Chin Implant Asymmetry and Revisional Surgery

Q: Dr. Eppley, Last year I had a chin augmentation. It has come to my attention the implant sits crooked/asymmetric. My chin was asymmetric to begin with but I was assured it would not be an issue. Judging by the photo, do you think it’s reasonable to ask for a revision? What surgical methods are available to correct this?

A: I can not tell you whether it is reasonable to ask for a revision, that its between you and your surgeon.

For chin implant asymmetry it would be critically important to know the exact location of the implant on the chin bone as well as the shape of the bone. This is why a 3D CT scan of the mandible is needed. That visual information will provide the corrective approach needed. There is no merit to guessing from its outside appearance how a correction should be done. Obviously the approach of ‘eyeballing’ is not adequate since that didn’t work the first time.

Dr. Barry Eppley

Indianapolis, Indiana