Soft tissue correction after chin implant removal, What are my options? (Photo)

I had a chin implant removed after 9 months of placement. It's been 19 months now but my chin has not returned to its presurgical shape and length. It's now too long with dimpling and it gets crooked when I smile.I believe it's a soft tissue since it looks like a ball. Also when I rest my chin on my hand or when I force a little of pressure on it, it feels pretty sore. How to correct this and is it possible for my chin to return to it's presurgical shape and length without placing another implant?

Doctor Answers 5

Correction of the droopy chin

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Dear Noura1988,

The question you ask is a very reasonable one.  Although we do not have the privilege of seeing your chin before the implant removal, changes you have seen are not most uncommon.  In your chin there appears to be soft tissue excess, but this could only be confirmed on a clinical exam as there could be bone as well.  Often the soft tissue excess is related to fat in the chin, and this can become more apparent after surgery as the resultant scarring causes constriction and brings the fat to a smaller “ball” on the chin. I would recommend that you follow up with your primary surgeon to review your concerns and also obtain the opinions of other providers in your local area.  I this information helps you as you make the right decision for you.

Be healthy and be well,

James M. Ridgway, MD, FACS

Bellevue Facial Plastic Surgeon
5.0 out of 5 stars 98 reviews

Chin sagging after implant removal

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You are experiencing chin ptosis after removal of implant. This may be very difficult problem to treat in some patients. Chin lift using circumferential suture to diminish width of the expanded soft tissue of chin and fixation to the bone may work. Other option may be sliding genioplasty. Sometime direct skin and soft tissue excision in the midline is best solution which leaves surprisingly acceptable scar.

You should seek a consultation with an experienced board certified plastic surgeon with expertise in facial implants and genioplasty. Good luck.

Zoran Potparic, MD
Fort Lauderdale Plastic Surgeon
5.0 out of 5 stars 22 reviews

Soft tissue correction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It's hard to answer this properly without examining you. I think that the first step should always be seeing your primary surgeon and expressing your concerns. Sometimes a small implant can improve your situation and the "balling up" may need occasional Botox. There are a lot of missing pieces that I do not feel I can answer without an exam. 

*Opinions stated here are only opinions. They are not based on a clinical exam which is recommended. 

Darrick E. Antell, MD
Manhattan Plastic Surgeon
4.7 out of 5 stars 37 reviews

Soft tissue correction after chin implant removal, What are my options?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

My view would be that the soft tissue may have been permanently expanded by the placement of the implant for 9 months; the tissue has remained expanded and therefore the best way would be to remove some tissue via the original scar for insertion if you had the original implant placed from under the chin otherwise then a new but small and inconspicuous scar there.

Best wishes for attaining your goals!

Tariq Ahmad, MBBChir, FRCS(Plast)
Cambridge Plastic Surgeon

Chin post implant

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is best to use a sliding genioplasty to reestablish the shape/contour; but review the xrays to determine how much 'soft tissue' changes have occurred as a result of the implant. 

Gerald Wittenberg, MSc, DMD
Vancouver Oral & Maxillofacial Surgeon
5.0 out of 5 stars 29 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.