My Question is About Chin Implants from 35 Years Ago. I Believe It Was 1978. I'm Having Discomfort?

My question is can the chin implants used in 1978 break down over the years and cause problems in the glands in the neck.......i have pretty bad discomfort in my glands in my neck and they stay somewhat swolen. could this be from the implant breaking down? is there some sort of testing that can be done to see if I have toxins from the silicone or casing of the silicone in my system? I'm desperate to find this out. I feel worse as time goes on. thank you

Doctor Answers 4

Deterioration of a chin implant is uncommon

For part of the fact to have discomfort, there needs to be a source of inflammation, infection or other condition to cause the symptoms of discomfort. It would be very unusual for a chin implant to have such issues such as infection so many years after the implant was inserted unless there was some disturbance in the anatomy such as trauma.

Chin implants are mostly manufactured out of substances that are well tolerated by the body long-term. Chin implants can be made out of a variety of materials, the most common being silicone, and less commonly alternative materials such as hydroxyapatite (Medpor). The silicone used in chin implants is solid silicone and this does not deteriorate with time and can be removed years later. It is possible to complete imaging (CT or MRI) of your face to evaluate for localised inflammation surrounding the implant and local anatomy. There may be other causes of discomfort for neighboring anatomy near the chin implant included dental, salivary glands and lymaphtic notes that may need an evaluation to exclude another cause of discomfort.

London Facial Plastic Surgeon
5.0 out of 5 stars 141 reviews

Chin Implants Causing Gland Swelling

As the other respondents indicated, it is highly unlikely that your chin implant is causing a problem, as long as it was made of solid silicone rubber.  However, there were other materials used in the past made of other substances than can break down.  However, these usually would not cause gland swelling.  It is much more likely that your gland swelling is being caused by chronic inflammation of the submandibular glands, and not the implant.  An Otolaryngologist (Ear, Nose & Thoat doctor) can easily assess you for this.

Minas Constantinides, MD
Austin Facial Plastic Surgeon
3.9 out of 5 stars 7 reviews

Chin implant 35 years ago

Chin implants are made of solid silicone, unlike breast implants, which have been made with liquid silicone.  The solid silicone would not break down or travel throughout your system, so I doubt it would be the cause of issues in your neck.  

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

Old Chin Implant Causing Problems ??

While your old chin implant may be some form of silicone, it would be highly unlikely to be leaking and causing any automimmune reactions. If you really want to see whether your chin implant is causing any local reactions, a simple panorex x-ray looking for any osteolysis (bone erosion) around the implant would be a good screening tool.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 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.