What Are the Options of Chin Augmentation Other Than Silicone?

I had a silicon chin implant surgery 4 years ago when I was 18. However there'd been noticeable bone resorption and the result, which was ok during the first year after the procedure, has become exceedingly unsatisfactory. I had a doctor look at my recent X-ray picture of my profile, and I was told the bone under the implant had resorbed to 1/2 its original thickness. I'll take out the silicon and get a different sort of augmentation. What are the pro n cons of Medpor? Fat transfer? Cartilage?

Doctor Answers 4

Revision of Silicone Chin Implant

I agree with Dr. Epply that removal of your silicone implant and either a Medpor implant or sliding osteotomy with bone grafting would be a reasonable plan.

Dr. ES

Chin Implant Removal and Bone Resorption

    If you have had a chin implant that has created bone resorption, osseous genioplasty may make more sense.  This would be difficult to determine without an exam.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Non-Silicone Chin Augmentation Options

Your options for non-silicone chin augmentation include Medpor implants or a sliding bony osteotomy. Each has advantages and disadvantages and which one may be better for you depends on a variety of issues. Fat transfers for bone augmentation are unpredictable and can't produce the same of degree of augmentation. While cartilage can be used it may also resorb and requires a rib graft harvest.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

Different chin implant types

I am not a big fan of Medpor implants since they are almost impossible to remove if it becomes necessary. Other options include a goretex coated implant or a softer silastic implant. Fat transfer in my opinion does not have a very good success rate in that area and cartilage typically does not survive. I hope this information helps.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

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