I regret getting a chin implant and I miss my old face and chin. I had beautiful natural chin and I didn't need it at all

Question

I need to get my chin implant removed but I am deathly scared I've caused permanent damage, as my soft tissue is thin and Im worried Ill be left with lax skin. I need to find the best surgeon in the US or anywhere in the world to remove it with the least risk of aesthetic complications. Can someone please reccommend the 'best of the best' in chin implant removal. Please and Thank you. I REALLY need help right now and need to find a good reputable pair of hands to fix my problem. :-(

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.

Daniel Barrett, MD · Answer

Dear ProblemChild,finding the right Dr. is extremely challenging especially with the number of online platforms and resources available. There a lot of great Dr's available. Definitely check to make sure your choice specializes in the procedure you want and spend the time to read through patient testimonials. You can always pick up the phone and call around also, find an office you feel comfortable with and set up a few consultations. Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Kenneth Hughes, MD · Answer

The chin implant may cause bone resorption, particularly in older patients.  However, placement of chin implant and removal thereafter usually creates little change if the soft tissue is resuspended properly.  You may need to replace the implant with a smaller one. If the chin implant is made of silicone (Silastic, Goretex-like, and Acrylic/Porex), it is easy to remove. If the implant is made of substances such as medpore, the tissue will have grown into the implant and the dissection is more complicated.Kenneth Hughes, MD, Board Certified Plastic Surgeon Los Angeles, CA

Michael Elam, MD (retired) · Answer

Dear problemchild, Chin implant removal is generally a very straight forward procedure. The type of implant used plays the largest role in the removal process. If you have a copy of your operative report I would suggest you bring that to your consultations and then the surgeon will be able to discuss with you the removal process which will be used. Best regards, Michael V. Elam, M.D.

I regret getting a chin implant and I miss my old face and chin. I had beautiful natural chin and I didn't need it at all

Answers (4)

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