Could Juvaderm Injection Have Ruptured Chin Implant?

Question

I had a chin implant 21 years ago. I am now 43. a few months ago I had a filler ( the one that can not be reversed with an enzyme ..juvaderm?) injected a few months ago in my jaw line and chin. When she injected my chin it felt like she hit a nerve and i was in a lot of pain for a week. Nerve activity for about 1 month, It is now 5 months later and i have a soreness in my chin area. DO you think the implant could have ruptured? What can i do??

Larry S. Nichter, MD, MS, FACS · Answer

All chin implants are solid in nature so it would be impossible for you to "rupture your implant" with a juvederm injection where a fine needle is used.

Thomas Fiala, MD, FACS, FRCSC · Answer

Hi - since chin implants are solid (not fluid filled like a breast implant), there is very little chance of a needle injection rupturing the implant.  However, it is possible that the injection irritated one of the sensory nerves in the area, causing you some pain....fortunately this is usually temporary (few weeks) in most cases.

If you are still having pain several months later, though, you should most certainly be examined in person.

All the best,

Ron Shelton, MD · Answer

Juvederm can be dissolved by hyaluronidase so your filler was some other, possibly Radiesse. Regardless, the chin implant is a solid synthetic material that will not rupture but if the needle loosened the collagen capsule around the implant there might be pain.  If  introduction of bacteria seeded the implant or if the biofilm around the implant were disrupted, then a deep infection could cause pain. You should see your physician to ensure that no infection exists, although most likely there is a nerualgia which is an inflammation of the nerve from irritation and this may get better over many months, sometimes with the assistance of medication.

David Shafer, MD, FACS · Answer

Without seeing you or actually being there when you had the injecitons, it is virtually impossible to give you specific advice or an explanation.  However, chin implants are made of solid material and therefore would not rupture even if punctured.  It is possible that you are somehow having nerve irritation from the injections.  It would be best to return to your injector for an examination.  If you had your injecitons from a non-doctor / non-plastic surgeon, it may also be useful to seek a consultation if you have continued problems.

	 

	Good Luck.

Michael A. Persky, MD · Answer

Hi,

	The injection was likely Radiesse.  With Silastic implants, the implant cannot rupture.  Your pain is likely due to pressure of the filler on the mental nerve.  The greatest danger of having an injection of any sort (even just a needle passing through skin that has been cleansed) is that once the needle passes through the skin and into the capsule around the implant, a very small number of bacteria is all that it takes to cause a severe infection, usually making removal of the implant necessary.  All patients should make sure that their injectors know that they have an implant, and all injectors must do everything they can to avoid injecting near the capsule of the implant.  Good luck and be well.

	Dr. P

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Could Juvaderm Injection Have Ruptured Chin Implant?

Answers (20)

Answer: Juvederm little risk after Chin Augmentation

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