Why is chin sore and ears tugging 19 months post facelift and chin implant? Hard to talk at times. Terrified this is permanent.

It is obvious from your question that many surgeons do not deal with the ear and earlobe properly. They do not give it the attention it deserves. Fortunately surprisingly simple to avoid and correct these issues if the surgeon knows how.

You have described a cornucopia of mostly non-surgical complications of the facelift operation and chin implant. Having the implant removed was wise. Assuming the surgeon found no problems upon removal, such as indolent infection, bone erosion, or nerve impingement, dental x-rayes might uncover something with the incisor tooth roots. I'll assume that your second surgery took care of obvious scarring problems such as pixie ear, flattened tragus, hypertrophic scarring that could cause "pulling." When all else fails looks for the uncommon: sources of referred pain like TMJ, tonsil and throat problems. Examine carefully the external auditory canal for chronic infection or foreign body. Realize, all painful conditions are NOT surgical. If one of your surgeons will not work with you, find one that will. Good Luck.