Augmentation mentoplasty with solid silicone

Chin retrusion is important to the facial plastic surgeon, as it is a commonly encountered defect in patients seeking rhinoplasty. Careful pre-operative evaluation may identify patients who could benefit from concurrent augmentation mentoplasty. Augmentation mentoplasty using pre-formed silicone implants, placed sub-periosteally using an extraoral approach in a total of 40 patients were studied. The procedure proved to be relatively straightforward, rewarding and associated with very little morbidity. Hard silicone appears to be a reliable and safe implant material for augmentation mentoplasty in terms of host tolerance, including infection. There were no clinical side-effects from the minimal bone resorption which could be noted in eight out of 13 patients studied radiographically.