Can Facial Implants Be Removed or Replaced? What Happens When a Chin or Cheek Implant Fails

Key Takeaways
- Solid chin and cheek implants have no scheduled replacement interval; they are removed or exchanged only when a specific problem such as malposition, infection or extrusion develops.
- Most implant shifts happen in the first weeks after placement, when swelling and muscle movement can nudge an unanchored implant before scar tissue fixes it.
- Bacteria on an implant form a protective biofilm, which is why an established implant infection usually requires removal rather than antibiotics alone.
- Removal of an uninfected silicone implant is often quicker and less uncomfortable than the original placement because the pocket already exists and the implant lifts out of its capsule.
- Temporary numbness of the lip or cheek is expected after removal because the mental and infraorbital nerves are stretched; MedlinePlus lists nerve injury among the recognized risks of chin augmentation.
- The CDC defines a surgical site infection as one appearing within 30 days of an operation with no implant left behind, so early redness, warmth or discharge should be reported the same day.
Yes. Chin and cheek implants can be removed, repositioned or exchanged, usually through the same incision used to place them, either inside the mouth or in the crease under the chin. Surgeons typically consider removal when an implant shifts, becomes infected, presses into bone or no longer suits the face. Whether to remove, replace or try another approach is a decision made with the treating surgical team after examination and imaging.
The message arrives at 11 p.m., a photo taken in bathroom light with the caption “Is it supposed to look like this?” A chin implant placed eight years ago has started to sit a fraction too far to the left. In the mirror it is barely visible. In photographs it is the only thing its owner can see.
Facial implant removal is one of those procedures almost nobody plans for. People research the operation that puts an implant in; very few research the one that takes it out. Yet surgeons who place chin and cheek implants spend a meaningful part of their working lives adjusting, exchanging or removing them, for reasons that range from a visible shift to a quiet infection to a face that has simply changed with age.
This explainer walks through what failure actually means, what the removal operation involves, what recovery usually looks like, and the questions worth asking before anyone picks up a scalpel for a second time.
What is facial implant removal, and why do people ask for it?
Facial implant removal is an operation to take out a solid implant that was placed over the bone of the chin, cheek or jaw to change the shape of the face. These implants are alloplastic, a word that simply means made from a manufactured material rather than taken from the patient’s own body. The two materials used most often are solid silicone and porous polyethylene, a firm plastic with tiny holes that allows tissue to grow into it.
People ask about removal for four broad reasons. The first is position: the implant has moved, or was never quite centered, and the asymmetry is visible. The second is infection, which can appear within weeks of surgery or, less commonly, years later. The third is a change in the face itself; a chin that looked balanced at 30 may look heavy at 55 as soft tissue thins and bone remodels. The fourth is simply a change of heart, which is a legitimate reason and one surgeons hear often.
The medical literature describes the chin as the most commonly augmented site on the face, and MedlinePlus lists infection, movement of the implant and injury to nerves as the recognized complications of chin augmentation. None of these is inevitable. Many people live comfortably with a facial implant for decades. But because the implant sits in a space with limited soft-tissue cover and lies close to sensory nerves, a problem that develops tends to be noticed quickly, and that is usually what prompts the first call to a surgeon’s office.
Removal is not an admission of failure by anyone. It is a recognized part of the lifecycle of any manufactured device placed in the body, from hip joints to heart valves to the small curved block sitting on a chin.
How does a chin or cheek implant actually fail?
Implants do not wear out the way a car tire does. When surgeons talk about a facial implant “failing,” they usually mean one of five distinct problems, each with its own mechanism.

Malposition is the commonest. The implant sits in a pocket of tissue that the surgeon creates over the bone. If that pocket is a little too large, or if the implant is not fixed with a screw or suture, early swelling and muscle movement can nudge it off center before scar tissue locks it in place. Once it has settled in the wrong spot, it rarely drifts back.
