Possibility of injecting Juvederm on silicone implant chin? (Photo)

Question

Hi i have silicone implant on my chin, and result was not asymmetric, I've done this surgury 6 years ago.I'm wondering to know is it possibe to correct this asymmetry with injecting juvederm or not. I don't want to remove my implant

Jason Emer, MD · Answer

I fix this all the time with fillers and fat. I would consider seeing a facial sculpting expert to get the best result.  Dr. Emer.

Kyle Coleman, MD · Answer

Although a low risk, an injection near a permanent implant could potentially result in an infection of the implant.  However, generally, since chin implants are placed on top of the bone deeply, injections into the soft tissues of the skin would carry a lower risk of infection.  Speak to your physician prior to obtaining an injections as some may recommend antibiotics prior to the treatment.

Steven Wallach, MD · Answer

Unless the implant was shaved down, then you likely had a chin asymmetry to begin with. Fillers can be used to augment the flatter side.

Michele S. Green, MD · Answer

I have many patients who require correction for asymmetry and Juvederm works extremely well for this. As with any injection there is a low rid of infection. Best,  Dr. Green

R. Stephen Mulholland, MD (retired) · Answer

Dear saahaar21,

Thank you for your clinical post and
photograph.  Chin asymmetry following
insertion of a silicone implant is not uncommon.  Often it can be made worse by pre-existing
asymmetries or failure to recognize them. 
If the chin implant has been stable and there are no signs or symptoms
of an infection then topical soft tissue fillers can be used on top of the
silicone implant to provide more symmetry. 
These can be Hyaluronic acid sugar gels such as Juvederm, Restylane,
Perlane, biostimulatory fillers or even fat grafting.

There are some risks such as implant
infection, extrusion and failure, but these are rare.  Oral antibiotic prophylaxis would generally
also be recommended at the time.

I hope this information is of some
assistance and best of luck.

To find out more or schedule a
consultation, please visit the link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

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