Hello, I had a silicone winged chin implant placed July 2016, it was 8 mm. The implant was not fixed and it is movable, as in I can move it up and down by pushing it (but not left and right). It does not feel like a real chin at all. As it is not fixed, instead of projecting forwards it is pointing downwards due to gravity. I want it removed. Will my chin go back to the way it was before, and will my face skin sag after removal? Your expertise is greatly appreciated. Thank you.
Answer: Silicone winged chin implant placed July 2016, it was 8 mm. The implant was not fixed and it is movable, as in I can move it up Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years. I use silastic extended anatomical chin implants most often in size small and large (5mm, 6mm projection). The ones with 8 mm's projection are extra large (XL) which can be difficult to stabilize. You may want to ask your Chin Implant Surgeon if your implant was placed above or below the periosteum. Above allows the implant to be moved (especially up and down) as it's in the tissues and not held in place by the tough periosteum layer. While you can send non smiling photos of your face from the front and side as well as the same views pre-op, the existing implant can be removed through a small, curved incision under the chin. At the same time you can choose to have a small or medium (small typically for women) EAC silastic implant placed under the periosteum or have an off the shelf dermal filler to augment the chin. If you had some degree of chin ptosis (sagging mentalis muscle), the chin muscle will sag if the implant is removed and another (smaller) one isn't placed. If you had no chin ptosis pre-op even the XL implant for a year should not create sagging tissues in the chin once removed. When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin". Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face. Using the same incision, liposuction can be performed to reduce the fat and further shape the neck. Excess skin, from below the chin, can also be removed through the same incision. 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 (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone). I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone. Hope this helps.
Helpful 2 people found this helpful
Answer: Silicone winged chin implant placed July 2016, it was 8 mm. The implant was not fixed and it is movable, as in I can move it up Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years. I use silastic extended anatomical chin implants most often in size small and large (5mm, 6mm projection). The ones with 8 mm's projection are extra large (XL) which can be difficult to stabilize. You may want to ask your Chin Implant Surgeon if your implant was placed above or below the periosteum. Above allows the implant to be moved (especially up and down) as it's in the tissues and not held in place by the tough periosteum layer. While you can send non smiling photos of your face from the front and side as well as the same views pre-op, the existing implant can be removed through a small, curved incision under the chin. At the same time you can choose to have a small or medium (small typically for women) EAC silastic implant placed under the periosteum or have an off the shelf dermal filler to augment the chin. If you had some degree of chin ptosis (sagging mentalis muscle), the chin muscle will sag if the implant is removed and another (smaller) one isn't placed. If you had no chin ptosis pre-op even the XL implant for a year should not create sagging tissues in the chin once removed. When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin". Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face. Using the same incision, liposuction can be performed to reduce the fat and further shape the neck. Excess skin, from below the chin, can also be removed through the same incision. 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 (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone). I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone. Hope this helps.
Helpful 2 people found this helpful