Chin implant removal and jaw bone surgery at the same time, is it possible? (Photo)

Question

I had a chin implant before and it made no difference and I still have a recessed chin. I'm getting depressed with what I've done 'till today. I noticed that when my mouth is relaxed, my lower jaw is open and my mouth as well (like a fish; mouth gaping). I went to consult a doctor and said I have overbite, a candidate for Jaw Bone Surgery and it will fix all the issues mentioned earlier. Is it okay to have my chin implant removed and at the same time do the jaw bone surgery?

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.

Alejandro Nogueira, MD · Answer

Being an option, chin implants have serious disadvantages, specially in
the mid and long term, patients are rarely happy with them after 5-6
years, all are out by then or later.Consider the chin advancement by means of sliding genioplasty, the advantages are:-lifetime procedure, no more revision or renewal procedures-more natural than implants-no visibility of implant edges during gestures-improves
the double chin effect at the sub-mental muscles (floor of mouth)
hammock caused by lack of tension there; also improves the shape and
tension of perioral muscles; implants do no offer this feature-horse-shoe enhancement, covering the chin and also the jaw sides of it-no future displacements or neuritis of mental nerves-practically zero infections and 100% healing of bones-no
need for complex plates and screws that may need future removal; just
steel wires synthesis may suffice, they stay buried into bone callusThe cons are:-expensive, but cheap if you consider the lifetime pros-technically
demanding, few surgeons are experienced or comfortable (though I
personally perform 100% of the chin augmentations by this osseous
method, always after offering the patients both options)-scary for the patient (though not so much if you explain well the stuff around it)You'll
 find in this website dozens of negative experiences with chin implants 
in the short and mid term, do read my profile's Q&A and you'll find 
them too. I am doing sliding genioplaties for 15 years with the highest 
success and no one patient regreted, totall the opposite, I did many 
chin implant removals and one staged sliding genioplasties to replace 
them.

Vasdev Rai, MD · Answer

There should be no issue with this surgical plan. You can have your jaw surgery at same time as your chin implant is removed.

Mark T. Boschert, MD · Answer

Yes, it should be fine to remove the implant at the same time. The question becomes do you want it removed, depending upon your aesthetic goals. I would suggest doing the sliding genioplasty first, and then determine whether or not you want the chin implant removed. Removal of that implant is a simple in office procedure most of the time. Which would allow you some more flexibility.Good luck!

Majid Jamali, DMD · Answer

Yes. It is possible. In fact it's done routinely. I usually do the jaw surgery and also sliding genioplasty to enhance the procedure.

Chin implant removal and jaw bone surgery at the same time, is it possible? (Photo)

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Chin implant removal and jaw bone surgery at the same time, is it possible? (Photo)

Answers (7)

Answer: Chin implant

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Answer: Chin implant

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Everything you need to know about Chin Implant

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