Schedule a Consultation
(310) 998-5533
Chin Implant

Chin implant revision in Los Angeles


Chin implants are usually made of a silastic silicone material that does not incorporate or react to the tissue around the implant.  Years ago, surgeons used different types of chin implant material that demonstrated tissue ingrowth in which the scar tissue around the chin implant began to grow into and incorporate with the implant itself.  These types of chin implants were fraught with complications as a patient began to age.


In our Los Angeles plastic surgery office, we perform many chin implant procedures to augment and enhance the chin area.  These surgeries are often performed simultaneously with chin and neck liposuction or with rhinoplasty in order to enhance the proportions between the nose, chin, and neck areas.  We currently employ silicone chin implants because of their longterm efficacy and minimal complication rates.  The type of silicone chin implant depends on your specific anatomic characteristics, including the width and height of your chin and lip areas.  The procedure is relatively straightforward, but requires preoperative planning and measurements to ensure that your chin implant fits harmoniously with your facial profile.  During you initial and preoperative consultation with Dr. Karamanoukian, he will provide you with an opportunity to discuss these specific measurements with you.


Although chin implants are associated with high rates of success, previously performed chin implant surgeries using other types of chin implants may require revision, removal, or resetting. 


Dr. Karamanoukian is an expert in chin implant revision.  The first step in the process begins with an examination in order to determine whether the chin implant has displaced, extruded, or shifted.  In some cases, the scar tissue that has incorporated around the chin may begin to distort the dynamics of chin and neck movement.  Patients may begin to notice changes in the way they smile, their profile may begin to change, and muscle twitching may occur. 


Other problems may occur if the chin implant begins to wear down the bone on the chin. This is an unusual and rare reaction, and is not normally seen with modern chin implants. 


Finally, a less common reaction may be found in patients who have undergone liquid silicone augmentation of the chin.  In these patients, lumps, nodules, and silicone granulomas may form.  These reactions may be caused by inflammation and can dramatically change the look and feel of the chin area.


Chin  implant revision can be relatively straightforward, depending on the amount of scar tissue that is present in the chin muscle and along the normal bone. If an implant has displaced or shifted in position, then surgical revision is usually recommended. The approach should incorporate solid plastic surgery principles to restore harmony to the face.  If you have access to your old plastic surgery records, then these records may prove useful in the preoperative planning of your procedure.


Chin implant revision is usually performed under anesthesia in order to fully repair the chin implant complication.  Local anesthesia may be sufficient, but in more severe cases, may not provide enough numbing to be effective.


Patients who request chin implant revision to downsize or upsize an implant are excellent candidates for revision.  As the face ages, there may be a need to increase the size of a chin implant or decrease the width, projection, or height of the implant.  In these cases, preoperative consultations can help you decide on a more proper size for the chin augmentation. 


During the consultation, you will have an opportunity to review your cephalometric measurements and determine which new implant is appropriate.  If you do not know the type or status of your current chin implant, then you may require a CT scan to determine the size and shape of the old implant.  If there is displacement or shifting of a chin implant, the CT scan will help identify these changes. 


Chin implant surgery can be performed alongside other cosmetic surgery procedures.  The most common cosmetic procedure to undergo alongside your chin implant is chin and neck liposuction.  This procedure can help define the jawline and neckline in order to refine the shape of the lower face. 


Chin and neck liposuction can be performed using microcannula technique in order to minimize scarring.  Incisions are usually placed behind the ears and along a hidden submental fold in order to minimize scars. Dr. Karamanoukian is a double board certified plastic surgeon and an expert in the management of chin implants.  He can help you identify factors that can positively improve your chin and neck silhouette, thereby improving your facial profile.


Schedule a consultation today to discuss your options for chin implant surgery, chin implant revision, or chin and neck liposuction.


What type of chin implants are used to augment the chin area? Our office uses FDA approved chin implants that are designed for long term safety after chin augmentation surgery.  Although there are many options available, the chin implants of choice in our practice include the silastic or silicone chin implants.  These are highly reliable and do not incorporate into the scar tissue, causing minimal problems should the need arise to change or remove the chin implants.


How long does chin implant surgery take to perform? Most patients will undergo chin implant surgery as a stand-alone cosmetic surgery procedure.  If this is the case, the typical surgery for chin augmentation takes about thirty minutes to one hour to perform.  Chin augmentation is an excellent facial enhancement procedure that can readily define the jawline, neckline, and chin areas.  In many cases, a chin augmentation can also improve your lateral profile and enhance the aesthetics of the nose and lower face.


How long does the swelling last after chin implant surgery? Chin augmentation is a targeted therapy that does not cause much in terms of swelling or bruising.  The incision used to perform chin augmentation procedures include a small submental incision that is carefully placed in a well hidden crease underneath the chin.  Most patients will experience  a very small amount of swelling that usually subsides within one week of the procedure. We advise patients to return to normal activities during the first week of surgery and to resume all other activities once the sutures are removed.


Can a chin implant be combined with neck rejuvenation with the Fractional CO2 laser? A chin implant can dramatically improve the contours of the chin and neck area.  Our office also performs neck rejuvenation procedures such as the Fractional CO2 laser skin resurfacing treatment with the DEKA SmartXide laser.  This innovative and non-surgical option can tighten neck skin and reduce fine wrinkles associated with the normal aging process.  If you are considering a chin implant, chin and neck liposuction, or a neck lift, the Fractional CO2 laser can complement your cosmetic results by tightening and resurfacing the skin on the neck.  As a expert in laser skin resurfacing, Dr. Karamanoukian can provide you with options to perform the neck resurfacing at the same time or after your chin implant surgery. 

© 2011, Inc. All rights reserved.