Chin implant, chin liposuction or both? (photos)
Doctor Answers 7
Chin Implant and Liposuction
You do not need chin implant. Chin Liposuction is sufficient after a physical examination of this area. Over 15 years of doing this procedure with micro liposculpture assures amazing results in my hand.
Chin implant, chin liposuction or both?
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. I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.
Hope this helps.
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You ask a very good question! I like to define what the goals are before giving recommendations. It is important that the surgeon and you agree on the same goals. Having said that, you have a prominent chin point and a short vertical height to the area of your face below the lower lip. This creates a very deep crease directly above your chin. This appearance is caused by your skeleton/bone structure---- not fat. I have to assume your occlusion(the way the teeth come together) is good. You do have subcutaneous fat excess throughout the lower face and upper neck. You have two issues that are addressed differently. Improvement of the skeletal appearance will best be handled by a sliding horizontal osteotomy of the chin to get vertical height and soften the crease above the chin. Chin implants are good for increasing projection of the chin but are very poor in your situation. The subcutaneous fullness can be addressed with weight loss and conservative liposuction to smooth out the contours.
Choosing the correct treatment
You should not have had a chin implant.
Your chin is already pointed.
Adding a chin implant so this will create something called a witches chin.
Insufficient bony chin projection or a small mandible can cause fullness in the chin and neck area.
It's possible to have a small mandible with a pointed chin.
This may be the case with you.
An accurate facial analysis or assessment should be made during an in person consultation.
I suggest consulting with several board-certified plastic surgeon to see what may be your best options.
Mats Hagstrom M.D.
Neck liposuction and chin implant procedures
Thank you for your picture! Chin liposuction or a combined procedure such as ThermiRF (or accusculpt) would make a vast improvement in the appearance of your neckline by removing the tissue under your chin while helping tighten the skin as well. This helps enhance the jawline - which is what gives you a youthful contour. As far as chin implant is concerned, based on your profile I am concerned that a chin implant would over-project your chin. A simple guideline is to look at your profile, and draw a line straight down from the lower lip. The anterior aspect of the chin should just about reach that line. In your case, you have a pronounced labiomental sulcus, which is a whole different issue which would not be solved by chin implantation. I'd have to see your mouth move during conversation and smiling as well as a frontal view to get a better idea of your overall function in the lower third of your face. Anyways, make sure you discuss all these issues during your consultations. I hope this helps!
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