What Are the Options of Chin Augmentation Other Than Silicone?

Greetings,
There are a variety of techniques to augment the chin.  Let’s examine the options:
Chin augmentation- offers a permanent solution in an in office setting and can be helpful for the majority of patients.  Can help adjust vertical and horizontal dimensions and a variety of shapes can be utilized.
Sliding genioplasty- A portion of bone is cut and extended with plates.  I find that there is often a gap in the cut portion of bone and often looks less natural if there is a bone gap.  Can be useful for long chins where increase in horizontal dimension is desired.
Fillers- Often don’t last long enough in the chin area due to movement but can be helpful to preview conservative changes.
Best,
Anil Shah

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

    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

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.

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.