Downsizing Chin Implant - Can Revision Be Done After 6 Wks?

I had an XL chin implant 6 wks ago. As swelling subsides, it's clearly too big for my liking. I understand that it takes at 3-6mths for swelling to fully subside and see the final result. But if I'm determined to downsize the implant, should I wait till the pocket is fully formed in 3 mths? Will the smaller implant 'swim' inside enlarged pocket if revision is done after 3 mths? Is it better to perform the revision now, so the pocket can form according to the size/shape of the smaller implant?

Doctor Answers 9

Chin Implant, Chin Augmentation.

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The chin implant doesn't appear to big from the profile views showing before and after.  In my new book on Facial Aesthetics, I write that looking at the face on profile: draw an imaginary vertical line down from the lower lip and a man's chin to hit or slightly extend beyond that imaginary line.  A woman's chin should be slightly behind by ~ 1/4 inch. 

Having said all that, I have performed Chin Augmentation for almost 25 years and you may just not like the chin implant...which is your right as a patient.  I also can't see the front view, so can't comment nor do I know if an anatomical chin or a sqaured version was used.  Squared Chin Implants often make the chin appear to masculine, IMHO.

In either case, if it's a silastic chin implant, hopefully placed through an incision under your chin...the implant can easilly be removed at anytime and if done within the first 3-6 moths should not cause the tissues, of your chin, to permamnently stretch.

Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Downsizing implant

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Don't see the problem. Looking at your profile pics your implant is barely large enough, not too large. I would not down size but if you do the best is to replace the implant at the same time as removal and place a few sutures to the periostium to keep it in place for 4-5 days after which the pocket will begin to tighten down.

Downsizing chin implants.

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I would advise waiting a minimum of 3 months because you may very well have swelling that is obscurring the final results.. Downsizing can be done at any time and if you already have a pre-exitsing intra-oral approach, I would use this incision.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Reducing the size of Chin Implant--Early Revision

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It is probably best to downsize the implant early.

This is only if you are very sure about the size.

You are swollen and it will dectease in size over the next 3-4 months.

It is possible that you will think it is perfect size after resolution of swelling.


Dr. S.

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 205 reviews

Downsizing chin implants

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I agree with the others that an early revision is indicated in this instance to let the pocket shrink down.  It is fully formed at around 8 to 12 weeks so you need to move on this a bit.

Downsizing Chin Implant - Can Revision Be Done After 6 Wks?

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You seemed very confused. Maybe removal completely is also an option for you. Please discuss with your chosen surgeon in detail. Yes at 3 months you can downsize but I fear you still may not be happy. From MIAMI Dr. Darryl j. Blinski

Chin Implant

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The earlier you do the revision the better ...................................................................

Samir Shureih, MD
Baltimore Plastic Surgeon

Downsize your chin implant as soon after surgery as possible.

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Downsize your chin implant as soon after surgery as possible.

If you are unhappy about the size of your chin implant, you should change to a smaller size ASAP so a overly large pocket is not formed. Swelling should be decreased enough by 3 months to know what the implant does. You may need to have a screw placed to anchor the new implant in the right place.

G. Gregory Gallico III, MD
Boston Plastic Surgeon

Concerns about chin implant being too large

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Six weeks is often too early following a chin augmentation with an implant to determine that it was too big for you. It may take at least 3 - 4 months to have a much better idea. If at that point it still seems way too large then placement of a smaller one can be performed.

Discuss your concerns with your surgeon. If you still are not sure or don't feel entirely convinced, obtain a second opinion.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon
4.7 out of 5 stars 33 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.