I had a chin implant that in ten months has serious soft tissue atrophy causing a HUGE indentation on half of my chin?

Question

I have had a beet red area for many months on the chin. The surgeon kept ignoring it on follow up visits, and finally has stated, after me pointing it out, that it is an infection and prescribed cephalaxin. It does not hurt, not even to touch, and I think it is an inflammation due to an allergic reaction to the implant material. What can I do to stop the destruction of the soft tissue, and how to restore my appearance as I am now VERY self-conscious about the huge cleft that is developing.

Barry L. Eppley, MD, DMD · Answer

You do not have an allergic reaction to the implant material, you have a chronic indolent implant infection. Over time, this chronic infection has caused loss of soft tissue. It will not be solved (and will likely get worse) if you first do not get this implant out and the source of the infection removed. The soft tissue indentation is going to need a dermal-fat graft for restoration which will have to wait until the infection is cleared for restoration of chin contour.

Samir Shureih, MD · Answer

Without examination I guess you have an infected chin implant that needs to be removed ASAP.Samir Shureih MD.FACSsshureih@msn.com

Richard Galitz, MD, FACS (in memoriam) · Answer

As soon as a problem arose after placement of the implant it probably should have been removed. You cannot adequately treat a surgical infection with the implant in place acting as a foreign body. Even if it is a foreign body reaction and not an infection the implant needs to be removed. At this point I would remove the implant ASAP and wait until all inflammation has subsided. At that point a demal-fat graft or fillers may be the best to restore proper fullness to the area.

I had a chin implant that in ten months has serious soft tissue atrophy causing a HUGE indentation on half of my chin?

Answers (3)

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