A chin implant has broken through to the side of the jawㅠㅠ A plastic surgeon explains a case of chin advancement after removal of a chin implant.

I previously introduced a case where a chin implant was about to break through beneath the chin.

When it shifts like this

and steadily presses against the skin,

even a soft-looking silicone implant

can create pressure that thins the skin,

and eventually it may even break through the skin.

The patient who came in this time also visited us because of symptoms caused by a chin implant moving from its original position. They said they had seen the blog post I wrote before.

About a month earlier, skin lesions had developed on the right side of the jaw due to irritation from the implant, so they went to a dermatologist. There, they were told to visit a university hospital (I think it was probably a secondary hospital), and they saw a dermatologist at the university hospital. They then came to us after being advised to receive treatment from a local plastic surgery clinic.

Before surgery, the chin implant had broken through the skin

The skin had gradually thinned from constant pressure and then broke through, exposing the silicone. Once the skin is damaged, it is difficult for it to return to its original state. So it was unfortunate that the patient had not come a little earlier.

If an implant is exposed through a skin defect,

it should be treated as quickly as possible to prevent complications from infection. The patient was taking antibiotics prescribed by the dermatologist,

so the infection was under control. However, to prevent secondary infection, we scheduled surgery as quickly as possible.

On the preoperative CT, the silicone had been pressing on the bone for a long time, causing bone resorption underneath,

and conversely, bone overgrowth was observed above and below the silicone, covering it.

Bone overgrowth above and below the silicone: purple dashed arrows

During surgery, the problematic silicone implant was removed.

This is what the right side of the jaw looked like where the silicone had been.

We also filed down the callus that had surrounded the silicone above and below during surgery.

Because the chin silicone had caused bone resorption, and a callus had formed as well, we filed it down during surgery.

Preoperative CT: a callus is visible, where bone has overgrown above and below the silicone. It is also observed that the silicone is not closely attached to the bone.

Postoperative CT: the callus was removed and the chin was advanced.

This is what it looked like one month after surgery.

Before surgery: the chin implant had broken through the skin

One month after surgery: chin advancement after removal of the chin silicone, skin closure

The result was good, and I remember feeling glad that the patient was satisfied. ^-^;

As in this case, a chin implant can unintentionally shift position,

and side effects such as breaking through the skin can occur. So if you feel discomfort in the skin area or can feel the implant close by, I recommend seeing a specialist.

<If you have additional questions, please leave them in a private comment. We will kindly answer them. Thank you.>