Chin Implant Revision Surgery or Fat Injections?

3 weeks ago had chin implant surgery, but I'm not happy with the results. I have a round face and it seems to me that the implant used is too small for my type of face. The round contours are not proportional, and it does not give my face a balanced appearance.

My surgeon told me that it needs some injection of fat. What do you think about that? Should I change out my implant instead? What can I do?

Doctor Answers 9

Revisions at 6 months

It is too soon 3 weeks after surgery to assess results and definitely too soon to perform revision surgery.

Chin implant surgery is characterized by swelling around the chin implant, causing a distorted facial appearance. It would be a mistake to reoperate for what is essentially water in the tissues that will go away.

Another consideration is psychological. Patients adapt well to rejuvenation surgery; most of us think we look younger than we actually look (me included!). Rejuvenating the face just reinforces what the patient has known all along. However when the appearance is changed (chin implants, cheek augmentation, breast augmentation), there is a period of adjustment during which patients feel they are not looking at themselves, and interpret this as dissatisfaction with the surgery. These things tend to mellow with time, another reason to wait 6 months for almost all revision surgery.

Brent Moelleken MD FACS
Offices in Beverly Hills and Santa Barbara
Clinical faculty, UCLA

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 177 reviews

Too soon to tell...

Only 3 weeks after surgery, you are still swollen and your tissues are recovering. You won't know what the result really looks like for about 3-4 months. Wait until then and at that point it will be clear if you need a different chin implant. Maybe you won't!

Changing the implant is probably better than doing fat injections around the existing one. It is hard from the photo to tell exactly what you look like now. Straight on and profile views are more helpful than obliques.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Don't Move Too Soon

It is difficult to make a final judgement regarding the results of Chin Augmentation only three weeks post-operative. There is most likely still some residual swelling in the surgical area.

If after 6 months you and your surgeon feel that the implant has not done enough to improve your profile and appearance, your options include replacing the implant with a larger implant, or augmenting the deficient facial contours with autologous fat transfers or other filler material. To augment around the chin implant, you could use Radiesse, Juvederm Ultra, or Artefill, all of which can be placed deep and molded into the proper position near the existing implant.

I recommend not making any judgement about your results or plans for the next surgery until enough time has passed for you to appreciate the results with "before and after" photographs of yourself.

Athleo Louis Cambre, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 6 reviews

It's too early to judge

At 3 weeks post-surgery, your face is still experiencing swelling. I would wait at least a few months to interpret your final results. If you are still unhappy, I would recommend a revisional surgery to change out the implant. Fat injections are unreliable, and are unlikely to give you a satisfactory result. 

David P. Rapaport, MD, FACS
Manhattan Plastic Surgeon
4.6 out of 5 stars 38 reviews

chin implant revision

 It's a good idea not to make a decision upon revision at only 3 weeks after the surgery. At 3 months after the surgery, consideration to remove and replace the implant can be entertained. In our practice this can be done under local anesthesia whereby the old implant removed and a new implant inserted  that is the proper size. On occasion we have to custom carved these implants to match facial features.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Chin implant for chin augmentation

The area of the lower lip, especially the jowls and corners of the mouth may benefit from enhancement.  If you are interested in a larger implant, this is still a possibility.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Chin implant recovery longer than 3 weeks

To see the full results of your chin implant you need to wait longer than 3 weeks – closer to 3 months. At that time if not happy you can consider a revision.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Chin implant and fat transfer

It depends on analyzing the preop and post op pictures

Good analysis is key. Understanding your goals is important to make the decision.

The implant used is important to consider. Was the proper size and shape used?

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

Chin Implant and Fat Injections

Hi m,

It is difficult to advise you based on the photo. Please send or post a photo of profile and straight head on views. As far as what you can do, you are correct in that you can revise the implant for a larger one; I prefer Mittleman chin-'pre jowl implants. They can be sized before your surgery. Fat transfer can also be used, but it should be performed by a surgeon with experience and excellent aesthetic judgment. Let us know how it goes, and send more pictures if possible. Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 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.