Is there any way to redo & secure a chin implant (peg or screw?) so that it will not drift vertically?

Implant migration is the most frequent complaint that I see on Realself. I recommend screw fixation for all chin implants. The current implant can be re-positioned or replaced. However, the vertical length of your chin appears short in profile. If that is truly the case, you might want to consider a genioplasty to correct both horizontal and vertical simultaneously.

Hello, we support a chin implant with a screw if the pocket is too large, if it's a redo, or if something else is going on.
But, there should be no reason we can't improve a chin implant you don't like.

Regardless of the style or size of a chin implant or the method of its insertion, screw fixation provides the most assured method of maintaining the intraoperative position of the implant on the bone. Certainly in having a revision for primarily a positioning issue in an established pocket, respositioning of the implant with screw fixation would be critical.

During a primary procedure if the pocket is made correctly after the implant does not need to be secured in place. Some surgeons will secure implants regardless and some will do it selectively depending on if they need to hold the implant in a certain position.

I’m going to guess that your procedure was done intraorally.

If the pocket is lowered to move the position of the implant then it will need to be secured in place with either screws or sutures.

Otherwise there’s a chance that the implant will slide back to its original position. it’s a complete new pocket is created that is not connected to the old pocket then fixation may not be needed.

Talk to your surgeon. If you haven’t chosen one schedule a few in person consultations.

Best,

Mats Hagstrom MD