Symptoms of a Likely Displaced Chin Implant, and Why Removal is Needed
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- čas přidán 17. 01. 2018
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A lady underwent a rhinoplasty and chin implant surgery 5.5 months ago. Her chin looks asymmetric, and she had some numbness in the lower lip and chin area which eventually diminished into general sensitivity and soreness of the area. She wants to know if this is caused by swelling, scar tissue, or shifting, and if she should have the implant removed.
New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews, her concerns in this video, and explains how sensitivity and numbness are not typical symptoms to have after chin implant surgery, and it is likely her implant moved since surgery, and removal is recommended.
1:43 - Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience working with facial implants in his practice of over 20 years
2:25 - How chin implant surgery is fairly routine; and how certain sizes of implants are designated to women of a particular heights; and how sizers are used to determine how an implant will look like once placed
3:47 - How swelling and soreness after chin implant surgery could be due to movement of the implant and impingement of some nerves in the area
4:52 - How the symptoms of sensitivity at night is not typical after chin implant surgery; and how removal can help with the discomfort
5:42 - Dr. Prasad’s recommendation
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I think the left wing of my chin implant is @ 1 cm too high above the inferior edge of my jaw line, which I read is where it should be. It's also palpable on the left, I think since the dissection was too far above the bone/too close to the skin. Can it be removed and replaced with a deeper dissection, closer to the bone and @ 1 cm lower so it follows my jaw line & isn't palpable? Since it's too high above the jaw line it also feels like it's pulling up the skin, which is slightly painful. My surgeon says it's not too high, but it's definitely 1 cm above the jaw line and I read it's critical it follows the jaw line or the wing can migrate upwards & it's already too high.
Hi cooljazzr,
Sorry to hear about your problem. Without details about your surgery, examining your chin are, and knowing the size of the implant, I can't really say for sure. A physical examination is needed for me to give you a proper assessment and recommendation. I hope this helps you.
@@AmiyaPrasadMD I understand, but the implant wings are supposed to be directly on the lower inferior border of the jawline, not above, correct?
Hi@@cooljazzr,
I don't have the details of your surgery, anatomy, or how the implant fits your chin, so you need to refer this to your surgeon. I hope this helps you.
I've had 2 chin implants, and in both cases the wings have ended up too high. Why is this so common, and what can be done to keep the wings on the bottom, inferior border of the jawline?
Same situation here, i dont understand i had the second one two months ago and then !!waah!! same side wing displaced 😔 i dont want a third implant surgery 😭
Hello, Dr! Would you recommend a Sliding Genioplasty as a substitute for a Chin Implant? Does Genioplasty cause issues long-term?
Hi Melissa Armenta,
I don't perform sliding genioplasties, which are more often performed by oral, or maxillofacial surgeons. If you are considering it, you can consult with one of the aforementioned surgeons who have more experience with it. I hope this helps you.
@@AmiyaPrasadMD I had a implant 17 years ago. I recently viewed my x rays and realized have erosion.
1. Is it possible to remove it?
2. If there is some bone loss beneath front teeth, do you put something into empty areas or will it heal by itself?
3. If there is no pain or problem, is it necessary to explant ?
Hi doctor! I just had a rhinoplasty, neck lipo and a chin implant (Brand is Hanson and it’s style 1 Anatomical Sterile SCH-1-3 it’s says L but the doctor says it’s medium because he trim it for me ) its been 4 weeks now and I really want to remove the implant but my surgeon said I have to wait 4 month for it to heal. Though I see other doctors saying that you can remove it any time and the sooner the better before scar tissue starts to form. I don’t know which is the right path? If remove too soon will it harm the mental nerves more? I’m still having a hard time to smile right. I also have been feeling numb on my left side lip and chin and I’m kinda scared if it’s permanent because I know this one girl who also done it with the same surgeon having the same situation as me and no improvement( it is 4 months for her) I am just nervous if my chin will sag and it will start to form wrinkles and will I get to talk normally again?
Hi Nancy H,
If you have met with other doctors, I would have to defer to their judgment, and most of all the recommendation of your surgeon as I have not seen the records of your surgery, nor have I examined your chin area for potential scarring. I hope you understand why I can't go against their recommendations without knowing the details of your anatomy, or your procedure. I hope this helps you.
I had a chin implant done four weeks ago and while I was initially quite happy now I am not as sure how I feel about it. I feel as though it has shifted slightly. one side seems to protrude more than the other. and the side which is less prominent seems to have dimples? My chin before I had surgery had a lot of "dimples" on it, seemingly so from being recessed. It would be sad to have a revision but I know I need to be completely happy with it. Thank you for making this video. I really appreciate the time you gave to make it :)
Hi Alia A,
Sorry to hear about your problem. I would advise you meet with your surgeon about your concerns. Also ask your surgeon about chin dimpling. If it's due to the mentalis muscle, this can be treated without surgery by applying Botox to relax the muscle. I'm glad you liked the video!
