Risk of Disfigurement After Chin Implant Removal?

Chin implant removed 4.5 months after surgery. Two rounds of cortisol. Very severe tightness. Have a lot of swelling/pain right now. Will it go back to normal, will scarring continue, and since only 4.5 months, and will I have risk of disfigurement?

Doctor Answers 4

Chin implant removal

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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.

Disfigurement after chin implant removal

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I am surprised that you’re having so many problems at 4 ½ months after a chin implant removal. Under normal circumstances, patients are usually feeling back to normal within two weeks after the implant removal surgery. There may be a slight amount of fibrosis and contraction due to the two surgeries done to put it in and have it taken out. This should continue to go back to normal, but slowly, and there should not be any permanent disfigurement.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Chin

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The question is why the chin implant was removed. If it was infection, then there would be lots of scarring. The ultimate results are unknown.

Stop using steroids, which cause loss of fat and more deformity.

If you are continuing to have problems you could have subclinical infection.

Samir Shureih, MD
Baltimore Plastic Surgeon

Risk of disfigurement after chin implant removal

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Can not answer expertly without a better history and photos. If concerned get a second opinion. Otherwise healing time will answer your question.

From MIAMI Dr. B

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