Chin implant position on CT scan? (Photo)

Question

Hi again doctors.. This is a 3D image of my silicone chin implant that I had placed submentally 2 months ago. I don't like it and it doesn't provide neither the projection nor the shape that I want,. Other than the right side, which is obviously messed up, is this the proper position for the implant? I feel that even the left side is placed too high and the implant as a whole it should be sitting a little lower. What are your thoughts please? Thanks a lot.

Nima Shemirani, MD · Answer

Dear H_s_84,Thank you for your question. I am sorry you are unhappy with your chin implant. Looks like you got the wrong implant incorrectly placed. The wings of the implant seem too small and it is clearly crooked. You would benefit from a revision, where you would get the projection that you want. When you are ready, please look at before and after photos on my website and we can set up a complimentary in-person consultation to address your concerns and answer all of your questions.Best regards,Nima Shemirai

Michael P. Morrissette, DDS, FACS · Answer

Thank you for providing a CT. The implant does not appear to be level and is positioned high on the mandible. If you are unhappy with your implant, I would recommend having it removed. I prefer to use a tapered extended anatomical silicone implant and secure it with a bone screw. The implant should be positioned slightly above the border of the mandible. The bone screw will prevent migration of the implant. For a most natural appearance, you might want to consider a sliding genioplasty. Good luck

Arian Mowlavi, MD, FACS (license on probation) · Answer

Typically, the implant should be placed evenly (horizontal) and centered on your midline. As well, I typically place the implant on the lowest edge of the mandible (i.e. flush with the bottom of your jaw).

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 CT scan, the implant appears to be: curvilinear without the tapering wings of the extended anatomical chin implant which I prefer for its natural appearance.   In addition the implant appears to be tilted and placed high on the chin bone.  You can have this one removed and replaced using a small, curved incision under the chin. 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 (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut bone segments).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  
Hope this helps

Chin implant position on CT scan? (Photo)

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