I've had a facelift, neck lift and chin implant. Unfortunately my implant has been removed three times. The first two were because the implant shifted. Got an infection 3 months later and had to have the implant taken out. My dr has recommened a fat grafting and which I'm going to have next month. What are the long term results for this area? The other issue I have is bunching in that area from strong muscles. Botox definetly helps but is an expensive maintenance cost that I'd like to avoid.
January 5, 2016
Answer: Fat Transfer for contracted chin after repeated implants and infection Transferred fat is a great material to augment the chin area. Compared with implants there is much less post op discomfort, the risk of infection is as close to zero as possible, there is no shifting afterwards and contouring is often much better than with an implant. I have used fat after chin implant infections with good success. You do present some challenges. Your strong muscle action and tight skin over the chin probably contributed to the malpositioning of the implant and will probably distort of the fat grafts. It is very important that you get a strong Botox or Dysport injection about a week before your procedure to stop the action of the mentalis muscles. The repeated procedures and the infection appear to have created some fibrous, contracted areas that seem to have soften since the first post op photo. One can only determine the degree of this by palpation. Because you probable started with a small skin envelope and there there is probably some fibrosis from your earlier issues. You should get a good improvement but you will need to be patient. You should think of having a series of injections instead of trying to over cram the grafts in one procedure which will lesson overall survival rate. Good luck.
Helpful 1 person found this helpful
January 5, 2016
Answer: Fat Transfer for contracted chin after repeated implants and infection Transferred fat is a great material to augment the chin area. Compared with implants there is much less post op discomfort, the risk of infection is as close to zero as possible, there is no shifting afterwards and contouring is often much better than with an implant. I have used fat after chin implant infections with good success. You do present some challenges. Your strong muscle action and tight skin over the chin probably contributed to the malpositioning of the implant and will probably distort of the fat grafts. It is very important that you get a strong Botox or Dysport injection about a week before your procedure to stop the action of the mentalis muscles. The repeated procedures and the infection appear to have created some fibrous, contracted areas that seem to have soften since the first post op photo. One can only determine the degree of this by palpation. Because you probable started with a small skin envelope and there there is probably some fibrosis from your earlier issues. You should get a good improvement but you will need to be patient. You should think of having a series of injections instead of trying to over cram the grafts in one procedure which will lesson overall survival rate. Good luck.
Helpful 1 person found this helpful
January 6, 2016
Answer: Fat grafting as an alternative to a chin implant Using fat transfer as an alternative to a chin implant is much more limited.The total amount of volume of fat that will survive in a small area is limited.Because you have had three failed chin implants does not necessarily mean you're not a candidate to have itching implant but it should be done by someone who has a lot of experience.A better procedure for you it may be a sliding genioplasty.I personally believe that long-lasting fillers like radiesse will work much better and be much more accurate than fat transfer to compensate for the loss of your chin implant.Botox typically works well to smooth out the chin.There are no long lasting alternatives.The good news is that it generally requires very little Botox to get a decent results in this area.Sometimes 5 to 10 units is sufficient.Best,Mats Hagstrom M.D.
Helpful 1 person found this helpful
January 6, 2016
Answer: Fat grafting as an alternative to a chin implant Using fat transfer as an alternative to a chin implant is much more limited.The total amount of volume of fat that will survive in a small area is limited.Because you have had three failed chin implants does not necessarily mean you're not a candidate to have itching implant but it should be done by someone who has a lot of experience.A better procedure for you it may be a sliding genioplasty.I personally believe that long-lasting fillers like radiesse will work much better and be much more accurate than fat transfer to compensate for the loss of your chin implant.Botox typically works well to smooth out the chin.There are no long lasting alternatives.The good news is that it generally requires very little Botox to get a decent results in this area.Sometimes 5 to 10 units is sufficient.Best,Mats Hagstrom M.D.
Helpful 1 person found this helpful
