What are the advantages and disadvantages of a silicone implant?

Question

20 yo chinless girl wants a chin implant, The pic photoshopped is the result i want, so the implant should be what kind of size? Besides, what are advantages and disavantages of silicon implant? Thanks Shailie

Jacob Sedgh, MD · Answer

The primary advantage of silicon implants lay in the fact that they are easy to remove as they do not bio-integrate. However, such lack of integration with the biological tissue makes them more susceptible to infection compared to integratable alternatives.

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

Silicone implants are safe and easy to place with minimal recovery. They are permanent, yet can easily be removed. Occasionally you can get an infection in the immediate post-surgical period but this can be treated any number of ways. I don't see any significant disadvantages with silicone implants.

Zoran Potparic, MD · Answer

Silicone implants are most frequently used implants for chin augmentation. That generally means that they are safest, most versatile by means of shape and size, easiest to apply and much easier to remove. The fact that probably 90% of surgeons are using silicone implants for chin augmentation tells the story of their safety and versatility. Other implants that we use for body contouring (breast, pectoral, calf) are also silicone made. You can safely proceed with your planned chin augmentation using silicone implant. Good luck.

Jeremy B. White, MD · Answer

I thin that the result that you are looking for is very realistic. Thank you for the photos. The two options for chin augmentation are 1) a chin implant and 2) genioplasty. Chin augmentation is a relatively quick procedure that is safe and with minimal risk to increase chin projection. There are a variety of different chin implants, but the silicone implant tends to be the most popular because of the ease of placement and low complication rate. The disadvantage is that this is not great in a case when you need to add vertical height to the face and you have a foreign body in your face (that is well tolerated by most). Genioplasty is a procedure in which the actual chin bone segment is cut and moved forward, then secured with a permanent plate and screws. There is more versatility to this procedure since you can also create a more natural appearing increase in vertical height to the face. However, this is a longer, more expensive procedure and there is additional surgical risk to the tooth roots and to nerves that can cause chin numbness. A silicone implant should do the trick for your case.

David A. Sieber, MD, FACS · Answer

Thanks for the great question. The benefits of a silicone chin implant are that the procedure is quick and relatively easy. The results are immediate and the implants typically stay there forever without the need for any additional surgery. The down side is that there are only a few sizes of implants and you will be limited by how much projection you can achieve with the implant. The alternative to an implant is have your jaw moved forward. This is a much longer and more involved surgery but you can achieve a lot of projection. The other benefit is that you don't need to have an implant. Set an appointment to meet with a surgeon in your area. They should be able to show you what the implants look like and can tell you more of the pros and cons of surgery. Best of luck!~Dr. Sieber

William Portuese, MD · Answer

In our practice we have been using solid silicone chin implants manufactured by Implantech for over 25 years with an excellent success rate.  They are easy to insert and remove, if ever necessary.  Rarely does the surgeon ever have to go back in and readjust them .  Porous  implants have a higher infection rate and are very difficult to remove when they  become infected.    Chin implants are manufactured and a large variety of sizes and shapes which is best determined at the time of the consultation and examination, since both the implants and the mandible are 3-dimensional structures.    Please see the link below for diagrams of the implants themselves and many before and after chin implant examples

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.  The photo shows that your chin is quite weak.  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.  In my opinion, you are a good candidate for chin implant surgery.  
Hope this helps.

What are the advantages and disadvantages of a silicone implant?

Answers (8)

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