Will my chin implant get dislodged?

Question

I will be getting a chin implant. My surgeon is extremely experienced. He intends to have me use a chin strap after the surgery. Will the chin strap dislodge my chin implant? Also, will my silicone chin implant cause bone erosion, or is bone erosion a theoretical risk? Or is bone absorption a risk? My surgeon doesn't intend to use screws to secure the chin implant. Will my chin implant then be at a greater risk of being crooked?

P. Daniel Ward, MD · Answer

Dear Dominic12345,Thank you for your question. The plan that your surgeon has forumulated for your chin implant sounds like a good one. In answer to your questions, the chin strap is unlikely to dislodge the chin implant. It may even help keep the chin implant in the proper position. Not using a screw to secure the implant is completely appropriate. It is not at great risk of being crooked by not using a screw.Thank you for your question. Please let us know if you have any other questions or concerns.Sincerely,Dr. P Daniel Ward

Michael P. Morrissette, DDS, FACS · Answer

The implant is placed in a conservative pocket and most surgeons suture them in place or place a small bone screw. I prefer a small bone screw. The chin strap will not cause migration of your chin implant. It is possible for an implant to migrate and the issue of bone resorption is rare. The most common complication with implants is infection.

Stephen Prendiville, MD · Answer

An experienced Surgeon who has performed many chin implants will place the implant in a subperiosteal pocket that is precise in size and will fixate the implant in the desired position.  In my practice, I do not use fixation screws because I feel they aren't necessary; other Surgeons will have a legitimate difference of opinion. Because of the factors mentioned above, a chin strap should not lead to malposition of your implant. Bone resorption is noted with silastic implants, but is generally not clinically significant, happening slowly for years after implant placement.

William Portuese, MD · Answer

Chin straps should not make a chin implant get dislodged, since the implant is placed in a precise pocket and has nowhere else to migrate to. Best to check with your operative surgeon. In our practice, we do not use chin straps or screw fixation. Bone does not absorb, it just remodels and it is never been an issue since the mandible is approximately 1/2 inch thick in that location. Chin implants are manufactured in a large array of both sizes and shapes, are composed of solid silicone, and can be custom carved when necessary to match patient's unique anatomy. For many examples, our current price list and diagrams of the implants themselves, please see the video and the link below

Darryl J. Blinski, MD · Answer

Seems you need another preoperative in person visit before having surgery to have ALL your questions and issues answered.

Will my chin implant get dislodged?

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