Silastic Vs Medpor Chin Implant

The Choice of Surgeon more important than choice of implant is the most important
thing.  I personally prefer Silastic over Medpor as it has better handling characteristics but both products are good choices. Goretex, Silastic or Medpor are more predictable than Mersilene. This is because Mersilene comes in fhe form of a soft mesh that is folded multiple times and potentially can be distorted during the healing process. It is also an off label FDA usage of this product. 

Both conventional implant materials such as silicone, medpor  and gore tex are reasonable choices for chin implant surgery. Most important by far is the skill and expertise of the surgeon and not the material used. That would be the basis I would use to find the best surgeon.

Having removed and revised other surgeons' chin implants, I appreciate the silicone ones for ease of removal and decreased damage to surrounding tissues upon removal.  I also like how the silicone implants slide in more easily.  A well placed implant looks and feels good no matter the material in my experience.

Our experience with Silastic chin implants has been quite extensive over the last 20 years, and there has been a very minimal complication rate. The Silastic implant is quite easy to remove if ever needed, while Medpor is not. The Silastic feels very natural and would be the obvious choice.