Chin Implant (Genioplasty) at www.PearsonFaces.com

[Battery9876]

Dr Pearson, you say that height cannot be obtained with a chin implant. Why wouldn't it be possible to carve an implant with a U-shape, place it under the chin and fix it with screws?

[fpsurgeon]

@Battery9876 It would be possible, but it would make the underside of the chin and neck look bizarre since the floor of mouth musculature--specifically the geniohyoid and genioglossus--would not be moved downward. The result would be a strange crescenteric depression of the submentum behind the implant. Height is achieved instead with vertical sliding genioplasty surgery which moves a wedge of bone at the chin along with its attached muscles.

[Battery9876]

@fpsurgeon Is the genioplasty a dangerous surgery? What happens if the surgeon inadvertently damages the geniohyoid or the genioglossus?

[andoverpunx]

I have a very round chin that isn't very height deficient but is recessed about 1cm from my lower lip line. I also have very narrow lips; is it possible to carve a narrow implant that would make my chin more square with a flat bottom?

[FreeBlago1]

Good vid. I had mento 10 years ago. My hairline has slightly receded since, making my chin area appear smaller again. Also, the implant has slightly shifted so it feels "cock-eyed". One side angles up, the other dips below the jawline. I am considering a new implant, slightly larger and definately more square (I was not offered a more square implant back then, just a rounded one). Is this difficult as scar tissue is formed around this implant in the cockeyed position? Thanks.

[fpsurgeon]

@FreeBlago1 Depending on the implant material, the scar capsule may or may not be much of an issue. Solid silicone implants (i.e., Silastic) are relatively easy to remove. But I usually like to remove the implant and then wait for the chin to heal before placing a new one. That makes it a lot more reliable when choosing a new size/shape.

[CryBearARiver]

I understand that a genioplasty can add some projection from the profile but how can the chin implant add the length to the chin? The chin implant has to be adhered to the bone. Am I not clear???

[fpsurgeon]

@CryBearARiver "Length" and projection are the same dimension, i.e., the distance the chin extends anteriorly. This is as opposed to width and height. The implant can also add width, but it cannot add height. Adding height is rarely required, but when it is needed, a different surgical approach is required (osteotomies and plating, specifically) and is beyond the scope of this video. I think that's what you're asking, isn't it?

[fpsurgeon]

@CryBearARiver "Length" and projection are the same dimension, i.e., the distance the chin extends anteriorly. This is as opposed to width and height. The implant can also add width, but it cannot add height. Adding height is rarely required, but when it is needed, a different surgical approach is required (osteotomies and plating, specifically) and is beyond the scope of this video. I think that's what you're asking, isn't it?

[elect100]

very informative,i am plastic surgeon ,but we most of the times deals with trauma and burn,in Lahore ,pakistan

[888erkan888]

Intresting video.

I know the price vary from surgeon and what kind of implant you want and so, but can you please tell me what the price for a mentoplasty of the chin usually lands on? I really wonder.

Thanks!

[fpsurgeon]

My Financial Coordinator could quote this exactly, but consider it in the ballpark of $2,500-3,000 USD (includes my fee, the implant, anesthesia fee, surgery center fee, etc.)

[Hint: make sure when you get a quote that it includes the *total* fees, not just the surgeon's fee.]

[888erkan888]

Thanks for your reply. Yeah I will make sure I get the FULL prices, not just the surgeons fee.

A question: After the surgery, and when everything is healed up, if you would for example get a punch or something on the implant, would that effect it in anyway or is it just as a part of the bone? Is it "fragile"?

[fpsurgeon]

Nothing (even your own jaw bone) is indestructible. However, a fully healed chin implant is exceedingly resilient. A blow that would displace the implant is likely to be hard enough to break the patient's jaw. The implant would be the least of the patient's concerns at that point. I typically use solid silastic (a vulcanized silicone rubber). Once implanted and healed, it's almost impossible to feel that it's even there.

[TheReturnOfStephan1]

Thank you for posting your series of videos. I find them very informative. Do you have any videos featuring the result of a square chin implant?

[fpsurgeon]

Square? No. I prefer the extended anatomical ones. Glad you enjoyed my videos, though! Thanks.

[DesDoll2008]

I HAD .. TWO CHINS..BEFORE.. iM GETTING A THIERD ONE..

cAN;T WAIT

LOVE DESDOLL

[surferasianboi]

huh?

[fpsurgeon]

Not sure I get DesDoll2008's comment either...

[TheReturnOfStephan1]

Do chin implants come in different shapes, too? I'd like to get a more square-looking chin, if possible.

[fpsurgeon]

Yes, they do. They're also able to be carved for specific customization.

[TheReturnOfStephan1]

Thanks for responding. After I asked, I found a bunch of manufacturers of square implants, in all of their different varieties. Again, my thanks for your response.

DesDoll's what's called a "troll", going from clip to clip posting ridiculous comments, hoping for attention...

[fpsurgeon]

You're welcome! Thanks for watching the clip, too. My preferred implant is the so-called extended anatomical. One has to be careful with chin augs not to make the chin *too* boxy, though.

As for desdoll's trolling, too bad his/her spelling isn't better. But why am I not surprised? ;-)

[TheReturnOfStephan1]

That's a very nice implant! Upon looking at all of the before & after videos here on YouTube & elsewhere, I've noticed that many of the older men who get the implants seem to get a lump or bulge at the ends of their chins, while the young men do not. I'm in my mid-20's now, but, I wonder if this is something that will develop as I age, or does this occur mostly with men who get the implant in their middle age &/or older?

[fpsurgeon]

Like a lof of things in plastic surgery, there are many ways to screw it up. What you describe should not occur with properly sized implants and properly placed implants that respect the soft-tissue coverage and that don't disrupt the attachment of the superior attachment of the mentalis muscle.