How will my chin look after removing my implant?

Question

Hi doctor, im 31 years old, planning to remove my chin implant after 3 years put it in , silicone small size by intraoral and doctor was using screw to approach chin implant , i want to know is it possible after removal my chin implant my chin will back to previous before i put my chin implant ?,any risk will happens after i remove my chin implant ? im worry my chin not shrink back like normal one and i worry about scar tissue and i worry any fluid will there after chin implant removal, ..please help

Sam Rizk, MD · Answer

Yes, there are some risks associated with the removal of chin implants. One of the main concerns is that the scar capsule that formed around the implant may cause a distorted appearance once the implant is removed. Another potential complication in chin implants is the absorption of shrinkage if bone is under implant. Your surgeon should have advised you of these risks before the implantation. While this does not happen in all cases, you do need to be aware of the risk before your implant is removed. Another option to adjust the appearance of your implant would be to reposition it. The best thing to do is consult with a board-certified facial plastic surgeon to explore your options.

Larry S. Nichter, MD, MS, FACS · Answer

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.

Yael Halaas, MD · Answer

It is hard to determine exactly how your chin will appear after the removal of the implant. This depends on a number of factors as every case is different. It is important to remember that the area has been augmented and has probably adjusted around the implant.  The chin could return back to its preoperative appearance after recovery. If not, there are other options to  get the results you want such as a smaller implant, fat transfer, or Botox and injectable fillers. All of these questions can be answered in a consultation with a board certified facial plastic surgeon after a clinical examination.

How will my chin look after removing my implant?

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