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.
May 31, 2017
Answer: Chin implant position on CT scan? 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
Helpful
May 31, 2017
Answer: Chin implant position on CT scan? 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
Helpful