Intraoral chin implant, cutting mentalis muscle attachments, & chin and lip ptosis.

 Hi, I have performed many Chin Augmentations using chin implants for over 30 years.  A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. 





 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.   I use a small, curved incision under the chin to place the chin implant.  Unlike the intra oral approach, this avoids cutting the Mentalis muscle.  Like many procedures in plastic & cosmetic surgery, placement of a chin implant is and can be performed differently.  I personally do not like, use or teach the intra oral approach for placement of a chin implant.  It has numerous draw backs, some of which you have mentioned and it just doesn't make sense to me.  I am unaware of lip ptosis but believe the intra oral approach would make the patient more prone to ptosis of the cut Mentalis muscle.



Hope this helps.