Category: chin implants | plastic surgery case study

Plastic Surgery Case Study – Vertical Lengthening Chin Implant Replacement for an Old Ruptured Silicone Gel Chin Implant

Background: Chin implants are the original form of aesthetic facial augmentation. Their design has always been primarily for horizontal augmentation with variable amounts of width increases built into different implant styles. While some patients have been recognized as needing some vertical height increases as well surgeons have typically used these horizontally projecting implants in a Read More…

OR Snapshots – The Ruptured Silicone Gel Chin Implant

Chin augmentation is an aesthetic facial procedure that has been done for just about 100 years. The first reported procedure was done way back in 1928 using a cartilage graft to the chin. The use of carved ivory was also done in the early chin augmentation days. But the procedure never achieved any popularity in Read More…

Plastic Surgery Case Study – Composite Sliding Genioplasty with Implant for Maximum Chin Augmentation

Background: The chin implant is the most common form of lower facial augmentation but it has its limits. Since the soft tissue chin pad must be released to allow an implant to be placed on the bone the stretch of these overlying soft tissues poses a restriction on implant size. As a result chin implants Read More…

Plastic Surgery Case Study – Combined Sliding Genioplasty and Implant for Maximum Chin Augmentation in the Severely Recessed Chin

Background: The use of an implant is the most common form of chin augmentation. It offers a predictable method of bone augmentation based on the thickness of the implant. But the placement of an implant requires that the soft tissue chin pad be released and an implant placed as an interface between the bone and Read More…

Standard Chin and Jaw Angle Implant Malpositions in Total Jaw Augmentation

One method for a complete or total jaw implant augmentation is with the use of standard implants. Both chin and jaw angle implants have been around for decades and have a track record of successful clinical use. What has been learned from their use is that jaw angle implants have a higher risk of complications Read More…

Technical Strategies – Secondary Vertical Chin Lengthening with Implant Augmentation

Significant vertical chin lengthening is most successfully achieved by lengthening of the bone. Downfracture of the chin bone with an interpositional graft can easily provide double digits of increased vertical chin length without soft tissue constraint concerns. Calculating how much increased chin lengthen a patient needs is not an exact science although there are several Read More…

Plastic Surgery Case Study – Chin Ptosis Corrective Medpor Implant Removal and Replacement

Background: Chin ptosis is a common iatrogenic problem caused by removal of structural support underlying the soft tissue chin pad. As a solitary projecting point of the lower face if the bone support is reduced the amount overlying tissues does not change in size. Contrary to popular surgical belief it does to shrink down int Read More…

Plastic Surgery Case Study – Custom Chin Implant for Asymmetry: A 45 Degree Augmentation Effect and a More Square Shape

Background: Chin implants are a common facial augmentation that can be very effective for the properly selected patient. They work best for modest to moderate chin deficiencies that are largely horizontal in dimension (inadequate projection) with no significant asymmetries in the chin or jawline bone. Where patients and surgeons get into aesthetic difficulties is when Read More…

Plastic Surgery Case Study – Chin Implant Exchange and Pad Suspension after Triple Genioplasty Repair

Background: An inadequate chin augmentation result can occur from a variety of factors. But chin implant removal in the treatment of an unsatisfactory chin augmentation result induces a whole new set of potential chin problems that now involve more than just a bony projection deficiency. The onset of undesired soft tissue changes (chin pad sagging, Read More…

Complication Rates Between Intraoral vs Submental Chin Implant Approaches.

One of the classic debates in chin implant augmentation surgery is whether the incisional approach should be from inside the mouth (intraoral) or under the chin. (submental) This discussion is as old as that of chin implants themselves. Surgeons certainly have their preferences, often based on their specialty training, and patients have their preferences based Read More…