25 year old chin implant that I hate, what are options?

Exciting 6586,

Your 25-year-old chin implant certainly can be addressed. I'm sorry to hear about the surgeon that performed for you is now passed, but with proper execution and planning surgical treatments can be rendered. It may take more than one surgery to achieve desire result. Once the implant is removed the bone may need contouring as well as needing additional bone placed to restore contour. At some point a sliding genioplasty may be the treatment of choice to get due to the outcome that you desire.

I would have in person consultations with oral and maxillofacial surgeons and/or plastic surgeons that have expertise in this area.

Best wishes!

Earl Stephenson Jr, MD, DDS, MBA
ESJ Aesthetics
#TruthAndTransformation.

Thank you for your question. When it comes to replacing a chin implant, it is always useful to know the details regarding the implant that is already in place. It is quite likely that yours is a silicone implant, and although it has a tendency to erode slightly into the bone, it still allows for good replacement surgery to be carried out.

If you want to find out about the projection of the current implant, an ultrasound scan or an MRI scan can provide this information. During a consultation, it is possible to use computer imaging and simulation on photographs in 3D to have a better appreciation of the width and projection you would like to achieve, as both contribute to the perception of size.

The characteristics of the chin are different when viewed from the oblique view and the side view, as they are assessed in relation to different structures of our face. 3D imaging allows a better understanding of the proportions that you may find suitable. Once you have identified how much change you are contemplating and have finalized obtaining the information regarding your current implant, it is possible to use either a custom-made implant or a Medpor implant that can be carved to suit your features better.

Some chin implants are not made of silicone however it may be more difficult to remove. If you are unhappy with the appearance of your chin, a reputable facial plastic surgeon should be able to advise you regarding removing it and possibly replacing it with a smaller implant. A CAT scan can sometimes be helpful in determining the shape, size, and material that was used. Wishing you well. Sincerely, Dr. Joseph

First, I would get a CT to determine the proper positioning of the existing implant as well as the current facial appearance. In some cases the implant can be removed and replaced with a different implant. A better option may be a sliding genioplasty and simultaneous removal of the chin implant. It is likely that the implant was never fixated with screws (not common 25 years ago) and I would be concerned with migration of the implant. Photos and a CT would be helpful.

I would say your treatment options would be either removing your chin implant or removing it and replacing it with a different implant. Without examining you, it is difficult to say which option might be better for you.

Without in-person evaluation, it would be difficult to give you good advice. Removal of the old implant (you may need some imaging of the chin, and jaw before that) and, very likely, replacement with a new implant would be a logical approach. However, without in-person or at least teleconference consultation, it would be impossible to give you a more detailed plan of treatment. I hope this helps you.

Much more information is needed, such as a full set of facial photograph from all angles in a chin neutral position. It would also be helpful to see what your photographs of you looked like prior to the chin implant placement, Especially from the side profile to understand what your pre-existing anatomy was. First option would be to simply remove the implant and go back to your original anatomy, or remove the current implant and place a smaller one. This procedure can be performed under local anesthesia as an outpatient procedure. Our price. list is located on our website in the link below.