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Chin implants are placed along the lower border of the jaw directly on the bone and below any orbicularis or depressor anguli musculature of the lower lip.
yes. Chin implant lays under all muscles of facial expression. They are either placed over or under periosteum.
Hi, yes, the silastic chin is typically placed under the periosteum which is beneath the muscle(s). I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years. When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin". Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face. Using the same incision, liposuction can be performed to reduce the fat and further shape the neck. Excess skin, from below the chin, can also be removed through the same incision. I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone). I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone. When consulting with surgeons perhaps ask not only is your chin weak but do they have experience performing chin augmentation? The attached video shows how I determine whether the chin is weak. The selection of the proper size, shape and thickness as well as the proper placement of the silastic chin implant are all "key" elements in creating a naturally looking chin. If too large of an implant is used in a woman, the chin can look relatively masculine. That's where experience, performing chin implant surgery, comes into play.Hope this helps.
As a general rule....the greater the implant load, the greater the result but the greater the risks are as well. It is not a question of material safety it is just that the bigger the implant the bigger are the risks.
Changing the chin implant is a relatively simple procedure. The new implant can be placed through the original incision or an incision under the chin. You may have sutures that haven’t dissolved, which is unusual at 2.5 months post op. Have your surgeon take a look to see if he can remo...
You actually have several good options. First, you can fill in the bone depression from the old chin implant with hydroxyapatite cement and place the new implant lower in a better position. Or you could do a sliding genioplasty and fill in the whole step off with either hydroxyapatite cement or...