I had a chin implant placed in December 2015. I am unhappy with how it looks when I smile. It is crooked and my bottom lip goes flat with the chin. I want to remove it but have been reading that there will be ptosis and sagging skin. Is this the case for most patients? If so can fillers fix this?
Answer: Possible chin implant removal I would say in most cases, when a chin implant is removed, the appearance of the chin will return to how it looked before the implant was placed. I do not find that ptosis and sagging skin are common occurrences after removing a chin implant.
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Answer: Possible chin implant removal I would say in most cases, when a chin implant is removed, the appearance of the chin will return to how it looked before the implant was placed. I do not find that ptosis and sagging skin are common occurrences after removing a chin implant.
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Answer: Chin implant removal 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.
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Answer: Chin implant removal 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.
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June 15, 2018
Answer: Chin implant removal You can have the implant easily removed and your chin should return to its pre-existing appearance. It sounds like your chin implant has migrated or was placed asymmetrically. I have removed several chin implants that have migrated following placement. I prefer to secure them by placing a bone screw through the implant.
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June 15, 2018
Answer: Chin implant removal You can have the implant easily removed and your chin should return to its pre-existing appearance. It sounds like your chin implant has migrated or was placed asymmetrically. I have removed several chin implants that have migrated following placement. I prefer to secure them by placing a bone screw through the implant.
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April 26, 2017
Answer: Chin implant removal - is it worth the unknown results? Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years. If you have a silastic chin implant that was placed through a "submittal approach" as described below...the implant can easily be removed using the same incision in a few minutes under a local anesthetic. When placed in this manner, there shouldn't be any chin ptosis however the chin will go back to its pre-operative weak projection. A dermal filler can add forward projection to the chin. If an intra-oral approach was used to place the chin implant, this cuts the superior muscle attachment which in my opinion can cause chin ptosis. The implant is still best removed through a submental incision (under the chin) since this is the least invasive technique but some ptosis may result. Chin ptosis is sagging of the chin muscle due to lack of bony support. Dermal fillers can add forward projection but not " bone like support" to upwardly rotate the ptotic muscle. In the end, you may require a chin tuck to reduce the ptosis followed by dermal fillers to add forward projection. You have a third option, which is remove and replace the silastic chin implant (if the chin implant isn't in its proper location currently). This option corrects the weak chin and any chin ptosis that would have resulted from simply removing the implant. When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin". The silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face. Using the same incision, liposuction can be performed to reduce the fat and further shape the neck. Excess skin, from below the chin, can also be removed through the same incision.
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April 26, 2017
Answer: Chin implant removal - is it worth the unknown results? Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years. If you have a silastic chin implant that was placed through a "submittal approach" as described below...the implant can easily be removed using the same incision in a few minutes under a local anesthetic. When placed in this manner, there shouldn't be any chin ptosis however the chin will go back to its pre-operative weak projection. A dermal filler can add forward projection to the chin. If an intra-oral approach was used to place the chin implant, this cuts the superior muscle attachment which in my opinion can cause chin ptosis. The implant is still best removed through a submental incision (under the chin) since this is the least invasive technique but some ptosis may result. Chin ptosis is sagging of the chin muscle due to lack of bony support. Dermal fillers can add forward projection but not " bone like support" to upwardly rotate the ptotic muscle. In the end, you may require a chin tuck to reduce the ptosis followed by dermal fillers to add forward projection. You have a third option, which is remove and replace the silastic chin implant (if the chin implant isn't in its proper location currently). This option corrects the weak chin and any chin ptosis that would have resulted from simply removing the implant. When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin". The silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face. Using the same incision, liposuction can be performed to reduce the fat and further shape the neck. Excess skin, from below the chin, can also be removed through the same incision.
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