Infection is the second. Any implant placed through the mouth passes through a space that is never sterile, and bacteria can form a biofilm, a thin living film that clings to the implant surface and resists both the immune system and antibiotics. This is why an infected implant often cannot be treated with medication alone and may need to come out.
Bone resorption is the third. Resorption means the slow loss of bone under steady pressure. A firm implant pressing on the chin for years can create a shallow depression in the bone beneath it. In most cases this is harmless and invisible; occasionally it changes how the implant sits or, with the chin, brings the implant closer to the roots of the lower front teeth.
Capsular contracture is the fourth. The body wraps every implant in a capsule of scar tissue; if that capsule thickens and tightens, it can distort the shape or make the implant feel hard.
Extrusion, the fifth, is rare: the overlying tissue thins until the implant begins to show through the skin or the lining of the mouth. This is a surgical matter and the implant almost always needs removal.
Can a chin implant shift, and what does that look like?
A chin implant can shift, and when it does, it usually happens in the first weeks after placement rather than years later. MedlinePlus names movement of the implant among the complications of chin augmentation. The mechanism is mechanical rather than mysterious. The surgeon creates a pocket just large enough for the implant to sit snugly against the bone. In the days afterward, swelling expands the pocket, the chin muscle (the mentalis) contracts thousands of times a day in speech and expression, and if the implant has not been anchored, it can rotate or slide a few millimeters.
What people notice is usually asymmetry: one side of the chin looks fuller, or the point of the chin appears off the midline of the face. Some describe a step or ridge they can feel with a fingertip where one edge of the implant has lifted off the bone. Others notice that the implant seems higher than it should be, sitting over the tooth roots rather than the lower border of the jaw, which can make the lower lip look pushed forward.
Later shifts do happen, typically after a blow to the face or, occasionally, when the scar capsule around the implant stretches with age. These are uncommon enough that a late change in shape should prompt an examination to rule out other explanations, including infection or fluid collecting around the implant.
A shifted implant is not dangerous in itself. It becomes a problem because it is visible, and because a rotated implant may press unevenly on bone or lie closer to the mental nerve, the sensory nerve that exits the jaw below the premolar teeth and supplies feeling to the lower lip and chin. Repositioning rather than full removal is often possible, and the choice between the two sits with the surgeon who examines the face.
Cheek implant complications: what the evidence shows
Cheek implants, usually placed over the cheekbone (the malar bone) through an incision inside the upper lip, share most of the problems seen with chin implants but with a few differences worth knowing.

Asymmetry is the leading complaint. The two sides of a human face are never mirror images, and cheek implants exaggerate any pre-existing difference if they are not sized or placed to compensate. Because the cheeks are judged side by side, a small difference reads as a large one. Malposition here tends to show as one cheek looking higher, wider or more forward than the other.
Infection follows the same biofilm logic as the chin, but the cheek pocket sits near the maxillary sinus, the air space behind the cheek, and near the infraorbital nerve, which gives feeling to the cheek, side of the nose and upper lip. Numbness in this area after surgery is common and usually temporary; numbness that persists or arrives late deserves review.
A complication more specific to cheek implants is a change in the lower eyelid position. The surgical approach releases some of the soft tissue under the eye, and in a small proportion of people the lid settles slightly lower or the skin beneath the eye looks hollow. This is not the implant itself failing but a consequence of the dissection around it.
Bone resorption under cheek implants is described in the surgical literature but is generally mild and rarely clinically meaningful, because the cheekbone is dense and the overlying tissue is thicker than at the chin.
Removal of cheek implants is technically straightforward when the implant is silicone, which does not integrate with tissue and lifts out of its capsule. Porous polyethylene implants, into which tissue has grown, take longer to free and carry a slightly greater risk of bleeding and tissue trauma during removal. This difference matters when weighing replacement options, discussed later.
How facial implant removal works, step by step
The operation to remove a chin or cheek implant is, in most cases, shorter and simpler than the one that placed it. Here is what actually happens in the operating room, described in plain terms.
Anesthesia comes first. Removal can be done under local anesthetic with sedation or under general anesthesia; the choice depends on the implant type, whether infection is present, and whether a replacement or other procedure is planned at the same time. The anesthetic team makes this decision with the surgeon.
The incision almost always follows the original one. For a chin implant that means either inside the lower lip or in the natural crease under the chin. For a cheek implant it means inside the upper lip. Using the old route avoids a new scar and leads directly to the capsule.
The surgeon then opens the capsule, the thin shell of scar tissue the body built around the implant. A silicone implant is usually freed with a few passes of an instrument and lifted out whole. A porous implant must be separated from the tissue that has grown into it, which takes longer and is done with careful dissection to protect the nearby nerve.
What happens to the capsule depends on the situation. If the implant was infected, the surgeon typically removes as much capsule as is safely possible and irrigates the pocket. If the implant is being exchanged, the capsule may be partly preserved to help hold the new implant, or adjusted to correct position. If nothing is going back in, the capsule is often left to shrink on its own.
The wound is closed in layers with dissolvable sutures inside the mouth or fine sutures under the chin. A compressive dressing or tape may be applied to the chin to limit swelling and help the skin settle back onto the bone.
MedlinePlus describes chin augmentation itself as taking roughly 30 minutes to an hour; removal without infection often falls in a similar range, though complex cases take longer.
Who is usually a candidate, and who is usually asked to wait
Surgeons tend to move quickly toward removal in a small set of circumstances and ask people to wait in several others. The difference is driven by risk, not by preference.
Removal is usually recommended without much delay when there is a confirmed infection that has not settled with a course of antibiotics, when the implant is extruding through skin or mucosa, when imaging shows the implant sitting on tooth roots or causing significant bone loss, or when there is persistent pain that has no other explanation. In these cases, leaving the implant risks a worse outcome than taking it out.
Removal for cosmetic reasons, such as malposition or a change in taste, is an elective decision, and here most surgeons ask for patience in two specific situations. The first is early after the original surgery. Swelling after chin or cheek augmentation distorts the result for weeks, and an implant that looks off-center at week three may look perfectly placed at month three. Many surgeons decline to revise before the tissues have settled, and NHS guidance on cosmetic surgery recommends a cooling-off period of at least two weeks between any consultation and procedure so that decisions are not made under pressure.
The second is when the dissatisfaction is driven by distress rather than by a physical finding. If a person is unhappy with a result that the surgeon judges to be well placed, a conversation about expectations, and sometimes a referral for psychological support, comes before any second operation. This is standard practice and not a dismissal.
People with uncontrolled diabetes, active smoking, bleeding disorders or recent dental infection are usually asked to address those factors first, because each raises the risk of wound problems after the second surgery. The decision, in every case, rests with the surgical team after examination and, where needed, a CT scan to see the implant’s exact relationship to bone.
Removal, replacement or revision: how the options compare
Once a problem has been identified, there are broadly four paths. Which one fits depends on why the implant is being addressed, what material it is made of, and what the person wants the face to look like afterward. The table summarizes the trade-offs in neutral terms; your surgeon will weigh them against your specific anatomy.
| Option | Typically considered when | Main advantages | Main limitations |
|---|---|---|---|
| Removal only | Infection, extrusion, no longer wanting augmentation | Simplest operation; clears infection source | Soft tissue may sag slightly over the chin once support is removed |
| Reposition same implant | Implant intact but shifted or rotated | No new device; often fixed with a screw to prevent recurrence | Only suitable if implant is undamaged and uninfected |
| Exchange for new implant | Wrong size or shape; worn or damaged implant | Allows change of projection or material | Second device carries the same long-term considerations |
| Remove and use another method | Preference to avoid implants; thin tissue | Fat grafting or bone surgery (genioplasty) avoids a foreign body | Fat grafting results vary and may need repeating; bone surgery is a larger operation |
Genioplasty, named in the last row, is an operation that cuts and repositions the chin bone itself rather than adding an implant. Fat grafting moves fat taken from elsewhere on the body into the face with a fine cannula. Injectable fillers, usually hyaluronic acid, a gel that attracts water, are a non-surgical option some people consider after removal; they are temporary and are reversed by an enzyme the clinician can inject if needed. None of these is better in the abstract. A person with thin chin tissue and a history of infection will be steered differently from a person with a healthy implant that simply sits two millimeters too high.
What happens if a failing implant is not removed after 3 years?
This question comes up constantly, and the honest answer depends entirely on what “failing” means. There is no biological clock that makes a facial implant dangerous at three years, or at ten. Many implants placed decades ago are still sitting quietly where they were put. The relevant question is whether a specific problem is progressing.
If the issue is purely cosmetic, a slightly off-center chin, waiting carries essentially no medical risk. The implant will not degrade in a way that harms the body, and the decision to revise can be made whenever the person is ready.
If the issue is low-grade infection, waiting is a different matter. Bacteria living in a biofilm on the implant surface can smolder for months with only mild redness, intermittent swelling or a small draining sinus inside the mouth. Over time this can erode the surrounding bone, thin the overlying tissue, and occasionally spread to nearby structures. The longer an infected implant stays, the more capsule and bone may need to be addressed at removal, and the harder it becomes to place a new implant in the same pocket later.
If the issue is bone resorption, the concern is slower but real. A chin implant that has settled into a depression in the bone may sit closer to the roots of the lower incisors. Surgeons use CT imaging to monitor this; most cases remain stable, but a progressive change is a reason to act rather than watch.
If the issue is extrusion, there is no waiting. An implant visible through skin or mucosa is an open door for infection and needs surgical attention promptly.
The practical advice is simple: a chin or cheek implant that has started to behave differently, whether that means new swelling, new numbness, a new shape or any discharge, warrants an examination, regardless of how many years have passed since it was placed.
How painful is implant removal?
Most people describe the discomfort after facial implant removal as less than after the original placement, and the reason is mechanical. Placing an implant requires stretching a pocket of tissue over the bone and leaving a foreign object pressing against it. Removing one releases that pressure. What remains is a surgical wound of the kind the body manages well, with soreness that peaks in the first two or three days and then steadily fades.
The character of the discomfort differs by site. After chin implant removal, people most often report a tight, bruised feeling under the chin, soreness when chewing or speaking, and a sense that the lower lip is stiff. After cheek implant removal, the upper lip and the area beside the nose feel swollen and heavy, and smiling is uncomfortable for several days.
Numbness is more common than pain. The mental nerve at the chin and the infraorbital nerve at the cheek are stretched during both placement and removal, and temporary loss of sensation in the lip or cheek is expected. MedlinePlus lists nerve injury as a recognized risk of chin augmentation, and in most people sensation returns over weeks to months as the nerve recovers from being handled. Permanent numbness is uncommon but possible, and it is one of the risks the surgeon should discuss beforehand.
Pain control is managed by the surgical team. Simple over-the-counter analgesics are often sufficient; stronger medicines are sometimes prescribed for the first days. Cold compresses in the first 48 hours reduce swelling and ease discomfort, and a soft diet spares the chewing muscles. If removal was done for infection, the pocket may feel more tender for longer, and the surgeon may prescribe a course of antibiotics; the choice of medicine and its duration belong to the prescribing clinician.
Pain that increases after day three rather than decreasing, or pain accompanied by fever, is not normal and is covered in the red-flag section later.
Chin implant removal recovery: what the following days and weeks look like
Recovery after chin implant removal follows a fairly predictable arc, with the caveat that infection, simultaneous replacement or bone surgery lengthens every stage. The ranges below are typical rather than promised, and your own surgeon’s instructions take precedence.
The first 48 hours are about swelling. The chin and lower lip puff up, bruising may track down into the neck, and the compressive tape or dressing feels tight. Cold compresses, head elevation when lying down and a liquid or very soft diet are the usual advice. If the incision is inside the mouth, a saline or prescribed rinse after eating keeps it clean.
Days three to seven bring the turn. Swelling begins to recede, bruising shifts color, and speech and chewing feel more normal. MedlinePlus notes that after chin augmentation most people return to usual activities within about a week, and removal without complications tends to follow a similar pattern. Desk work is often possible at this point; anything that raises blood pressure to the face, such as heavy lifting or strenuous exercise, is usually held off longer.
Weeks two to four are when the soft tissue settles. The chin may look a little flat or deflated at first because the skin and muscle that stretched over the implant have not yet tightened. In most people the tissue redrapes over the bone gradually. External sutures under the chin are typically removed at around a week; dissolvable sutures inside the mouth fall away on their own.
Months one to six are the long tail. Residual firmness fades, numbness in the lip and chin continues to improve, and the final contour becomes clear. If a new implant was placed, this is also when its position is judged, since early swelling can mimic malposition.
Follow-up visits are scheduled by the surgical team and usually include at least one early check for infection and one later review of contour.
Chin implant removal side effects and risks, stated plainly
Every operation carries risk, and the honest list for facial implant removal includes the general risks of surgery and a handful specific to the face. Knowing them beforehand is part of informed consent, which NHS guidance on cosmetic surgery describes as a process in which the surgeon explains risks, alternatives and likely outcomes before any decision is made.
The expected side effects are swelling, bruising and temporary numbness of the lower lip and chin. These are not complications; they are the body’s normal response to tissue being moved. They fade over days to weeks in most people.
The specific risks include the following. Soft-tissue sagging, sometimes called chin ptosis, can occur when the muscle that was lifted to place or remove the implant does not reattach to the bone, leaving the chin pad slightly low. Surgeons reduce this risk by resuspending the muscle at closure and using supportive tape afterward. Persistent numbness results from stretching or, rarely, cutting the mental nerve; most sensory changes recover, but a small proportion do not. Infection of the wound is possible after any surgery, and the CDC describes a surgical site infection as one developing within 30 days of an operation where no implant is left behind, or within a year where one is. Bleeding into the pocket, called a hematoma, may need drainage. Asymmetry can persist if bone resorption under the old implant left an uneven surface. Scarring under the chin is usually fine and hidden in the crease.
A less obvious consequence is psychological. People who have lived with an augmented chin for years sometimes find the restored profile unfamiliar and need time to adjust, even when the result is anatomically sound. This is worth naming in advance.
None of these risks argues against removal when it is medically indicated. They argue for having the procedure explained thoroughly and for choosing the approach, removal alone or removal with reconstruction, with full knowledge of what each entails.
What people often get wrong about facial implants
A handful of beliefs circulate online that deserve correction, because they lead people either to unnecessary surgery or to dangerous delay.
“Implants have to be replaced every ten years.” This idea is borrowed from breast implants, where the devices contain gel or saline that can leak. Solid facial implants have no filling to leak. They do not have a scheduled replacement interval. They are removed or exchanged when there is a problem, not on a calendar.
“If I remove it, my face will collapse.” The soft tissue over a chin or cheek implant does loosen slightly when support is removed, and the surgeon addresses this at closure. In most people the tissue settles back onto the bone over weeks. Significant sagging is uncommon and, where it occurs, can be treated.
“Antibiotics will clear an infected implant.” Sometimes an early, superficial infection does settle with medication. But bacteria that have formed a biofilm on the implant surface are shielded from both antibiotics and immune cells, which is why an established implant infection usually needs the implant out. Repeated courses of antibiotics without removal tend to delay the inevitable and can damage surrounding tissue in the meantime.
“Bone loss under the implant means it is eating my jaw.” Mild resorption of bone under a chin implant is a recognized and generally harmless finding. It is monitored, not feared. It becomes a concern only when progressive or when the implant approaches tooth roots.
“Removal is a bigger operation than placement.” For an uninfected silicone implant, removal is often quicker and less uncomfortable than placement, because the pocket already exists and the implant lifts out of its capsule. Porous implants and infected cases take longer, but even these rarely exceed the original surgery in scope.
“Fillers can fix a shifted implant.” Injecting filler around a malpositioned implant can camouflage a small asymmetry temporarily, but it does not correct the underlying position and adds a second variable to the anatomy. Surgeons generally advise addressing the implant first.
Questions to ask your care team before facial implant removal
A good consultation is a conversation, and the questions below are the ones experienced surgeons expect to be asked. Writing them down beforehand helps; so does bringing someone to the appointment to listen.
- What exactly is wrong with my implant, and how do you know? Has imaging been done, and what did it show about position and bone?
- Is removal medically necessary, or is this an elective decision I can take time over?
- If I remove the implant and put nothing back, what will my chin or cheek look like? Can you show me what you expect, with the understanding that no result is guaranteed?
- If you recommend replacement, what material and size, and why? What would make you choose repositioning instead?
- Will the operation use my original incision? Will I have a visible scar?
- What anesthesia do you plan, and who will administer it?
- What are the specific risks in my case, given my anatomy, my medical history and whether infection is present?
- How will you protect the sensory nerve, and what is the realistic chance of lasting numbness?
- What will the first week look like, and when can I expect to return to work, exercise and normal eating?
- If infection is the reason, will I need antibiotics afterward, for how long, and who will manage that?
- What follow-up visits are planned, and who do I call out of hours if something worries me?
- What happens if I am unhappy with the result of this second operation?
Two further points are worth raising even if they feel awkward. Ask the surgeon how often they perform revision and removal, as distinct from primary placement, because the two call for slightly different experience. Ask, too, whether a period of waiting is reasonable in your case; a surgeon who suggests patience for a cosmetic concern is usually being careful rather than dismissive. NHS guidance encourages exactly this kind of unhurried, questioning approach to any cosmetic procedure.
When to call your doctor
Most recoveries after facial implant removal are uneventful, and most of what people notice in the first week is expected swelling and numbness. A small number of signs mean the surgical team should hear from you the same day rather than at the next scheduled visit.
Call your surgeon promptly if you notice any of the following. Pain that increases after the third day instead of easing, or pain that is sharply worse on one side. Swelling that grows rather than shrinks, especially if the skin over it becomes red, hot or shiny. A fever, chills or a general feeling of being unwell. Any discharge from the incision, inside the mouth or under the chin, particularly if it is cloudy, yellow or has an odor. Bleeding that soaks through a dressing or does not stop with gentle pressure for ten minutes. A wound edge that opens. New numbness that appears after sensation had been returning, or numbness spreading beyond the lip and chin. Difficulty swallowing or breathing, which is rare but demands emergency care.
The CDC and MedlinePlus both describe redness, warmth, swelling, pain and drainage as the typical signs of a surgical wound infection, and MedlinePlus notes that such infections generally appear within the first month after an operation. Seen early, most respond to prompt treatment. Seen late, they are harder to manage, which is why same-day contact matters more than politeness about bothering the office.
In the longer term, and this applies whether or not you have had removal, any facial implant that begins to behave differently deserves an appointment: a new change in shape, new tenderness, a swelling that comes and goes, or a small opening inside the mouth near the implant. These are the quiet early signs of problems that are easier to address sooner. Every decision about what to do next, from watchful waiting to surgery, belongs with the treating team who can examine you and see your imaging.
Frequently asked questions
How much does it cost to remove a chin implant?
This article does not publish cost figures, because they vary widely with the reason for removal, the type of anesthesia, whether a replacement or other reconstruction is performed, and whether infection adds to operating time. Removal for a medical complication may be handled differently from purely cosmetic revision. Ask the surgeon’s office for a written, itemized estimate covering the surgeon, anesthesia, facility and follow-up visits before deciding.
How painful is facial implant removal compared with the original surgery?
Most people find removal less uncomfortable than placement, because releasing an implant relieves pressure on the tissue rather than adding it. Soreness peaks over the first two to three days and then fades, with chewing and speaking feeling stiff for about a week. Numbness of the lip or cheek is more common than pain and usually recovers over weeks to months. Pain that worsens after day three should be reported to the surgeon.
What happens if a facial implant is not removed after 3 years?
Nothing happens simply because three years have passed; there is no expiry date on a solid facial implant. What matters is whether a problem is progressing. A cosmetically imperfect but healthy implant can be left indefinitely. A low-grade infection, progressive bone loss under the implant or any sign of extrusion should not be left, because each tends to worsen with time and makes eventual surgery more complex.
What are the side effects of removing an implant from the chin or cheek?
Expected effects are swelling, bruising and temporary numbness that settle over days to weeks. Less common risks include slight sagging of the chin soft tissue, persistent numbness from nerve stretch, wound infection, a collection of blood in the pocket, and residual asymmetry if bone beneath the old implant was uneven. Surgeons reduce the sagging risk by resuspending the chin muscle at closure and using supportive tape afterward.
Can a chin implant shift years after surgery?
Late shifting is uncommon but possible, usually after a direct blow to the face or when the scar capsule stretches with age. Most shifts occur in the first weeks after placement. A chin that changes shape years later should be examined rather than assumed to be simple movement, because infection or fluid around the implant can produce a similar appearance and needs different treatment.
What are the most common cheek implant complications?
Asymmetry between the two cheeks is the leading complaint, followed by infection, temporary numbness of the cheek and upper lip from stretching of the infraorbital nerve, and occasionally a slight lowering of the lower eyelid related to the surgical approach. Bone loss under cheek implants is described but usually mild. Most of these are addressed by repositioning, exchange or removal through the original incision inside the upper lip.
How long does chin implant removal recovery take?
Typical recovery follows the pattern of chin augmentation itself, which MedlinePlus describes as allowing a return to usual activities within about a week. Swelling and bruising are greatest in the first 48 hours, soft foods are usual for several days, strenuous exercise is generally delayed longer, and the final contour becomes clear over one to six months as tissue settles and sensation returns. Infection or simultaneous reconstruction lengthens each stage.
Can an infected facial implant be saved with antibiotics?
Sometimes, if the infection is very early and superficial. More often, bacteria have formed a biofilm on the implant surface that shields them from antibiotics and immune cells, and the implant has to be removed to clear the infection. Repeated antibiotic courses without removal can delay definitive treatment. Whether to try medication first is a judgment for the treating surgeon, based on examination and sometimes imaging.
Will my chin look worse after the implant comes out?
It will look different, returning toward the profile you had before augmentation, and the soft tissue may appear a little flat or loose for a few weeks before settling onto the bone. Significant sagging is uncommon and can be treated if it occurs. People who want to keep some projection can discuss a new implant, fat grafting, temporary filler or bone surgery with their surgeon; each has distinct trade-offs.
Does a silicone or porous polyethylene implant come out more easily?
Silicone implants do not bond to tissue; they sit inside a thin scar capsule and usually lift out whole in a short procedure. Porous polyethylene implants allow tissue to grow into their surface, which helps stability but means removal requires careful dissection to free the implant, takes longer and carries a slightly higher risk of bleeding and tissue trauma. This difference is one factor surgeons weigh when choosing a replacement material.
References
- MedlinePlus: Chin augmentation
- MedlinePlus: Plastic and Cosmetic Surgery
- NHS: Cosmetic procedures
- CDC: About Surgical Site Infections
This article is for general information only and is not a substitute for professional medical advice. Please consult a qualified doctor about your individual situation.
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