This is usually a problem with the soft tissue of the chin which is not addressed by a chin implant. Placement of the chin implant in you can change the forward projection and width of your chin but an implant alone will not change the dimple. Soft tissue fillers such as Radiesse are a much better option and easily accomplished in the office. I hope this information is helpful for you.
Stephen Weber MD, FACS
Denver Facial Plastic Surgeon
The cleft located in the chin is a soft tissue problem, not a bony issue, therefore a chin implant will not help. Placement of a chin implant preserves the cleft or dimple and simply augments the chin forward. For many examples of chin implants, please see the link and the video below
Hi, I have performed many facial shaping procedures using dermal fillers, facial implants (cheek, chin), liposuction and/or facelifts for over 30 years. The issue with what you suggest would be stabilizing small fragments or sections of a silastic implant onto the bone beneath a muscle that constantly moves. It would be far more reliable, efficacious and cost effective to have a dermal filler placed in those areas of the chin.
Hope this helps.
Without an exam your question cannot be answered. However, your photos are helpful and you are probably a good candidate for a Chin Augmentation. 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.
Web reference (A link
Dan - great question. often patients ask about the cleft of their chin unsure as to what can be done. The cleft is secondary to the connection between muscle and skin in that area - the chin is unique in that it has more musculo-cutaneous attachments than other parts of the face. As such, as we get older, you notice more "marbling" in that area as well. While a localized chin implant can help efface that area, you have to remember that a chin implant can alter the anterior and lateral projection of the chin. Therefore, unless aesthetically you would benefit from a chin implant, placing a localized implant to fix one problem may cause others. Without any pictures it is tough to say whether this would be a good idea at all. That being said, you can use dermal fillers in that area very safely and efficaciously. You can also use a variety of different fillers depending on the severity of your cleft to address your concerns. I'm sure during a consultation with a PS they will be able to give you all of the options in this regard! Best of luck. Hope some if this helps.