Precluded from getting a chin implant ever again? (Photo)

Question

In 2010, I underwent successful chin implant surgery with a silicone implant. In July 2024 at 48, I underwent chin implant exchange surgery to achieve slightly more anterior projection and to give my chin a pointy shape. The surgeon replaced the silicone with medpor. 7 weeks on, following an infection, I had the implant removed. The surgeon says I may now NEVER have a chin implant again. I don't know why and would like a second opinion. Silicone would be my choice, like 2010 to 2024.

Jeffrey H. Spiegel, MD · Answer

We can put in another chin implant. I prefer silicone, and can usually do this in the office. If it has been enough time since the prior chin implant your should be able to have a new one already.

Steven Schuster, MD, FACS · Answer

Dear Gina there are some things I have learned over many years and practice and that is to never say never and never say always.  Certainly in terms of doing another chin implant I would wait at least 6 months and possibly 12 months for all the infection and inflammation that results from it to settle down and to allow the tissues to soften.  At that time it may be appropriate to do another implant possibly not with Medpor but with silicone which is easier to place and removed.  This is something I would discuss with your plastic surgeon but certainly would not even consider doing anything until early to mid 2025.

Mats Hagstrom, MD (license on probation) · Answer

Somethings in medicine are absolute, but most things are relative.
Attempting to augment your chin with an implant after an infection put you at increased risk for complications, including recurrent infection.
This is probably why your provider was against doing the procedure again.
Whether your provider meant this as an absolute Contraindication is uncertain.
I suggest you communicate with your provider and ask them to explain.
Best,
Mats Hagstrom MD

Precluded from getting a chin implant ever again? (Photo)

Answers (3)

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