Considering revision for smaller chin implant - advice? (photos)

Question

I had a chin implant 6 months ago, and I feel like my face just looks heavy now. I pursued the implant to correct a weak chin profile and it feels like the implant gives me a second bump for my chin, sticking out too far and it falls out of line with the natural shape of my chin. We talked about not widening my jaw, but I feel that the chin implant has made my chin just look oval, completely negating the previous feminine jawline. Thoughts on a revision? Scheduled for next week.

Timothy Osborn, MD · Answer

It sounds like you are a good candidate for a genioplasty. This is a permanent procedure that allows us to pretty much put your chin in whatever position you like. You will most likely have chin ptosis after an implant removal, but a genioplasty would resolve that. It is a fairly common practice to remove chin implants and replace them with a genioplasty because you will end up with a better outcome. I suggest doing some research before having an implant revision.

Jason Emer, MD · Answer

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Barry L. Eppley, MD, DMD · Answer

Like chin implants in females it is easy to over do it in terms of horizontal projection as well as to use an implant styles that widens the chin. For your chin implant replacement you need a chin implant with less projection and a non-extended anatomic chin implant that has more of a v shape and not the typical rounded shape.

Mats Hagstrom, MD (license on probation) · Answer

It’s possible to have a Mandible that is small or under developed and still have appointed or projecting chin.

Thistytypically presents with a profile where the upper lip has more forward projection than the lower lip, the person most likely has a dental overbite and at the same time has somewhat of a labiomental angle.

If that’s the case then advancing the projection at the tip of the chin simply worsens labiomental angle but does not advance the body of the mandible.

It’s the mandible itself being smaller that’s the problem not the tip of it.

If you want to address this properly then consider consulting with oral surgeons or plastic surgeons with cranial facial surgery backgrounds.

Advancing the mandible is a fairly complex procedure but is appropriate for some people.

Providers should recognize patients who already have a pointed chin or already deep labiomental angle and recognize that augmenting the chin with an implant world wars in this condition.  this should be addressed during the consultation.  in this situation if an implant is going to be placed it should be conservative in forward projection and consideration given to more vertical lengthening.

Somebody argue that this is better done with a sliding genioplasty but both procedures should be able to accomplish forward advancement and vertical advancement as individually indicated.

Having a chin who is tip projects and the body of the man the ball is undersized is a bit of a complex situation to comprehend because the patient in fact has a Mandible that is too small in one area and correct or oversized in another.  it’s possible to need a chin reduction and a mandible advancement at the same time.

I find oral surgeons take a more skeletal approach to how they do facial aesthetics which is sometimes appropriate.

In reality providers from both backgrounds should be able to make a good assessment and recommend appropriate procedures.

Best,

Mats Hagstrom MD

Considering revision for smaller chin implant - advice? (photos)

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Answers (4)

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