Uneven chin line 4 years after getting a chin implant - is this a muscle issue or an implant placement issue? (Photo)

Sometimes chin implants are inserted off center, and a part of the implant can hang lower than the other. This is fairly easy to determine with a physical examination. If your implant is off the midline, repositioning of your implant could be considered. The other possibility would be to add volume to the left side for a more symmetrical appearance on front view. That could be performed with microdroplet Silikon-1000 for permanent results, depending on your examination. I hope this helps! Sincerely, Dr Joseph

The asymmetry of the soft tissue below the chin is likely subcutaneous fat. Did you have liposuction at the time of chin implant placement? A CT would help determine the position of the chin implant. An in office consultation would be helpful.

It would be very difficult to say what is the cause of this secondary deformity; displacement of implant may have something to do with it. Only on the basis of in person evaluation one would be able to say more about possible cause and how to correct it. Visit your surgeon. Good luck.