Southlake Chin Implant doctors

Scott E. Kasden, MD Scott E. Kasden, MD
Dallas Plastic Surgeon
1422 Main Street Suite 274, Southlake
32 answers
Michel Siegel, MD Michel Siegel, MD
Houston Facial Plastic Surgeon
7700 San Felipe Street Suite 420, Houston
11 answers
Michael A. Bogdan, MD Michael A. Bogdan, MD
Dallas Plastic Surgeon
410 N Carroll Avenue Suite 170, Southlake
5 answers
Morgan E. Norris, MD Morgan E. Norris, MD
Houston Plastic Surgeon
6400 Fannin St Ste 2130, Houston
5 answers
Colin Pero, MD Colin Pero, MD
Dallas Facial Plastic Surgeon
5425 W Spring Creek Pkwy Suite 170, Plano
2 answers

Recent Answers

Option For Medpor Implant Removal 5 Years Post-Op? (photo)

I’ve suffered for five years with large custom mandible medpor implants causing acute pain. There is evidence that the angle implants are impinging the posterior bellies of my digastrics, applying pressure to the hyoid bone and creating frequent choking sensations. The anterior bellies of the digastrics are also spasmatic and tightly slope from the chin to Adam’s apple. It’s hard to find a surgeon willing to remove them, but one did propose dissecting the digastrics. Is there a better way?

A: Facial Implant Discomfort

Your photographs show a very nice cosmetic improvement after 5 years.  Your symptoms are understandable given the fact the angle implant tends to wrap under the interior border of the mandible. A thorough examination and a CT scan would be helpful in appreciating the implants' relationship to your digastric muscle and hyoid bone.

After 5 years, the implant often has considerable ingrowth of tissue which could make for a difficult removal.  One benefit of this ingrowth is that it lends itself to partial implant removal by stabilizing the portion of the implant you wish to leave behind.  

Removing the lip of the implant that protrudes beneath the mandible should improve your symptoms while preserving to some degree your cosmetic result.  Some sagging and recurrence of the initial problem may result.

Good luck and keep in touch.

 

Morgan E. Norris, MD
Houston Plastic Surgeon
2 Weeks After Chin Implant Removal, Right Side of Mouth is Really Tight, Will this Go Away?

Just over 2 weeks post-op, intra-incision. Sensation on my left lower lip is almost fully back, but my right side still feels really tight, probably due to the sutures of the mentalis muscle. This is affecting my speech - when i talk, it looks as if only my left side of the lips are moving (somewhat elvis-like). Will this tightness feeling go away eventually? Also, does wearing a compression help prevent ptosis or only swelling? I haven't worn one, is it too late to start wearing it now? TY!

A: Chin Implant Removal Problems

Without more details about your case, it is difficult to give you any good answers.

These are great questions for your operating surgeon when you go in for follow up.

Good luck to you.

Morgan E. Norris, MD
Houston Plastic Surgeon
Chin Implant/Jaw Implant, Realistic Expectations? (photo)

My weak chin/jaw has bothered me for years and It's especially bad when I bite down. I now push my chin/jaw down and forward at all times in order to make it look like my jaw and chin are strong. I know some chin implants wrap around the jaw to make it more angular. Am I eligible for chin/jaw augmentation and is my 4th picture a reasonable expectation? The first 2 pictures are of me biting down. The third is how I hold my jaw normally. The fourth is how i'd like my jawline to look.

A: Chin/Jaw Implant Expectations and Other Options

Form often follows function.

If you find that biting down causes your face to look deficient, there is a good possibility that the alignment of your occlusion, or bite, is off.  By working with an orthodontist and a jaw surgeon (oral and maxillofacial surgeon, or plastic/craniofacial surgeon) improvements to an abnormal bite can markedly improve the facial form.  Additional chin projection can even be achieved with a sliding genioplasty where your own bone is used instead of any implants.

There are pros and cons to either approach.  Take your time and visit several surgeons to gain a better understanding of what works best for you.

Good luck.

Morgan E. Norris, MD
Houston Plastic Surgeon
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