When to remove large chin implant to prevent bone loss?

Question

I had a large chin implant 3 months ago and am not satisfied with its appearance. I also recently learned it can lead to bone loss if the implant is too large. If I remove the implant soon, for example, 6 months after surgery, will my chin return to normal or will the shape be different? also would the skin sag if I returned by 6 months?

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Timothy Osborn, MD · Answer

Some people do experience chin ptosis and dimpling after chin implant removal. That being said, they are usually in there for longer than 3 months. Part of it depends on the size of the implant and how well your skin adapts. If you are looking to remove the implant but still want projection, I suggest a genioplasty. This procedure uses your own bone by brining your chin into the ideal position; no implant needed (no bone loss). A genioplasty also has the benefit of elongating your jawline. Chin implants also tend to make a chin wider, while a genioplasty can angle the chin segment to reach your desired aesthetic goal. It is common for us to remove implants and perform a genioplasty instead. Our office provides in-person or virtual consultations if you would like to discuss options further!

Michael P. Morrissette, DDS, FACS · Answer

The degree of bone resorption from a chin implant is generally minimal. The implants tend to "settle" and a slight form of the implant is found on the surface of the bone. Fixation of the implant with small bone screws minimizes bone resorption. If you are truly unhappy with the implant, then it is better to remove the implant soon to avoid any long-term changes to the soft tissue of the chin. You might want to consider removing the implant and having a sliding genioplasty to avoid the potential for the chin becoming photic.

Zoran Potparic, MD · Answer

There is no doubt that any chin implant will, in time, cause some, minimal bone resorption on the contact surface with bone. That is something that is clinically insignificant and you should not worry about long term consequences in that regard. However, if you want large implant removed I would siggest to discuss possibility of implant replacement with smaller implat? It is worth of discussion with your surgeon. Hope this helps. Good luck.

Stephen Prendiville, MD · Answer

It is important to understand that 100% of chin implants cause slight bone recession in the anterior mandible.  It's hard to give advice without an examination and/or photos, but my inclination would be to wait and see at 3 months, when there is still some degree of inflammation which precedes the final result. I would give it a minimum of 3-4 more months before making a decision, assuming that there is no gross asymmetry or aesthetic problem.

Alejo Villarreal, DDS · Answer

Based on your description of a "large" chin implant, I assume that it was a generic one. Generic chin implants are often removed due to the unappealing appearance they create. 
On the other hand, a custom chin implant is tailored to fit your unique anatomy, not categorized as large, medium, or small. Depending on the material used, generic implants can cause bone loss due to friction on the bone and other issues.
When removing your current implant, there is a possibility of chin ptosis depending on the type and size of the incision used. It is important to consider this when deciding on removing the current implant.
A personalized chin implant is created to reduce the risk of complications and attain the aesthetic result you want.

James Hoyt, MD (retired) · Answer

Removing a large chin implant to prevent bone loss should ideally be done under the guidance of a skilled plastic surgeon. The timing of when to remove the implant depends on various factors, including the individual's specific situation, the reason for implant placement, and any associated complications.In general, if there are signs of bone resorption or loss around the chin implant, it may be advisable to remove the implant sooner rather than later to prevent further bone loss. Signs of bone resorption may include changes in the appearance of the chin or surrounding areas, discomfort, or functional issues.However, it's essential to consult with a medical professional who can assess your particular case and provide recommendations. They can evaluate the extent of bone loss, the condition of the surrounding tissues, and any potential risks associated with implant removal. They can also discuss alternative treatments or procedures that may be appropriate for your situation.In summary, the timing of when to remove a large chin implant to prevent bone loss is best determined through consultation with a skilled healthcare provider who can assess your individual circumstances and provide recommendations.

When to remove large chin implant to prevent bone loss?

Answers (7)

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