I had a chin implant done in Argentina 7 months ago. I am wanting a revision. I went to a doctor here in NY and he stated it is a difficult procedure and he wants an x-ray to see more in detail what was done and if he can do anything to rectify it. I am so scared now because every other doctor said it would be fairly easy. Basically remove the one I currently have and replace it with one that would look better on me. I am so nervous now. Should I be?
Is a Chin Implant Revision Very Difficult?
Doctor Answers (6)
Chin Implant Revision
Get a copy of your operative report from Argentina. The X-ray is probably a good Idea. Without information on the implant type, good photographs and examination, it is difficult to give you more specific advice. It has been my experience that chin implant removal and replacement is usually straightforward.
Revision of chin implant
Removing and replacing chin implants is relatively straightforward. Scar tissue first chin augmentation makes revision slightly harder to do. The old implants can certainly be removed and a larger, smaller, or wider implant can be placed depending on the patient’s needs, wants, and desires.
Web reference: http://www.seattlefacial.com
Complexity of Chin Implant Revision
Chin augmentation to improve a weak chin is normally performed with a silicone implant. However, many other materials may be used, which are regulated in the US. Implants may be secured into position with screws or sutures. Outside the US, there is much less regulation of medicine and surgery, so it's unknown what material was used and how it was performed.
It's appropriate when considering revision chin surgery to have all available information, including to review jaw anatomy with current radiographic imaging. Chin surgery may also be performed with bone advancement, rather than an implant. Revision surgery is generally more complicated than the original procedure. Speak with a plastic surgeon for a comprehensive evaluation and to help determine appropriate options for you.
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Chin implant removal
You are dealing with the unknown. What type implant was used?
Was it fixed, and how?
Was there a problem during isertion? some changes can be permanent.
It is very important to have all the information possible before the surgery,
Get the operative note, and type of implant from the original doctor if you can and the information exist, and right
Taking over for another surgeon is not so easy
The problem is that the FDA strictly regulates the materials or implants that are used here. The product used in Argentina may not be available here and this may make removal more difficult because the surgeon would have to deal with the unknown. Would you take a bite out of something without knowing what it contains? Why should a surgeon. The more prepared he/she is, the more likely you will have a predicatable resutl. What if the implant was an injectable material that cannot be entirely removed? Will you blame the Argentiain surgeon or the US surgeon who decided to help you? Try to understand that you are asking another surgeon to pick up the pieces of a problem he/she did not create.
Chin implant revision is usually routine
In general, revision of a chin implant is much like the first operation. The same incision can be used or the incision can usually be revised if it did not heal satisfactorily. The implant can be removed and reshaped or replaced with a different sized or shaped implant. We prefer to suture our implants in place so that the chance of shifting at all is minimized.
The operation can be a little bit harder or easier depending on the implant material that was used. A silicone implant is easy to remove and replace. A material like Medpor preferred by some surgeons is a little harder to remove because the surrounding tissue grows into it. Even then, it should be a relatively routine straightforward procedure. All the best.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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