What happens to pockets after chin implant removal?

Question

I dont think pockets shrink back to bone. I had a small 5mm silicone chin implant which stayed in only 2days! Removed due to not liking at all. Its been 10 weeks and my chin still huge and super wide like if the implant is still in. I had no time for any capsule formation. So why is it so wide and projected to forward? Which i hate. What is the reason? Is pocket fill with scar tissue? Is scar tissue become a soft tissue with time? So that area always be wider and bulky? What can i do to stop it?

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.

Zoran Potparic, MD · Answer

Pocket where implant was placed will in time fill up with scar tissue and heal without leaving any space inside. However, due to multiple surgeries in a short period of time (placement and removal of implant within 2 days) you have extensive swelling. At this point implant pocket may be filled with fluid which will in time disappear and replace with scar tissue. You should expect your chin size and shape to be the same as before implant. However it may take 3-6 months, possibly longer to settle. You may place a tape over chin overnight and when at home to keep swelling under control. Patience and good luck.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  The surgical "pocket" closes as the body does not allow open spaces within tissue. When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy, the lower face looks short, de-emphasizes the lips and allows early formation of a "double chin".  
 Proper placement of a silastic chin implant adds forward projection to the chin thereby creating harmony and balance to the lower face.  Using the same incision, liposuction can be performed to reduce the fat and further shape the neck.  Excess skin, from below the chin, can also be removed through the same incision.  
 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty (requires extensive tissue dissection, bone cuts and placement of metal screws and plates to secure the cut segments of bone).  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  
Hope this helps.

What happens to pockets after chin implant removal?

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What happens to pockets after chin implant removal?

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Everything you need to know about Chin Implant

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