How Can The Result From My First Chin Implant Be Improved?

Q: Dr. Eppley, I used to have a small chin and always hated how it looked as it affected my confidence.Earlier this year I decided to do something about it. I went for a chin implant and it as securedwith 2 screws. It looked good at first however after the swelling subsided, I realized the implant was too small and hardly provided any horizontal augmentations which is something I really wanted.

I went back to him and asked if it would be possible to get a bigger implant or one with more horizontal projection, and he said yes, but that your office would be the best place to get this done at.

I have attached pictures from before and after the surgery.

Please let me know if this is enough info or if you need more. Let me know if you have any questions.

A: I would agree that the existing chin implant is underwhelming. The first question is what type and size of chin implant do you currently have as that information will allow the following determinations to be made:

1) Is any standard chin implant available that could provide a substantative change. The largest standard chin implant has a maximum 11mms of horizontal projection. To make for a visible augmentation change the new implant would have to be double in projection what the first one provides.

2) If what is needed exceeds a standard implant then  a custom chin implant design is needed.

3) Based on imaging of your desired goals maybe a sliding genioplasty is a more appropriate chin augmentation procedure

Dr. Barry Eppley

World Renowned Plastic Surgeon