. It is fairly obvious that the implant has migrated down onto the undersurface of your jawbone. Probably the best and safest course to take would be to remove the implant, allow everything to heal and then come back in 3 months or more and put a new one in. When placing an implant there are several very important principles to remember to make sure it will be placed correctly and not migrate over time. First, place the implant in a sub-periosteal pocket. The periosteum is a connective tissue layer that covers the bone and the implant should go between the periosteum and the bone. Second, the pocket you create should precisely fit the implant, not too big and not too small. Third, when I place an implant we always use a type of anesthesia that does not require the patient to be intubated. If there is a tube going in the mouth then the mouth is open and it makes it more difficult to see exactly where the implant is sitting. 3D imaging helps plan the size and location of the implant. I hope this information helps. Chin implants can nicely enhance the results of a rhinoplasty but the technique used to place it is important.

Michael I. Echavez, MD · Answer

I'm not sure what type and style/size of implant you had placed into your chin, but the simplest treatment would be to remove the implant you have and replace it with one that would be more suited to your face. There are many styles and sizes of implants and there should be one that would give you good results.

Barry L. Eppley, MD, DMD · Answer

It appears that the chin implant is not in the correct position and a chin implant with your chin shape was not the ideal choice anyway. Your chin is long and sloped backwards so a chin implant will make your chin appear longer even if it has a more horizontal position forward. Ideally what you need is the chin implant removed and a sliding genioplaasty done so your chin comes forward and gets shorter in so doing not longer.

Darryl J. Blinski, MD · Answer

The chin implant has become mal positioned. Either have it re aligned or removed ASAP! What does your surgeon say???

Samir Shureih, MD · Answer

You have the wrong implant shape and wrong position of the implant.Your options are: Remove the implant and wait 6 months to put a new implant. Option two remove the implant and put a new better shape, size and position implant.

Ricardo Ventura, MD · Answer

Your implant has a bad position. From what i can see from your pictures its in a lower position than it should be. Also I see that besides I chin implant, you may be a good candidate to have a mentoplasty, because not only you need to push your chin to the front but also down. which was try but your doctor, but can not be accomplished by just using an implant. With the mentoplasty, your chin bone is cut advanced and pushed down a few mm and fixed again with platinum screw.

Francis R. Palmer, III, MD (retired) · Answer

I have performed many Chin Augmentations with Chin Implants and from the photos provided, the Chin Implant may not be in the proper aesthetic position.

Chin Implant but my Face is Crooked... It Looks Worse! Help Please! (photo)

Answers (7)

More Chin Implant Questions

WE SEND PRETTY
EMAILS

Answers (7)

More Chin Implant Questions

Chin Implant Vs Fat Graft; Jaw Implants? (photo)

Chin Implant For Class II Mandibular Malocclusion But Very Good Bite?

I was wondering why are chin implant are so small, the largest offering horizontal projection increase by only 10mm?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS