A Curious Case Report: Should a Clinician Be Worried About Bone Resorption Under a Chin Augmentation Site?

Oftentimes patients are concerned about their facial esthetics and appearance. To achieve the desired look, patients have several augmentation procedures available to them. Appearance of the chin and its morphology plays a crucial role in facial aesthetics. It is an important anatomic component that not only helps in the definition of the jawline and face but is also required from a functional aspect. It is not uncommon in the field of plastic surgery for patients to undergo chin reconstruction and recontouring due to the chin deformities such as microgenia and jaw asymmetry. The treatment options mainly depend on the degree of the defect and the desired functional and esthetic requirements. Along with surgical augmentations like implants and osseous genioplasty, soft tissue augmentations like injectables are also gaining popularity. These procedures can lead to complications like many other augmentation procedures. If proper follow-up is not done on these patients, the complications can cause potential damage to vital structures in the vicinity. This case report shows a patient who underwent a chin augmentation procedure with a silastic implant and never had a follow-up and is now at risk of severe resorption of the underlying bone.