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Help.. anyone?
Here I am 3 months post revision.. no real improvement. Would anyone know how to move forward with fixing this??
Chin implant screws can damage the mentalis muscle & nerve
Quote from http://www.hindawi.com/journals/criot/2013/860634/
"The surgical technique involves the creation of an optimally sized subperiosteal pocket in which the chin implant is placed, minimising the risk of implant migration [1]. Although additional fixation techniques with sutures or screws can be used, this introduces a greater risk of damage to the mental nerve and mentalis muscle and is not necessary as a primary procedure"
The revision doctor said my screw was "a mile high" above the chin implant. It was also easily palpable in the center of my chin since that first surgery. He didn't even remove the screw, just cut it down 3mm. In my post op visit next month, I'll ask but I bet he didn't remove it because the screw head was stupidly deep into my mentalis muscle and so it would have risked more damage to dig it out and unscrew it.
I'm a strong 65% sure the screw is what is causing my center lower lip not to pull down. It lines up with where the screw was poking out. This insanely large screw is the only thing that made my first chin implant surgery unusual from the rest, and probably damaged the muscle and nerve. Now how do I fix it 1.5 years post op??!?!
"The surgical technique involves the creation of an optimally sized subperiosteal pocket in which the chin implant is placed, minimising the risk of implant migration [1]. Although additional fixation techniques with sutures or screws can be used, this introduces a greater risk of damage to the mental nerve and mentalis muscle and is not necessary as a primary procedure"
The revision doctor said my screw was "a mile high" above the chin implant. It was also easily palpable in the center of my chin since that first surgery. He didn't even remove the screw, just cut it down 3mm. In my post op visit next month, I'll ask but I bet he didn't remove it because the screw head was stupidly deep into my mentalis muscle and so it would have risked more damage to dig it out and unscrew it.
I'm a strong 65% sure the screw is what is causing my center lower lip not to pull down. It lines up with where the screw was poking out. This insanely large screw is the only thing that made my first chin implant surgery unusual from the rest, and probably damaged the muscle and nerve. Now how do I fix it 1.5 years post op??!?!
Anyone familiar with nerve/muscle repair?
My 'arch' is improving slowly, I think, but my lower center lip is still puffed up and flat when I smile.. like it is at rest and not being activated. I suspect the center screw, that stood way up and out above the first chin implant, has caused damage to either the muscle, nerve, or both. I'm researching neurologists and googling 'smile restoration' to see what I can find on this issue.. anyone with experience in this area, advice, doc recommendations, etc. PLEASE respond or PM me. My brief google search into this area suggests electrical stimulation, nerve or muscle grafting. I'm starting to think of this as a facial paralysis issue...