Englewood Chin Implant doctors
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Edward S. Lee, MD
Englewood Plastic Surgeon
90 Bergen St. Suite 7400, Newark |
2 answers | |
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Michael Constantin Gartner, DO
Paramus Plastic Surgeon
3 Winslow Place, Paramus |
1 answer | |
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David L. Abramson, MD
New York Plastic Surgeon
42A E. 74th Street , New York |
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Luis Zapiach, MD
Paramus Plastic Surgeon
1 West Ridgewood Avenue Suite 302, Paramus |
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Richard A. D'Amico, MD
Englewood Plastic Surgeon
180 N Dean Street Suite 3N, Englewood |
Recent Answers
Is it a bad thing to have a chin implant placed via the inside of your mouth? Is the healing worse than if you did it via the outside? Would you recommend in or out? Which is better for the doctor?
Bad Idea. Chin Implants placed through the mouth overall have higher risks of having a position problem, or cutting the mentalis muscle and not repairing it this can lead to a droopy chin or whiches chin deformity. Its far safer to have it placed through a small incision under the chin. Its an area that heals very well, is not noticeable and I have never had a patient complain about the scar.
If I get a radiesse chin augmentation for a year and I like the shape of the chin, can the plastic surgeon make the same shape with a permanent implant when the year is up or is the permanent chin implant a prefabricated material that can not be contoured?
The quick answer is yes. Most chin implants can be contoured. Whether the implant is made of silicone, Medpor, or some other material, these can usually be carved to match the contour you desire. The implants usually come in many pre-fabricated sizes and shapes. So, you're surgeon will choose the implant size and shape that best suits your aesthetic goals and anatomy. In addition, if the implant does not come pre-fabricated in the size and shape that would best suit your needs, these shapes can all be altered and sculpted.
I woke up with a painful chin about 5 weeks ago after having a chin implant in June 2002. Post-op I had no problems whatsoever. It seems to be getting slightly better, but the pain/discomfort comes and goes. Sometimes the pain throbs, sometimes I feel some tingling, sometimes it's slight and other days it's heavier. It doesn't seem to be central to one location on the chin.
Could I have traumatized it? Could I have bruised a nerve? I think I may have slept on it very wrong one night, but I'm not sure. There is no swelling, redness, or discharge on my chin or lips, and I can't pinpoint a place the infection could have taken hold (no sinus infections, colds, etc.). The treating physician said we could do a fat transfer in 3-6 months but I'm skeptical of this procedure. Any thoughts or advice?
Your pain may or may not be related to your implant. Late infections can and do occur, but without any swelling, erythema, fever or other symptoms it doesn't sound like an infection. Implants can get infected via hematogenous (blood borne) spread from other infections like you've suggested such as a sinus infection. Other sites of infection, even ones far from the implant, such as infected cuts on the hands or legs or pelvic inflammatory disease could lead to blood borne bacteria that could infect an implant.
Your symptoms sound more like an issue with the mental nerve which runs right near your implant. It's odd for an implant to move after so many years, but they can. Implants can also cause bone resorption that may lead to "movement" of the implant. You should get at least a tentative diagnosis before you begin treatment.
I'm not sure from your question whether your physician has suggested fat injections to treat your pain or has suggested removing the implant and then putting in fat. Fat injections are not a solution for pain. Find out what's causing the pain first and treat it.
