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

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