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Could Juvaderm Injection Have Ruptured Chin Implant?

asked 1 year ago by patient627 in New York, NY
Latest answer by Francis R. Palmer, III, MD
Question viewed 409 times
Tags: chin, jaw line, female, implant, pain, rupture

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??

19 answers to Could Juvaderm Injection Have Ruptured Chin Implant?

Juvederm and Chin Implants

No, it sounds more likely that the filler (sounds more like Radiesse or Perlane?) could have been placed close to the mental nerve in the chin area. The needle and or the filler could be placing pressure on the nerve. See if the MD that injected the filler is OK with gentle massage and heat to the sore areas. I do lots of Chin Implants and the Chin implants are solid material except for a very small button style chin implant that was silicone gel filled. These were used... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Juvederm and chin implant problem

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, more

Thomas Fiala, MD
Altamonte Springs Plastic Surgeon

Chin Implant Rupture

Juvederm is likely not the filler you had since it is reversible. Chin implants are also solid pieces of silicone so they will not rupture even if hit with a needle. You do indeed have a nerve that exits the bone in the chin area that could be causing the pain and discomfort you felt. All injectable cause localized swelling and occasionally bruising which might put additional pressure on the nerve while the swelling resolves. As the filler is absorbed and dissipates,... more

Kristin Egan, MD
Manhattan Beach Facial Plastic Surgeon

Chin implant rupture?

First of all - the product that was placed was not Juvederm - since this is dissolvable. However, it's unlikely that the injection ruptured your chin implant. Chin implants are usually solid pieces of silicone - if you're curious you could have your plastic surgeon show you one. There are some nerves in this area that could have been hit, but usually the needles used are small so it shouldn't have done much damage. I anticipate that your symptoms will get... more

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

Chin implant would not rupture with filler

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... more

Ronald Shelton, MD
Manhattan Dermatologist

Chin implant not ruptured but nerve is irritated. This was not Juvederm (some other docs did not read carefully).

As you stated, the doctor told you that this filler is not reversible with hyaluronidase, therefore it is more likely Radiesse than Juvederm or Restylane. Even though it is likely that a nerve was injured (your old chin implant may have moved a nerve out of its natural pathway and left in in an unpredictable spot that was nicked by the filler needle), there is also a possibility that pressure from the new filler is squeezing it against the implant. These are simplistic possibilites, but... more

Jessica J. Krant, MD, MPH
Manhattan Dermatologic Surgeon

www.ArtofDermatology.com

Chin implants do not rupture

As many others have said, chin implants are made of solid materials and are not liquid or gel filled. Your pain and sensitivity are likely due to direct nerve irritation or injury from the injection process itself, and will likely resolve with time.

Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon

Ruptured Chin Implant? What to do?

Rupture is unlikely because most chin implants are solid. Try to retrieve exactly what implant you had,. Your discomfort will resolve. The Juvederm can be reversed with Hyluronadase and this is nice if problems occur. Be patient and you will be fine. Recovery from all surgery and injections takes one year but usually less. Good Luck..

George Commons, MD
Palo Alto Plastic Surgeon

Ruptured Chin Implant after Injection

Unless some unusual material was used, chin implants are solid and therefore will not rupture. If possible, ask the surgeon who placed the implant. The nerve was probably traumatized at the time of injection. It sounds like the pain is decreasing - nothing can be done except to be patient. Hopefully this will resolve.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Pain after Radiesse Injection

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... more

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Chin implants do not rupture

Due to your description of the material injected I am assuming this was Radiesse. It sounds like you may have some type of a possible nerve injury from the injection or maybe a possible infection or swelling in the injection site. In my twenty five years of practice I have never used a chin implant that was made of a material possible to rupture. I would see your surgeon as soon as possible and explain your symptoms so that she may make a proper diagnosis.

Michael Elam, MD
Orange County Facial Plastic Surgeon

michaelelammd.com

Juvederm and chin implant

Juvederm injections in and around the chin should not cause problems with your chin implant. Sensitivity around the nerve may be the implant itself.

Steven Wallach, MD
Manhattan Plastic Surgeon

Facial Injections Near Facial Implants

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... more

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Juvaderm injections into the chin area willnot harm a chin implant

Juvaderm injections into the chin area willnot harm a chin implant. The juvaderm injection is fluid and the implant made of solid silastic and is therefore safe.

Edward Lack, MD
Chicago Dermatologist

Chin Implant Rupture

The vast majority of chin implants are and have been made from Silastic or other solid materials making rupture very unlikely. Given the discomfort felt at the time of injection, it is likely that the mental nerve was involved; this may resolve over time. Certainly discuss your concerns with your Doctor and/or a reputable Facial Plastic Surgeon in your area.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

www.drprendiville.com

Poss Nerve damage

It sounds like you have a nerve injury and were injected with Radiesse which cannot be reversed. At this point all you can do is wait and see if it resolves on its own

Edward J. Bednar, MD
Charlotte Plastic Surgeon

Chin implant can not rupture

Chin implants are made of a solid material, so they can not rupture. More likely, the injection injured a nerve near the implant. Your symptoms should go away on their own, but it could take 6-12 months. By the way, Juvederm can be dissolved with hyaluronidase, so the filler was probably Radiesse, the calcium base filler that can't be dissolved. Andrew Campbell, M.D. Board Certified Facial Plastic Surgeon

Andrew Campbell, MD
Milwaukee Facial Plastic Surgeon

Chin Implants do not rupture

Since you had your chin implant placed more than two decades ago, it may have been made of a material that is no longer in use. Some of the older implant materials may be more brittle. Most likely, however, the filler injection placed pressure on the nerve or otherwise injured it. Only a visit with a qualified physician can help you determine the cause. Any injection also carries the risk of infection, as does any permanent implant (such as your chin implant). The best course of action... more

Jen Yuan Chow, MD
Pasadena Facial Plastic Surgeon

Chin implant issues

It is possible that a nerve was injured during a filler injection. A chin implant rupture, however would not occur. Unlike breast implants, chin implants are solid silicone rather than gel. Thus, even if it were penetrated by a needle, it would not leak. Hope this helps.