What can I do about severe bone erosion under my chin implant 5/6mm? (Photos)

Question

I recently had a revision chin implant performed. When my PS removed the implant, he found a large amount of bone resorption - 5/6 mm. The 1st implant was placed too high & he had to fill the deformity behind it with the new implant. I am so worried about my lack of options. I can remove this implant and then have a recessed chin as well as a large deformity from bone erosion. Or, I can keep this implant in, that looks "off" and risk more bone erosion.  What needs to be done so it can be placed properly & what caused so much bone resorption? Any advice on my options is appreciated.

Barry L. Eppley, MD, DMD · Answer

You actually have several good options. First, you can fill in the bone depression from the old chin implant with hydroxyapatite cement and place the new implant lower in a better position. Or you could do a sliding genioplasty and fill in the whole step off with either hydroxyapatite cement or allogeneic bone. This bony defect is not restrictive for getting an even better chin augmentation result than yu had with your previous implant.

Gerald Wittenberg, MSc, DMD (retired) · Answer

Your growth pattern is not for a chin implant since your lip strain will compress the implant into the thin bone. Ideally you would consider removing the implant and repairing any defect with suitable materials and combining a genioplasty with some jawline augmentation to avoid a narrow tapering longer look to the face

What can I do about severe bone erosion under my chin implant 5/6mm? (Photos)

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