Why is Chin Implant Not a Solution for Receding Chin? (photo)

I am unsure why your plastic surgeon answered your question in that manner. The best solution, if you also have problems with the way your upper and lower teeth come together, is likely to be a jaw surgery. However, from a cosmetic standpoint a chin implant would improve your profile. If you put an implant in large enough to totally remedy the deficiency in your chin it would look very unusual. However, a conservative augmentation with a chin implant would improve your front and side view without looking like a bump. I hope this information is helpful.Stephen Weber MD, FACS

You likely have retognathia, or a small jaw and not just a small chin.  While orthognathic surgery is certainly ideal, this is admittedly quite involved requiring pre-surgical orthodontics and somewhat complex surgery and subsequent downtime (and much more expense).  So compromise consideration would include either a bony genioplasty or a chin implant.  Implants are ok for you, but if your surgeon uses accepted standards for chin projection, it would be quite easy to put in too large of an implant which could result in an unnatural appearance.  My experience has been quite good when chin augmentation is done conservatively (ie. a smaller implant than you would think would be necessary).  The alternative is a genioplasty, where the lower aspect of the chin is cut and advanced--even better is when the chin is advanced and lowered (and lengthened) which can produce a remarkably acceptable improvement.

From the looks of it, a large chin implant may improve your profile but the real issue appears to be a short lower jaw bone.  You need to be fully assessed with x-rays of the jaw, and orthodontic exams.  The correct thing to do may be a jaw lengthening procedure with orthodontia in a coordinated approach.  This may obviate need for chin implant.

 

The benefit of the above is that it may save you from tmj pain and tooth loss, as well as address your cosmetic concerns.