chin implant removal and healing time

Question

i had my chin implant removed after almost two months. i did it this morning. i am very swollen and i feel my lower face i mean my mouth and my chin has so much projection is going toward front. i don't know if i am explaining this right or not but when would i see the real chin i had and is there any damage involve , i smeeld burning also while he was soing it , can some help me please, and i have pain too :(

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. 
See the below link on how best to choose your surgeon.

Michael P. Morrissette, DDS, FACS · Answer

There is expected swelling after almost every surgery that involves an incision. You can apply ice for the first 2 days but be assured that this early swelling is normal. Cautery is often used to control bleeding and can contribute to that burning smell. The swelling from this surgery should resolve very quickly.

Francis R. Palmer, III, MD (retired) · Answer

Hi, you may want to discuss your concerns with your Chin Implant Surgeon as he/she is the one that performed the chin implant removal and would have the best gauge on how long your recovery should be.  If the chin implant was removed through a small, curved incision under the chin its typically a very rapid recovery (days).  If however, the intra oral approach was used, this is far more invasive with a longer expected recovery.
Hope this helps.

Michael Elam, MD (retired) · Answer

Dear manbash, You most likely are just seeing the residual swelling from the proc3dure and the local injection to the area. Once the implant is removed you should see changes in the upcoming weeks and your swelling should dissipate quickly. The burning smell was likely from a cautery the surgeon may have used to stop a blood vessel from bleeding. See your surgeon if you have any questions or concerns. Best regards, Michael V. Elam, M.D.

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