hi, i had an implant 18 years ago and it was ok until a few months ago. I have foliculitis in my beard area, but i dont know if that is related. im on antibiotics for that. my implant feels odd some days, and ok others. but in general the skin feels tighter, and the area feels less pliable, the skin over it looks dull, and its just harder. if it is capsular contraction, and I get it removed, would they be able to keep the scar tissue in (my thinking is it may add bulk to my chin, but not be tight due to theremoval of implant? (its a very small implant) I really dont want to have another one put in because in my experience it does take years really to properly bed down. what do you think? and also, can I ask you how they would determine if it is capsular contraction beforehand? many many thanks!
Capsular contraction is not seen with hard implants. Capsular contraction causes problems most often with female breast augmentation where the capsule contracts and pushes the soft breast implant into a tight hard mass and out of place. Any implant will have a capsule but years later it should not be an issue. You may be having a subtle infection or “biofilm” and you need to see your plastic surgeon to potentially start antibiotics or remove the implant. Removal of the chin implant but maintaining the capsule should still give your chin a bit of extra augmentation however, long term chin implants do cause bone resorption so your chin today will be a bit smaller than it originally was years ago. You need to see your doctor and discuss these issues and be examined. If your doctors tell you that all is well then you can just leave it alone unless you have continued problems.