I heard the body can get sick or reject implants when they are put in. Is this true? And how common is it? Are implants worth the risk?
Dear Ali52, I prefer to use a submental approach which reduces the risk of infection and less chance of any nerve damage causing numbness. The submental approach requires limited dissection as it is much closer to where the chin implant needs to be placed. The submental approach is sterile while the intra-oral approach is not.The intra-oral approach requires dissection all the way down the entire section of the chin in order to reach the same areas for chin implant placement. The attachment of the chin muscle to the bone must be cut during the tissue dissection, the sensory and motor nerves that move the muscles of the lips and mouth have a higher risk of injury due to this dissection.I perform multiple chin augmentation procedures weekly and I have for over thirty years and I have not had to remove an implant due to infection or had a rejection for any reason using the submental approach.See many examples in the link and video attached. Best regards, Michael V. Elam, M.D.
