What type chin implant is best? (Photos)

Question

Wings or no wings? I was told by my surgeon that an implant with wings extending into the suculous would make my face boxy. Do you concur with this? We are planing on placing an anatomical in-plant. He is guessing a medium but will test during placement. I am also revising my neck and facelift at that time. Hoping for the jowls to move and to get a balanced looking face with chin projection.

Larry S. Nichter, MD, MS, FACS · Answer

Without an exam your question cannot be answered.  You will need to see an Oral/Maxillofacial surgeon to see if othognathic surgery, genioplasty or using an implant is best for your specific case. It should be noted that patients with severely weak jaws or abnormally functioning jaws may be better treated with other facial surgery (orthognathic surgery), although a chin augmentation may be an option at a later time. These patients should seek the advice of a plastic surgeon to determine which course is right for them. Here is some information to help you make this decision: Candidates for Chin Augmentation - Patients whose chin profiles are weak but have normally functioning jaws are candidates for Chin Augmentation. Many of these candidates have used injectable fillers in the past to strengthen the protrusion of their chins, but are looking for a permanent solution. If you are one of these patients, then you are a likely candidate for chin augmentation
#weakchin #chinimplant

Zoran Potparic, MD · Answer

There are various sizes and shapes of chin implants that can be used depending of the specific needs of the patient. In-person evaluation with a board certified plastic surgeon with good reputation in facial implants will give you opportunity to express your desires and  discuss possible options. Sets of different implant sizer should be available in a surgeon's office to help you understand the differences and make a right choice. Selected sizer(s) is sterilized and during surgery placed in the surgically created pocket  to check size and shape before it is  replaced with actual implant that will stay there for ever.

Barry L. Eppley, MD, DMD · Answer

You have major chin deficiency for which a chin implant will probably be inadequate both correction and aesthetics. A sliding genioplasty would be better a it will bring your chin forward the most, keep it narrow as it comes forward and help tremendously with your neck and jowl issues. I(none of which a chin implant will do)

William Portuese, MD · Answer

A wraparound, anatomical chin implant with wings are the gold standard should implants today which also not only augment the chin forward, but give added width in the pre-jowl sulcus. The pre-jowl sulcus is the area just in front of the jowls  which is present. A facelift can lift the jowls,  while a chin implant gives a three-dimensional augmentation to the chin area. They do not make the chin look boxy. In our practice, we use Implantech solid silicone wraparound style chin implants, which can be custom carved when necessary. For more information, diagrams of the implants themselves and many  before and after examples, please see the link and the video below

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  From the photos, your chin is quite weak.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  
 Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  
 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty.  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.  In the 1970's and 80's chin implants didn't have wings and the implants made the chin look too forward giving the nickname "pharaoh chin".  In the 90's anatomical and the even more natural appearing extended anatomical chin implants became available and in my experience and humble opinion they remain the "gold standard" in chin implants.  Wings create a natural taper effect to the implant and will not give a boxy appearance, in fact it's just the opposite.  An implant without wings creates an over-extended boxy look to he chin because the implant doesn't taper on the sides.Hope this helps.

Robert E. Zaworski, MD (retired) · Answer

There are many factors to consider.   Your surgeon will measure you to determine the size implant.  They come in all sorts of shapes and sizes. Plus you are having a facelift at the same setting.  Discuss your concerns with your surgeon prior to surgery.

What type chin implant is best? (Photos)

Answers (6)

More Chin Implant Questions

WE SEND PRETTY
EMAILS

Answers (6)

More Chin Implant Questions

Cost of cheek AND chin implants? Can both surgeries be done simultaneously?

Will placing a chin implant in a 45 degree angle cause more or less bone erosion?

Can I take off the tape? (Photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS