Could you estimate how much projection(cm) I will need? Or which size of a chin implant I will need?

Question

Hi, which size of a chin implant would you recommend to me(profile photo included) How much projection (cm) I will need in order to get the ideal chin? Do you think I could get it ? (Sorry about my English)

Elizabeth Whitaker, MD, FACS · Answer

Thank you for the question and sharing your photo and concerns.  It is difficult to tell due to your position in the images, but if your chin is underprojected this likely could be improved with a chin impant.  I would consider evaluation by a facial plastic surgeon or other cosmetic surgery specialist to discuss your options."This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

Alejandro Nogueira, MD · Answer

Being an option, chin implants or fillers have serious disadvantages, specially in
the mid and long term, patients are rarely happy with them after 5-6
years, all are out by then or later.Consider the chin advancement by means of sliding genioplasty, the advantages are:-lifetime procedure, no more revision or renewal procedures-more natural than implants-no visibility of implant edges during gestures-improves
the double chin effect at the sub-mental muscles (floor of mouth)
hammock caused by lack of tension there; also improves the shape and
tension of perioral muscles; implants do no offer this feature-horse-shoe enhancement, covering the chin and also the jaw sides of it-no future displacements or neuritis of mental nerves-practically zero infections and 100% healing of bones-no
need for complex plates and screws that may need future removal; just
steel wires synthesis may suffice, they stay buried into bone callusThe cons are:-expensive, but cheap if you consider the lifetime pros-technically
demanding, few surgeons are experienced or comfortable (though I
personally perform 100% of the chin augmentations by this osseous
method, always after offering the patients both options)-scary for the patient (though not so much if you explain well the stuff around it)This
 is my advice to patients with weak chin, the sliding genioplasty above 
all other options. After explaining pros and cons all my patients opt 
for the osseous genioplasty and opt out implants or fillers.

William Portuese, MD · Answer

The chin is a three-dimensional structure, so a full set of pictures are required  before making any determination of what may or may not be needed to augment the chin. Chin implants are manufactured in a variety of sizes and shapes, are composed of Silastic  and are usually placed through a submental approach under local anesthesia as an outpatient surgical procedure. It  is best to determine the size of the implant at the time of examination and consultation.

Barry L. Eppley, MD, DMD · Answer

A single partial facial picture is inadequate to answer your question about chin implant size. Full face pictures from different angles are needed to make a full assessment.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for your question but an accurate answer requires a full examination aided by digital photography so go on some consults with experts in your area Dr Corbin

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

It is hard to say how much projection, exactly, you would need.  I have been performing chin augmentation with silicone implants for over 20 years, and I think an Implantech EAC-Medium would give you enough projection.

Dennis Barek, MD (retired) · Answer

Peculiar position but I would say about  1 centimeter as a rough guess. The surgeon can use sizers in the OR and choose the best sized implant for you.

Sheldon S. Kabaker, MD FACS (retired) · Answer

Your question cannot be answered without more information. Computer imaging would be very helpful to see what you might want and what could work for you. Also your body and head size has to be considered.

Could you estimate how much projection(cm) I will need? Or which size of a chin implant I will need?

Answers (8)

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