Some of observations on chin implants

riskyventuresceo

riskyventuresceo

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This is in addition to the points that are already available on the internet. People considering a chin implant don't know about this:

1. Frontal (0 degrees) appearance, from the normal height, won't change much without specifically targeting vertical lengthening, after the swelling goes away. Visual difference from lower or higher position will also be very minor, don't overestimate this.
2. Profile (90 degrees) appearance will change significantly, but there's no guarantee you need to extend the chin by dropping the straight line from the brows (minus a few mm). Meaning it might make sense not to overexaggerate the projection in planning, because overly prominent chin on an overall recessed face (with non-prominent brow ridge, sloped forehead, retruded maxilla) can look strange. I think under is better than over. You don't want to end up like a troll face. But also don't bother for just a couple of mm of extra projection.
3. Angled (15-45 degrees) appearance can change more significantly if the implant has wings. In case it does, the angle appearance can turn out to be much more masculine and prominent than profile appearance, thanks to the lateral extension, which is still a good outcome.
4. Surgeons cut parts of the muscle after they put the implant in to relax the mentolabial fold. However, those muscles are also responsible for keeping the lower lip in its place. If it's overcut, the lower lip can retrude - no one will admit this happens to anyone, but it does.
5. Chin implant can be an alternative to jaw surgery and genioplasty, if done purely for aesthetic reasons. My opinion is that even a small improvement in appearance still beats harder recovery of the other two procedures.
6. It doesn't have to be perfect to be better. That said, pre-existing defects, like a recessed lip position, can look unpredictably different with a bigger chin (can start looking more obvious).
7. I would not recommend this procedure to women, because there's still too little margin for error in them. Overdoing it can mess up the face, underdoing it can be useless, and good case studies are extremely rare for women, even from talented surgeons.
8. This surgery can result in other improvements beyond projection - the crease under the sides of the mouth, visible from profile, can decrease, resulting in a less retarded look, and can reduce nasolabial folds.
9. Good surgeons have performed hundreds of these operations throughout their careers. I would go to an experienced maxilofacial surgeon, no one else. You wouldn't trust a podologist to fill a tooth, would you?
11. A surgeon that doesn't use CT and custom printed implants is a dumbass living in 1950s. I've no idea how they still exist. I measure stuff before buying furniture to make sure it fits, and there are people cutting people's faces by freehanding medical equipment. Plus I think when the silicone is cut, it probably releases a bunch of it into the bloodstream, which is also likely underresearched.
12. There are absolutely shit famous surgeons and really great no-name ones, aesthetically. You have to dig deep. No work by the surgeon I don't want to name (Slavic surname) looks good in his case studies - the size is always too small, and the patient photo sample is strange, not a single good-looking person there.
13. I wouldn't choose the materials that are hard to remove (there's one particular type I forgot the name of). The revision may have to happen, and if it's beyond a few months, it's going to be very hard to dig that plastic out from the ingrown tissues.
14. Incision from inside of the mouth guarantees that a muscle will be cut in full and then reattached. This really increases the risk of fucking up the lower lip and sensitivity. However, outside incision means there's a raised scar for weeks to months, and the stubble won't grow there.
15. Do not think that life will be better. You fixed a deformity, not made yourself hot. But maybe this will give you peace to be more relaxed and pleasant in life, without being scared of looking like a retard. If you can accept having a scar, which is hidden, but visible.
16. The recovery is not as easy as everyone says. Doctors are inclined to make them look like nothing; complications are underreported in research; and people forget painful events when they report how things went, plus also don't admit the negative aspects, to rationalize the procedure. It's pretty tough, because that area and muscles (partially cut) are used for everything from breathing to chewing to speaking.
17. I would say that chin implant must have wings in men, to extend the chin laterally. This relates to point 3. Imagine you have a deeper mentolabial fold as a result of the operation, which can happen. It's kinda bad, but not as bad if you have a super masculine lower third from a 30 degree angle, where the mentolabial fold is not visible at all.
18. To be frank, I wouldn't say that mentolabial fold is a big deal at all, especially if you can have stubble professionally.

Hope this is helpful to someone who's actually scheduling a surgery at this moment.
 

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