Chin implant a year after sliding genioplasty? (Photo)

Question

Had my chin advanced by 8mm last year, (intraoral incision, fastened with a cruciform 1mm titanium plate & 4 screws). But I still feel like I need about 6mm or so additional advancement, probably with a medium-sized implant of some kind. Unsure, however, of the type & method (silicone, medpor or something else) that should be used for a job like this, taking into account the scar tissue & existing hardware. Haven't yet been able to find any surgeon in mainland Europe who does this sort of thing.

Barry L. Eppley, MD, DMD · Answer

It is not rare that the initial sliding genioplasty may not meet the desired forward projection of the chin in all patients. Placing a chin implant secondarily on the advanced chin bone can be done. Coming from below would be a bit easier but the material chosen is not as important as getting the right amount of additional horizontal projection needed and securing the implant with screws.

Mats Hagstrom, MD (license on probation) · Answer

Personally I would not deal with meant for it. Solid silicone implants are what most plastic surgeon use. This should not be any different than doing a regular chin implant and I would guess most plastic surgeons should be comfortable doing this.

Another option is redoing the sliding genioplasty.

Best,

Mats Hagstrom MD

Another option is redoing the sliding genioplasty.

Best,

Mats Hagstrom MD

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