Asian, male. What type of chin implant would suit for my face? (photos)

Question

Upon checking, 1.5cm implant is not enough to for my chin to meet the lower lip profile view, but I feel like having more than 1.5cm would make it difficult for me to wear that size of implant. Anatomical implant would give a better profile view but it doesn't much create a smooth transition on the jawline. While the extended anatomical implant doesn't have a large size that would complement my chin, correct me if I am wrong.

Larry S. Nichter, MD, MS, FACS · Answer

Without an exam your question cannot 
be answered.  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
#weakchin #chinimplant

Michael P. Morrissette, DDS, FACS · Answer

While chin implants are easy to place I find that a genioplasty procedure provides a more natural appearance with any amount of advancement. Moving your own natural chin forward does not change the natural anterior shape of your chin. The surgery is performed in the office with intravenous sedation. Good luck

Barry L. Eppley, MD, DMD · Answer

When you get into challenging lower jaw deficiency/short chin cases like yours you have to recognize that the use of standard implants will be very inadequate as they are not made for such skeletal deficiencies. You either use a custom chin or total jawline implant approach or combine a sliding genioplasty with a standard chin or custom chin implant. Difficult problems require non-standard solutions.

Jeffrey Jumaily, MD · Answer

It's hard to say just from the photos but a large extended anatomic implant may be the right implant for you. It should give you the projection that you need while adding stability and smooth transition to the jaw line. A consultation is very helpful to discuss all these factor in choosing the right implant for you.

William Portuese, MD · Answer

The side profile photographs demonstrate a weak and recessive chin profile for which a chin implant can improve. Some patients desire a stronger chin profile, while others desire a more subtle improvement. The size, the thickness, and the shape of the implants are best determined at the time of the consultation and examination. The implants and the mandible are three-dimensional structures, and the augmentation occurs in all three dimensions. This includes forward projection, lateral width, and vertical height. In our practice, we use Implantech brand of solid silicone chin implants which are placed through a small incision underneath the chin under local anesthesia as an outpatient procedure. For more information, diagrams of the implants themselves and many before-and-after examples, please see the link and the video below

Chase Lay, MD · Answer

Thank you for the photos.  Ifyou're trying to have the chin augmentation transition into the jaw you may also be looking at a jaw implant.  It should like you need more than a few in person consultations with Facial Plastic Surgeons before proceeding.Chase Lay MD

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

Thank you for the question and I would go on some complimentary consultations with experts who use digital photography to show you how you might look following surgery and how it might be accomplished and the look at photos of similar patients and become fully informed about the desired procedure Dr Corbin

Michael Elam, MD (retired) · Answer

Dear bcris, The combination of your weak lower chin and your full lower cheek areas should be addressed together with chin augmentation and buccal fat pad removal. The type and size of the implant to be used is decided during consultation. I would suggest that you seek consultation with some experts in the field. Have imaging performed to show you the proposed changes and review the surgeons before and after photographs to ensure expertise. See some examples of chin augmentation in the link below and of the combination procedures in the video below. Best regards, Michael V. Elam, M.D.

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 photos, your chin is quite weak as are the mandibular angles.  There's a misconception, when it comes to silastic facial implants, that bigger is better or that any size can be placed to correct weakness in the facial skeletal structure.   Over the decades that I've placed and removed numerous silastic facial implants (placed by others....said with all humility), both statements are incorrect.  The reality is that there is a correct shape and sized silastic implant that will provide the "greatest" degree of augmentation with the least degree of issues....this doesn't mean that it will always fully correct the lack of bone volume.   The chin for instance is best augmented using an EAC silastic implant.  Size small in almost all women and size medium in almost all men.  While I teach that aesthetically, the chin in a male should approach a vertical line drawn down from the lower lip, on profile that's not always possible to achieve with a medium EAC implant.  Does that mean that an XL is better?  Absolutely not.  Increasing the size of the implant changes the overall effect, increases issues with the mental nerve along the jaw line and increases the instability of the implant while changing the desired aesthetics of the chin and lower face.  While the EAC provides the most natural looking chin augmentation, I do not like the look provided by an XL.  In male faces, if the medium EAC doesn't fully correct the weak chin, I find it best to increase angularity in the mandibular angle and cheeks to make the face more chiseled and ruggedly handsome.  The use of facial implants require a gentle, deft aesthetic touch in my experience and humble opinion.  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 segments of bone).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.   Augmentation of the mandibular angles using a dermal filler (jaw implants have too many unwanted side effects IMHO) to add volume, angularity and flare to the jaw line.  Similarly, the cheeks can be augmented to increase their degree of angularity using precise placement of a dermal filler by an experienced facial shaping expert.
Hope this helps.

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