A member asked:

What types of implant materials are used during genioplasty? i am concerned about the health risks involved in silicone implants used for genioplasty. my chin is not very dominant and this surgery would balance out the look of my face. are there other opt

6 doctors weighed in across 6 answers
Dr. Thomas Lamperti answered

Specializes in Facial Plastic Surgery

There : There are several options when it comes to augmenting the chin area. Silicone implants are probably the most common. Unlike with breast implants, silicone chin implants are actually solid so there is no risk of rupture or leakage. This type of silicone has a many year history of safe use. Other common implant materials include gortex, mersilene, and medpore. The type of material used is often based on surgeon preference and experience. If you are looking for an option that doesn't include a implant you could consider a sliding genioplasty. This involve making a cut in the chin bone, advancing it forward (and/or up or down) and securing it in its new position with a titanium plate.

Answered 10/3/2016

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By : By and large silicone imp[lants are safe.There are other options such as injections.These injections can be things such as juvaderm, Radiesse (dermal fillers) or your own fatty tissue.You can also have a sliding genioplasty where they cut the bone of your mandible and advance it forward but silicone implants are safe and have been around for many years.

Answered 10/4/2016

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Dr. Barry Press answered

Specializes in Plastic Surgery

It : It depends on how much of an augmentation you need. Silicone implants are very safe and have a good track record. It is a matter of surgeon preference. A good alternative is medpor: this is porous bone-like polymer that can be carved much like a bone graft. The pores allow blood vessel ingrowth and the implant becomes solidly attached to the bone of the chin. A genioplasty with moving the bone of the chin forward is another good option, but i generally reserve this for patients who need more augmentation than can be achieved with an implant. Other factors such as your dental occlusion (how your upper and lower teeth fit together) are important in evaluating this problem, so i would recommend an evaluation with a surgeon who can weigh the importance of all these factors. Good luck.

Answered 10/4/2016

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Dr. Thomas Lamperti answered

Specializes in Facial Plastic Surgery

The : The silicone implants used for chin augmentation are solid with no liquid component to rupture. This type of material has a long history of safe use as an implant. There are other materials that implants are made out of including gortex, mersilene, and medpore.

Answered 10/3/2016

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Sliding : Sliding osteotomy may work quite well, give long term stability and avoid placing a foreign material in the chin which can have complications. A genioplasty using a cut through the chin to move it forward is an excellent way to augment a weak chin.

Answered 10/3/2016

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Dr. Richard Fleming answered

Specializes in Facial Plastic Surgery

There : There are alternative materials used in chin implants, but I have successfully used silicone chin implants without any significant problems for over 35 years. These implants are made of solid silicone, not the gels that are used with some rare significant problems in breast surgery. Results are predictable and permanent.

Answered 10/4/2016

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