Chin implant is too high, needs a revision. Will I need the implant removed and have to wait to have another placed? (Photo)

Question

Had a chin implant placed four months ago. It’s placed way too high and was not what I asked for as I wanted an implant that added some girth to the sides like a mittleman pre jowl. The surgeon said it’s placed perfectly and even after the scans won’t revise it because he said it’s my anatomy. I’m definitely getting a revision but will I need the implant removed and have to wait to heal then have one placed? Or can it be removed and replaced in the proper position in the same surgery?

Eric M. Joseph, MD · Answer

Some reasons for revising chin implant surgery are -
AsymmetryInfectionPainPoor cosmetic resultIf your implant is high, but not impinging on the mandibular nerve causing pain, I'm not sure why you want it replaced. If you want a different shape to your chin, your surgeon may exchange implants, and try to fixate the new implant lower. You could also have the current implant removed, and replace it with another several months. Hope this helps. Dr Joseph

Majid Jamali, DMD · Answer

if you decide on sliding genioplasty, which has benefits, then the implant can be removed and genioplasty performed on the same setting. It takes 1 hour for the surgery and you go home same day.

Ronald V. DeMars, MD (Retired) · Answer

We don't have adequate facial photos to give you recommendations, but the side scan indicates a normal male bone shape and projection so we would probably recommend against a chin implant. It is obvious the implant is not in the optimal position and should be removed. You might want to look at simply using fillers or fat transfers to give a wider look in the prejowl area or go back to the Mittleman implant you mentioned. But at this point I would say take out the implant and let things heal for several months before proceeding with any of these options. Any experienced plastic surgeon can do the removal for you.

Gerald Wittenberg, MSc, DMD (retired) · Answer

You certainly can 'reposition it' and perhaps 'screw it' into the right level for your facial contours. The xray image also shows the implant adjacent to the nerve to the lower lip/sensory nerve. Having the revision you prefer sooner rather than later could avoid further concerns about the nerve.

Chin implant is too high, needs a revision. Will I need the implant removed and have to wait to have another placed? (Photo)

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Answer: Chin implant

Answer: Chin implant

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Everything you need to know about Chin Implant

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Chin implant is too high, needs a revision. Will I need the implant removed and have to wait to have another placed? (Photo)

Answers (4)

Answer: Chin implant

Answer: Chin implant

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Recommended reading

Everything you need to know about Chin Implant

Our mission is to create a world where every investment in modern beauty is Worth It.