How to Fix Face After Chin Implant Removal

10 years ago, I had a chin implant along with liposuction on the neck. Due to an my body rejected it, had to be removed. Now, my face is asymmetrical. The left side of my face is fuller; therefore I have a chipmunk cheek with a deep laugh line. The right side; the cheek is contoured, but has a light marionette line.

I'm thinking either microliposuction to drain the fat from the left cheek to match the right. I'm also thinking of seeing 2 facial reconstruction plastic surgeons for advice. What do you think? Thank you.

Doctor Answers 12

Facial asymmetry

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Without photos or seeing you in consultation, my answers will be limited.
Our faces are not symmetric. Sculptures and painters strive for symmetry but some of the most beautiful faces we see on screen and in publications are asymmetric. This is also a matter of degree of asymmetry, of course.
I would seek out a plastic surgeon who specializes in facial aesthetic surgery. I seriously doubt the degree of asymmetry you have would require facial reconstruction. We have many techniques and products which can be used to address your concerns from minimally invasive to full on surgery.
Good luck. I hope this was helpful.

Corona Del Mar Plastic Surgeon
5.0 out of 5 stars 130 reviews

Chin implant removal

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Chin Implant removal information/and considerations: For the vast majority of chin implants, removal is straight  forward most commonly using the  same incision that was used to place it. The procedure is often done in the office with local anesthesia with or without some sedation, but also commonly done in the OR under IV sedation or general anesthesia per patient's and surgeon's preference.  Most implants are silicone and are not adherent so slip out readily. Medpor, also called PTFE, may have tissue ingrowth and can be a bit more involved but still can be removed in the same manner.  It is very helpful for your surgeon to  review your prior surgical records to know the size and type of implant used. This may be obtained by contacting your prior surgeon's office or OR facility and request your prior surgical records.

Expectations: if the chin implant was small and removed within the first few years chances are likely that you will return a similar size and shape as before. If the implant was small, the chin soft tissue usually shrinks back down without  sagging.  Often, there is still some gain once the implant is removed due to the scarring and capsule (lining your body makes around the implant) that gives some benefit. On the other hand a large implant placed many years ago, and other factors such as being elderly, having osteoporosis and perhaps smoking that can cause loss of underlying bone due to  bony erosion from the pressure of the implant. In this case  use of a natural filler such your fat or at times a bone graft may recommended for different reasons. Your surgeon may request a  Panorex or lateral cephalometric x-ray to see if this is the case.  Temporary fillers can also be tried such as Jeuvederm, Sculptra, Voluma, Volbella, etc. 

Most important of all make sure you pick a plastic surgeon with great expertise in #chinaugmentation and #chinimplantremoval. 

See the below link on how best to choose your surgeon.

Fixing face after chin implant removal

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You are on the right track. Go see the surgeons for an in detail review. Since no photos were posted we can not give an accurate assessment  of the issues. Good Luck!

Improving facial contour

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Dear Schmo,

It is difficult to assess your situation without a picture. It has been a decade since the implant removal and your tissues have undergone some change. Probably due to the nature aging process. There many options to address lower face contour issues (fillers, liposuction, facial implants, bone grafts, face lift, etc). It is best to visit a board certified plastic surgeon. I hope this helps.

Dr. ES

Chin Implant

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

After 10 years of having the chin implant, your body CANNOT reject the implant.

You had a complication, infection, capsular contracture, displacement.

Removing the chin implant should not affect your cheeks. Chin implant removal will or may affect the chin and your profile, but not your cheeks.

Discuss your concerns with your plastic surgeon.

Samir Shureih, MD
Baltimore Plastic Surgeon

Chin implant removal does not cause facial asymmetry.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I agree with Dr. Aldea. See an experienced facelift surgeon to evaluate your problem after he is able to examine you. He will give you the best answer to your problem.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Facial Asymmetry after Chin implant Removal

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Without the benefit of photographs all comments must be general.

Chin implants do NOT cause cheek deformities. Some chin implants cause resorption of the chin bone but they cannot impact on higher facial anatomy. My guess is that like 99.95 of people you had a pre-existing facial asymmetry that became more obvious with aging and upon more intense scrutiny by you looking at your face after the implant removal.

In general adding volume to the face is preferable to removing it (liposuction). When seeing your surgeons take photographs of what you looked like before the implant and just before its removal. That would be very helpful.

Good Luck.

Dr. P. Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon

Chin Implant removal should not affect the symmetry of your upper face.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I'm not sure why your left cheek is fuller than your right after your chin implant was removed. Your photos would help us see the situation.

In general, I do not think that liposuction of your left cheek is a good idea. Depending on the amount of overall fat in your face, you may want to increase the volume of your right cheek to restore symmetry.

I hope this is helpful for you.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 435 reviews

Need pictures and physical examination

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Every bodies face has some degree of asymmetry that becomes more noticeable with aging and loss fat. The removal of the implant should cause much change to your facial structure. There are few simple option to consider before extensive surgery like 3D image evaluation,fillers and possible fat grafting.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.7 out of 5 stars 152 reviews

Asymmetry after chin implant removal

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

From what you describe, there are findings that must be examined by your treating doctor before they or anyone could make a recommendation, so please schedule a consultation with a plastic surgeon.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 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.