Will A Custom Chin Implant Fix The Dimpling Of My Chin After A Sliding Genioplasty?

Q: Dr. Eppley, I had a silicone chin implant placed about ten years ago and it was removed five years ago and replaced by a sliding genioplasty. I have received further projection which is great but now I have irregularities in the chin/balling/dimpling probably due to scar tissue?

I’ve been advised fat transfer to resolve deviations would not be optimal there and filler is temporary.

Could a custom chin implant be placed to smooth over in recontouring this chin region or could this area be reopened intraorally and smoothed over internally somehow?

I’m wanting custom Jaw Implants to resolve deficient jawline but the chin ideally improved at the same time.

Your time in responding is greatly appreciated.

A:The chin irregularities are in the soft tissue and not the bone. Thus I would not be optimistic that any form of chin bone augmentation would produce a significant improvement in the chin irregularities. It may…but that would be an unexpected bonus and not an assured outcome. Fat injection grafting would seem to be a more logical approach.

Dr. Barry Eppley

Indianapolis, Indiana