Can a chin implant be revised after 6 years? (photos)

I had a chin implant (gortex implant that goes on the chin with these little extended pieces that go along the bottom jaw line) 6 years ago and it migrated within weeks of surgery. I had it fixed and supposedly anchored better 1 year later, but it again managed to migrate. Now I have a crooked chin. Is it too late to have it fixed? Also, is there a better approach to achieving a decent chin, since this implant has been so unsuccessful (my chin is receding due to TMJ).

Doctor Answers (8)

Gortex chin implants

+2
lfinrn10, Gortex can be a bit tricky in that it promotes tissue ingrowth and in my expereince aggressively remodels the outer cortex of the mandible. Your surgeon will need to be ready to deglove the mandible and have a drill avaiable for any reshaping that may be neccessary. Seek someone who has experience with these implants. I'm sure you will do fine but do your research. Good luck!


Charlotte Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

Chin implant??

+2
Best to be examined in person to determine if there are any issues with the present in place implant...

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 62 reviews

Can a chin implant be revised after 6 years?

+2
Yes, it is absolutely possible to remove the gortex implant.  I use silicone implants which are very well tolerated by patients.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

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Chin

+2
You need to have the gortex removed.  You could place a medpore/porex implant that could be secured to the lower jaw or could have an advancement genioplasty.  It is never to late to have a revision.  Find a surgeon who is well trained and comfortable with chin surgery and TMJ issues.  Good luck.  Donald R. Nunn MD, DDS  Atlanta Plastic Surgeon

Donald Nunn, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 5 reviews

Gore-Tex Chin Implant Revision

+2
Your gore-tex chin implant can be revised 6 years after implantation.  At the time of removal, I would recommend a replacement with a silicone implant.  Silicone is tolerated well by the body and is easy to remove in the future.  

I would highly recommend you obtain your old operative reports from your previous surgeon.  It will help the surgeon removing the gore-tex implant so he will have the proper tools available.  Doctors have to keep your records for 7 years so I would make sure to get them before the 7 year mark.

I hope this helps.  

Jonathan Kulbersh, MD
Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Can chin implant be revised 6 years later?

+2
In most cases, it is possible to revise a chin implant 6 years (or longer) after it is placed.  Personally, I prefer to use solid, silicone implants for the chin and you might try using one of these instead of the goretex implant that has been migrating on you.  It is also possible that a different style or size of implant might fit your face better.  I would discuss all of these choices with your surgeon.  

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Remove gortex implant

+1
The implant should be removed. It should be done in  a formal operating room with bone equipment and a drill. My preference is for solid silicone implants. They are easier to revise and remove.

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.5 out of 5 stars 21 reviews

Can a chin implant be revised after 6 years?

+1
The current implant can be removed, and a silicone implant can be placed.


Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 203 reviews

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.