Twenty years ago, when I was 29 years old, I had a chin implant inserted. I have been happy with it. All the women in my family have very weak chin lines so I didn’t want to look like that forever.
Unfortunately, three years ago I tripped and landed face down, square on my chin. I required stiches but my jaw was not broken.
Here it is, three years later, and I am suffering from daily pain in my jaw, up into my mouth. I’ve seen an oral surgeon and had CT scans done. The oral surgeon said the implant has shifted and is putting pressure on the nerves in my jawline, and causing the pain and numbness. He said I should have the implant removed and have the other surgery done, where the jaw is moved forward.
I would rather have another implant put in, rather than have the bone cut, etc.
Do you remove chin plants, and put in new ones? If not, can you recommend someone who has experience with this? The surgeon who did this has passed away, and I am 49 years old. I don’t want to go to someone who isn’t experienced in this. I don’t just want to take the old implant out because my jaw line is very unattractive without the implant.
Thanks in advance for your advice.
It sounds like you have had proper work-up so far. Shifting and pressure on the Mental nerve is possible with many types of implants (usually silicone implants).
The important thing was to make sure the pain is not from an infection caused by the trauma and skin laceration. I am glad you have seen a surgeon to have that looked at and ruled out.
I do lots of chin surgery because my practice is a Rhinoplasty practice and 40% of patients who undergo a rhinoplasty require chin implants for balancing of the nose.
Sliding genioplasty is what the Oral surgeon has recommended. There is nothing wrong with that. It is an option but it certainly is more involved than a chin implant.
I would be more than happy to see you and discuss your options. It would be great if you can bring your CT scan with you (the actual pictures and not just the written report).
The important part of chin implant exchange is pre-op dialogue to make sure we choose the proper size for you since your chin that I will see during the consultation will not be your actual chin. I typically will have several sizes with me in the O.R. and make the final decision based on my pre-op exam, my intra-op exam after the old implant is out as well as our pre-op dialogue and yoru wishes.
However, if I see a small focus of infection around the implant DURING surgery after I am in there, it is not safe to replace a new implant in there and we would have to remove the old one and wait a few months before replacing it with a new one so to not risk infecting the new implant.
Hope this makes sense.