What Is The Best Way To Do My Chin Implant Revision
Q: Dr. Eppley, I had a chin implant procedure last year with a medium silicone chin implant. The picture on the left (attachment) shows me right now with the implant, the picture on the right is me with a photoshopped chin projection. I downloaded this plastic surgery app that allows users to play around with digital imaging, and so I extended my chin horizontally to my ideal and dream chin projection. I also took a Qtip and placed it on my lips straight down and then measured the space from where the Qtip drops down to where my chin is at now, and it seems that I am 10 more mm’s away from having the chin in the photoshopped picture. But remember, the current chin implant now gave me 5mm’s, so technically if it’s taken out I would need a total of 15mm’s to achieve my ideal projection. I wish I would of known all this prior because it looks like all the money I spent on this current implant is now going to go down the drain as I am not even half satisfied and just keep dre aming about the chin on the right. I came across your site, and I guess my question to you is that with all that said, how can we go about getting me to the projection I want? Would I need both a genioplasty and implant together? Because I know the biggest implant made is only a 10mm. I just want to do it right this time so I never have to deal with it again.
A: Given that you have a chin implant already in place, it may be best to do a sliding genioplasty for your chin implant revision. (technically chin augmentation revision) The chin implant would stay on the front edge of it, so you still get value of having done the prior procedure, and move the chin forward 8 to 10mms. Otherwise, you would have to have a custom chin implant made to cover the total 15mms horizontal projection desired.
Dr. Barry Eppley