and what are the chin implants made of? what options would i have when i meet with a surgeon?
Chin Implant Materials
Doctor Answers 10
Chin implant material types
Chin implants are most commonly made of
- solid silicone (silastic)
Some surgeons may give you an option among the different types but I suspect most would have one type that they prefer to work with. Silicone is probably the most common option and has a long track record of safety.
Besides implants another chin augmentation option is to use your own chin bone and advance it forward using a sliding genioplasty technique.
Chin Implant Choices
Choice of Chin Implant Material less important than Surgeon
The Choice of Surgeon more important than choice of implant is the most important
thing.That being said Goretex, Silicone or Med-por are more predictable than Mersilene. This is because Mersilene comes in fhe form of a soft mesh that is folded multiple times and potentially can be distorted during the healing process. It is also an off label FDA usage of this product.
Both conventional implant materials such as silicone, medpor and gore tex are reasonable choices for chin implant surgery. Most important by far is the skill and expertise of the surgeon and not the material used. That would be the basis I would use to find the best surgeon.
Many different materials for chin implants
The most common materials for chin implants are silastic (hardened silicone), goretex, and medpor. Medpor is somewhat out of favor in that there is tissue ingrowth thereboy making removed very difficult and damaging to surrouding tissues should it have to come out. Other orthognathic procedures can reposition your own chin bone and secure them in their new positions with plates and screws.
In all, the most commonly offered implants are likely to be silastic and come in several different sizes and shapes.
mike kim, md
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The standard chin implant is made of molded solid silicone. There are other materials as well.
The shape depends on the look you want. Onlay implants fit on the chin and suit many women. Extended implants expand the jaw as well - preferred by most men and for some women too.
Options include the incision - small implants can go in through the mouth or a small incision under the chin. Larger ones are usually best with a skin, not a mouth incision.
Size is also important. Women with a large implant can look 'masculinized'. It's better to go with the smallest implant that will work for you. Your surgeon will have some 'sizers', which are sample implants to fit over your chin to you decide. It can be fun. Have a good time!
Chin implant material.
What material is in a chin implant?
Chin implants are made of solid, soft silicone (no gel) called silastic which is what I prefer to use and have done so for over 20 years. Less favorable, IMHO, are goretex and medpore. Ditto for cheek implants, IMO.
Solid silicone chin implants
Patients have many options when recontouring the chin. Patients may elect to receive a genioplasty which is a surgery that advances the chin bone to create a more prominent chin or may also elect to receive a silicone chin implant for a smaller augmentation. The chin implants come in a variety of configurations. They come in a variety of thicknesses that will augment the chin to different degrees and they also come in different shapes that can be customized to conform very well with your jawbone.
Chin implants have many sizes and shapes
There are a variety of shapes and sizes to implants.
Shapes generally range from button like to progressively larger and longer shapes that wrap around and "hug" the mandible (jaw bone) and are called anatomic.
The most common implants are made of silicone-like rubber.
Other implants have been made of:
Porous polyethylene: a firm bone like plastic and generally are composed to two pieces which lock together due to their inability to bend when placed in a small incision. One tradename is Medpor
Calcium hydroxyapatite: a bone like material which is either molded in a chin like shape or available in an injectable paste
PTFE aka Gortex like substance that is similar to a dense foam
Mesh usually composed of a suture polypropylene material that is layered and formed into an implant by the surgeon and goes by the tradename of Prolene or Marlex.
Custom fabricated implants from a poylmethylmethacrylate material (plastic cement like substance).
Implants can also be autogenous meaning they come from you and can be composed of cartilage (usually your ribs) or bone (skull, hip, rib), etc.
Rarely, the appearance of an enlarged chin can be achieved with injectable materials or autogenous fat.
Lastly, the jaw bone can be rearranged in a procedure called an osseous genioplasty.
I hope this helps!
Chin Implants and Video Images
For the most part, for the past 20 years I have been using soft, preshaped, medical grade silastic chin implants. This is an excellent material and numerous companies make implants in every shape, size, and style with it. Which you choose should be worked out with your surgeon and the look you are after.
There are extended anatomical chin implants and pre-jowl...
There are extended anatomical chin implants and pre-jowl chin implants (these give a little more fullness in the pre-jowl area). These are the two most frequently used.
The implants can be made of either Silicone or Goretex.