3 failed surgeries in 3 years that include chin augmentation. Feared I had permanent nerve damage, think I'm ok now, but stuck with a crooked smile and a butt chin. The piece is clearly misplaced again. For solution, which one is safer, more effective, and more cost efficient? 1 - Get the same chin piece in place re-positioned? OR 2 - Have the chin piece removed and get fat grafting done instead?
I don't really do much chin augmentation, but there is a way to advance bone to give the chin augmentation. With your history, this may be a better option. Unfortunately, I don't personally know anyone in your area. You would be looking for a genioplasty.
3 failed surgeries in 3 years is very unfortunate and uncommon. I recommend discussing the possible reasons for repeated unfavorable outcomes with your trusted plastic surgeon and formulate a plan going forward. Sometimes the best plan is to remove the chin implant and allow your tissues to heal for 6 -12 months before a fourth attempt at augmentation. Fat grafting can be an option; however, this will be more successful when your chin area is soft and supple.
Dear EmirRoyals26,
Hello and thank you for your excellent question. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!