Second chin implant. Is the implant sitting too low or is it too large? (photos)

Question

This is my second implant, implantech silicone AC-XL, submental. It elongates my face and looks/feels unnatural as there is no enough soft tissue on the projection point of the implant. I would like to know if this is the proper location for a chin implant, or is it sitting too low, or is it actually too large? Should I better remove it and do a fat transfer? I'm seeking second opinions, because at this point I'm desperate and panicking at the idea of another revision that might again go wrong.

Zoran Potparic, MD · Answer

It appears, if I am correct thinking that first x-ray is related to first implant and second to a second implant, that none of them was placed in a perfect position. However, without evaluating a soft tissue on top of implant (obviously last picture is not yours?) it is hard to tell whether slightly lower position of current implant is significantly affecting shape and size of chin. Possibly slightly smaller implant placed just right? It is in your best interest to discuss these issues with your surgeon and/or seek a second opinion. Good luck.

Miguel Mascaro, MD · Answer

Thank you for your pictures! Based on the x ray from the second implant, that is too low.  Its hard to know if that is the appropriate implant for you or not without examining you in person, however, I would recommend waiting a little bit of time before any revision surgery to ensure that you heal appropriately should you want another procedure.  Have you discussed this with your doctor? Make sure you keep in touch and let him know about what your concerns are.  I hope some of this helps.

Barry L. Eppley, MD, DMD · Answer

The chin implants is clearly sitting too low now compared to the first one which was sitting too high....this is why your face is now elongated. It would be better if the implant was sitting between the previous two positions and was a size smaller. Fat transfer would be a poor choice compared to an implant readjustment.

Steven Schuster, MD, FACS · Answer

In looking at both x-rays and the photo I think the implant is resting a little to low and is over-projecting.  I would have gone with a smaller implant or a sliding genioplasty (moving the chin forward) than such a large implant.  With an implant this size and the relatively small amount of tissue I would be concerned about erosion.

Darryl J. Blinski, MD · Answer

If the posted X-rays are initial implant than second implant in that order? Than the second implant to low. The initial implant was in perfect position. You could of added long lasting HA filler like Voluma to the issue to improve without doing exchange surgery. Now I think removal, healing tome of 4 to 6 months than use of Ha fillers or fat grafting or both is better option for you now.

Second chin implant. Is the implant sitting too low or is it too large? (photos)

Answers (6)

Answer: May be a little low and large

Answer: May be a little low and large

Answer: Second chin implant. Is the implant sitting too low or is it too large?

Answer: Second chin implant. Is the implant sitting too low or is it too large?

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Everything you need to know about Chin Implant

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Second chin implant. Is the implant sitting too low or is it too large? (photos)

Answers (6)

Answer: May be a little low and large

Answer: May be a little low and large

Answer: Second chin implant. Is the implant sitting too low or is it too large?

Answer: Second chin implant. Is the implant sitting too low or is it too large?

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Recommended reading

Everything you need to know about Chin Implant

Our mission is to create a world where every investment in modern beauty is Worth It.