Do I Need A Standard or Custom Chin Implant?

Q: Dr. Eppley, I have questions about chin augmentation. Specifically, I’m interested in achieving 10mm of horizontal projection with a chin implant.

I understand that custom implants can also provide vertical length adjustments. While adding vertical length isn’t a priority, if I opt for a custom implant, I would like to add 4mm of vertical height. Could you let me know whether you offer both regular and custom chin implants or primarily focus on custom options? Additionally, I’d appreciate it if you could outline the price difference between the two, as I’d prefer a regular implant if it offers comparable results at a lower cost.

I also wanted to ask about the possibility of combining the chin implant procedure with other surgeries I plan to have with you. My current surgical plan includes a top head skull reduction, temporal reduction surgery with temporal muscle removal, occipital reduction, forehead bone reduction, and a hairline lowering surgery with a 25mm lowering of the hairline.

When I contacted your clinic, I was told that all these procedures could be done together. I am aiming to schedule everything for winter or spring 2025. Would it be feasible to include the chin implant surgery at the same time as these other procedures? I live out of state, and I would be saving a lot of money on airfare if all the surgeries were done together.

Thank you for your time and guidance.

A:i remember you well from an inquiry and imaging done in September 2022. In answers to your questions:

1)  If the goal is 10mm of horizontal projection and vertical lengthening is not a priority (remember that even pure horizontal chin augmentation will add the perception of some increased vertical length then a standard chin implant should suffice.

2) A chin implant can be added to all of the mentioned skull reshaping procedures.

Dr. Barry Eppley

World-Renowned Plastic Surgeon