Chin implant methods, what are the differences between them?

Tags:man age 25-34

After doing some research I see there are different chin implant methods, but the information out there is a bit overwhelming. Can you please tell me what the difference is between the chin implant methods, which is better, and why?


M, 32, New York

  Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over the 30 years.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  

 I place the silastic chin implant through a small curved incision under the chin to add projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  In contrast, using an incision on the inside of the mouth (intra-oral approach) necessitates cutting mentalis muscle attachments to the chin bone.  Not only does this allow upward migration of the chin implant, it requires a much greater degree of tissue dissection which means more post op swelling, bruising and downtime to recover.

 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty.  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  

Hope this helps.


Dr. Francis R Palmer has 2 Chin implant before & afters:

Chin implant before image performed by Dr. Francis R PalmerChin implant after image performed by Dr. Francis R PalmerChin implant before image performed by Dr. Francis R PalmerChin implant after image performed by Dr. Francis R Palmer

» View Dr. Francis R Palmer's full profile

There are two basic ways of putting the chin implants in:

a. incision under the chin

b. incision inside the mouth

There are pros and cons to each, but you would have to be seen in person to say if one is better for you than the other.  We do both techniques in our clinic, but some surgeons only prefer one to the other.

Dr. Reza Momeni has 1 Chin Implant before & after:

Chin Implant before image performed by Dr. Reza MomeniChin Implant after image performed by Dr. Reza Momeni

» View Dr. Reza Momeni's full profile

Chin implants can be placed through the chin or under your lip, they can be silicone or polypropylene, or you can use your own bone! Depending on whether you wish to gain vertical height or forward projection will determine which technique is best for you. In most cases, I place porous polypropylene implants under the lip in a hidden incision. No method is best, but I like using your own bone to slide forward with the appropriate candidate. Of course, implant placement is faster, easier, and easily reversible.