Silicone Chin Implant Absorbed by Bone?

Question

I had a silicon chin implant 11 years ago, but now my chin looks like the same size as before the implant. Could it be due to bone absorption? Do I need to remove it and replace a new one? Is there any other options? Is there any risk if I don't take it out? Thanks.

Frank P. Fechner, MD · Answer

You are right, there may be changes happening to the chin even after placement of a permanent silastic implant. your chin is probably not where it would be without the implant but there are 4 factors to consider:
- bone resorption (usually 1 to 2 mm, but it may be more)
- normal reduction of bone thickness
- normal reduction of volume of the overlying soft tissue chin pad
- droopiness of the chin soft tissues.
Placement of a larger size implant is a relatively straight forward option. Alternatively, injectable fillers or fat grafting may be helpful. Of course, a careful examination comes first!

Otto Joseph Placik, MD · Answer

You are correct bone resorption can occur with a chin implant,
The exact reasons for this are not known,
Newer implants have been designed that are either fixed to the bone or have a porous structure that promotes tissue ingrowth and is claimed to minimize bone resorption.
Going with a larger implant may provide cosmetic improvements but it may lead to further bone resoprption.

Eric M. Joseph, MD · Answer

The mere presence of your chin implant is not a reason to remove it, unless it's causing you problems. There is no risk of leaving it in place if it's not bothering you.
If you're unhappy with your appearance, you should consult your surgeon. If that's not possible, you should see a board-certified facial plastic surgeon, experienced with chin implant surgery for an in-depth consultation.
I hope this helps, and best regards.

William Portuese, MD · Answer

Yes, indeed, over time there is a small amount of bone resorption when an implant is placed on it.  The current implant that you have can be removed and a larger implant placed to further balance facial chin aesthetics.  There is no risk associated with taking out the implant.

Hisham Seify, MD, PhD, FACS · Answer

Silicone chin implants could over time exert pressure on the bone leading to minimal bone absorption. In most cases, you can not detect this clinically. An evaluation by your plastic surgeon could help to detect this finding. Best of luck!

Silicone Chin Implant Absorbed by Bone?

Answers (6)

Answer: Small amount of bone resorption

Answer: Small amount of bone resorption

Answer: Some bone absorption of silicone chin implant

Answer: Some bone absorption of silicone chin implant

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Everything you need to know about Chin Implant

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Silicone Chin Implant Absorbed by Bone?

Answers (6)

Answer: Small amount of bone resorption

Answer: Small amount of bone resorption

Answer: Some bone absorption of silicone chin implant

Answer: Some bone absorption of silicone 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.