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!
Best to be examined in person to determine if there are any issues with the present in place implant...
Yes, it is absolutely possible to remove the gortex implant. I use silicone implants which are very well tolerated by patients.
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
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.
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.
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.
The current implant can be removed, and a silicone implant can be placed.
Kenneth Hughes, MD
Los Angeles, CA