I really want to get a chin implant because I have a square chin and it makes me feel very masculine. I don't want to get fillers because they aren't permanent and I heard they make the skin sag over time. I'm worried about bone erosion and about the implant moving after 10-20 years. Or even 30 years. Or 40. I want it to last the rest of my life without causing any issues, but I'm seeing conflicting information everywhere.
Plastic surgery would make me really happy, because I have always felt ugly and like I didn't even resemble a female. Any advice, information or warnings would mean a lot to me. Thank you
Hi Mr Squeaks,
Facial implants are not permanent because they are anchored to bone, and bone volume decreases with age, along with volumetric loss of fat, muscle, and soft tissue, so the implant eventually won't fit your face. You can refer to this video about it - czcams.com/video/dP5gLXQ9ECc/video.html
@@AmiyaPrasadMD Can I ask roughly how long would a chin implant fit a face before it needs to be replaced?
Hi@@mrsqueaks1154,
It really can't be said as facial volume loss is different among individuals, as well as the fit and size of the implant at the time of surgery. I hope this clarifies things for you.
Doctor i want to ask something plz let me know where to ask
Hi @ganeshkulkarni9696, you can ask right here.
Hi doctor! I would like to remove my silicone chin implant. Will the chin go back to normal or will the soft tissues fail?
Hi Giovanna Tauro,
Long-term chin implants can have an effect on soft tissue, so an examination is needed to determine if there will be any changes that occur due to implant removal. I hope this clarifies things for you.
@@AmiyaPrasadMD I had an operation six months ago and I'm 29 years old. will the soft tissues go back to the way they used to be?
Hi@@giovannatauro2074,
I would still need to examine your chin to tell. You can get a proper opinion by seeing your surgeon, or having another doctor examine your chin for a second opinion. I hope this helps you.
Hi Doctor Prasad, I hope you're keeping safe! I have a chin implant which was placed with one single screw. At that time, in 2013, my surgeon asked me if my brace's treatment was done and I innocently said yes. However, I had to undergo a second brace's treatment where 4 of my premolar-teeth had to be removed. When the dentist pushed my teeth back, I lost a lot of projection in my lips/mouth leaving my chin implant with an "excessive look" on my face (my face changed completely!). For my desperation, I think I'll have the chin implant removed but I am extremely afraid of having it done, once I have permanent paresthesia (from the bottom part of my chin to my lips) and I am concerned I'll end up with even more paresthesia. Would you be so kind as to give some insights about the removal revision? If I have this tendency (of having paresthesia), am I at risk of having it aggravated??? Or those are the cases where someone will actually insert an implant??? Thank you so much for your time if you read my message!!!!
Take care!
Hi Natalia Pires,
Paresthesia is always a risk when you are operating in an area where there are important nerves, as these nerves are subject to the effects of pressure. You can discuss these risks with your surgeon prior to the revision surgery, and then decide from there if it's work the risk. I hope this helps you.
Hello Dr. I had my implant placed one week ago. The first few days my implant looked noticeable. Even before the swelling my face looked more straight and my side profile was stronger.
Now after 1 week i feel like the side profile doesn’t look as strong anymore and the front profile is starting to look like before. I have a canted jaw and on the first day this looked evened out, but now it’s starting to look like the same.
My doctors keep saying to wait because it might just be the swelling but I’m really concerned.
Hi Pes vids,
Sorry to hear about your problem. While I would have to examine your chin, and refer to your medical records, and pre-op appearance to give you a proper second opinion, additional filler is often needed to fine tune the results of chin implant surgery. Filler is more precise than an implant, so additional enhancement with filler is a possibility. I hope this clarifies things for you.
I want to go for this implant....should i go or not pls tell?
Hi Garima Mishra,
If you are unsure of a chin implant, you can have chin augmentation done with injectable fillers as well, and the procedure is reversible without surgery if you don't like the results. As to whether or not you should do it, I haven't examined your chin area and face to see if you can benefit from more chin projection. I hope this clarifies things for you.
No. Mine hurts all the time.
I’m having my implant removed had surgery twice
Hi Ross shipley,
Sorry to hear that. Getting used to an implant can be difficult, even if there are no issues with the surgery. Chin filler may be an option for you as it can be done and removed without surgery, and could be more comfortable. You can review these videos about it:
czcams.com/video/dP5gLXQ9ECc/video.html
czcams.com/video/NwSbb4myO_8/video.html
czcams.com/video/RECGIpdJan8/video.html
Amiya Prasad, M.D. it has slipped out of place twice my body just dose not like it I don’t think the surgeon did anything wrong
Hi @@rossshipley4361,
Sorry to hear about your problem. It's unclear how long you have had it, but facial dimensions do change with age as facial bone, muscle, and fat loss do occur with aging, so eventually implants don't fit the face. If you still want to augment your chin after implant removal, thicker hyaluronic acid fillers are more precise, well-tolerated by the body since hyaluronic acid is naturally present in your system, and patients do report being more comfortable with filler. I hope this helps you.