I have chin implant bone resorption- what will happen if I remove the chin implant? (photo)

Question

I had a chin implant 4 years ago. Recently I got some X-rays done by my orthodontist of my profile and she noticed that there has been major bone resorption on my chin. I have provided a picture of my x ray. My question is, how severe is the resorption of the bone? what will happen if i remove the chin implant? will genioplasty be an option considering the bone has wasted already? what action should i take next?

Michael I. Echavez, MD · Answer

If you are not having any issues with the chin implant or the appearance of your chin, I would recommend not doing anything.  It is not unusual to see some bone resorption from a chin implant on x-rays but this is usually not the case clinically.  Normally, no treatment is needed.

John Frodel, MD · Answer

Either the implant is mobile or was place a bit to high, above the most dense bone that is clearly below the implant as it sits now.  However, unless you don't like your appearance or you develop dental issues related to the implant, you can likely leave it in.  Conversely, it can be either moved downwards and resecured (consider having it screwed into place) or replaced with a new implant.   I recommend that you speak to your surgeon about the issue.

Joseph Niamtu, III · Answer

I have never seen this degree of resorption when the implant is fixated with a screw.  It is my opinion that the micromovement of unfixated implants contributes to this degree of resorption.  If the implant is mobile, it should be removed.  I have treated this problem numerous times.  Sometimes the bone can be smoothed and a new implant placed.  In sever cases we use a bone substitute to fill the void and place the implant at another visit.I do not think this degree of resorption is normal.Joe Niamtu, III DMDCosmetic Facial surgery Richmond, Virginia

Jason J. Hall, MD, FACS · Answer

Resorption of the bone is a very common and anticipated outcome from a silicone chin implant.  If you are not having any cosmetic difficulties and the fact that this will likely continue to some degree doesn't bother you, I wouldn't recommend doing anything.  Removal of the implant and a formal genioplasty would be the next option.This is the reason that in younger patients, I prefer a genioplasty for chin augmentation, as this avoids this issue.

I have chin implant bone resorption- what will happen if I remove the chin implant? (photo)

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Answer: Chin Disappearing after chin implant

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I have chin implant bone resorption- what will happen if I remove the chin implant? (photo)

Answers (4)

Answer: Chin Disappearing after chin implant

Answer: Chin Disappearing after chin implant

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Recommended reading

Everything you need to know about Chin Implant

Our mission is to create a world where every investment in modern beauty is Worth It.