Sliding Genioplasty or do nothing because too much damage has been done from current implant? (photos)

Question

15 years ago, got medpor implant that was wide and little projection. Exchanged for Allergan size 1 silicone. Last year upgraded to Implantech XL. Looked great but after a month it shifted down losing the projection. Doc refused to use a screw. My issues are not enough projection, implant sits low and musle rides up creating weird look, implant moves, and a little crooked. Would a sliding genioplasty help me? I like a pointier/narrow chin. Worried about damaged muscle and looking weird.

Michael P. Morrissette, DDS, FACS · Answer

I perform both types of surgeries (implants and genioplasties) and either can achieve great results in the right patient. I use screw fixation for all implants to prevent migration. I think that your expectations are realistic in regards to what can be achieved with a sliding genioplasty. The sliding genioplasty allows for movement in any direction including lengthening and narrowing the chin. The muscles are positioned above the chin and should not be affected if there has been no previous muscle damage.

Timothy Osborn, MD · Answer

We almost always recommend a genioplasty over chin implants. Almost 50% of the time when we do a genioplasty, we are removing a chin implant as well. By moving your chin forward and down, we can get the projection you are looking for, and fix the asymmetry from the front. You wont have to worry about it moving or sliding, and it will last the rest of your life. A genioplasty will also add length and definition to your jawline. We strive for natural looking results, while also creating impactful movements to help you achieve the aesthetic goal you desire.

Sliding Genioplasty or do nothing because too much damage has been done from current implant? (photos)

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Answers (2)

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