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David N. Sayah Plastic Surgery

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As of 05/19/2014

Facial Implant Removal

facial implant

Los Angeles plastic surgeon Dr. David Sayah specializes in removing unwanted or compromised facial implants. If you had facial implant surgery, including chin or cheek implants or a nose implant, and now want to remove the implant, please request a consultation with Dr. Sayah to learn more about your options.


Chin Implant Removal

Chin implants are the most commonly inserted facial implants. Some of the older chin implants were soft and resembled breast implants with their associated risks of mechanical complication such as rupture or leaks. The new generation of chin implants are solid and have a far fewer rate of mechanical complications. Chin augmentation of a chin implant procedure is a perfect adjunct to a nose surgery or rhinoplasty procedure in those who have a recessive or small chin. Some of the causes leading to chin implant removal are highlighted below.

  • Shifting: A chin implant may shift either immediately of sometime after insertion. Such shifting may lead to an implant which is too high on the chin or too low. It can even move slightly from one side to the other leading to an asymmetrical or uneven chin. If significant, the chin implant can be removed and replaced if so desired.
  • Infection: Though rare, infection of a chin implant can occur. If the chin implant is inserted through an incision inside the mouth, there is a slightly higher infection rate relative to placing the chin implant through an incision under the chin. Mild infections can be treated by antibiotics. More severe infections will necessitate removal of the chin implant will possible revision once the infection has fully resolved.
  • Asymmetry: Shifting of the chin implant can lead to unevenness or asymmetry of the chin. If some chin asymmetry exists prior to chin augmentation, the chin implant can actually worsen the asymmetry. In such cases, the implant can be removed and reinserted if so desired.
  • Nerve Compression: Occasionally the chin implant can compress the mental nerve, which is the nerve responsible for sensory innervation to the chin and lower lip. Once diagnosed, the chin implant may have to be removed to relieve the pressure on the sensory nerve. Adjusting the chin implant to move it away from the nerve may also treat the problem.
  • Bone Resorption: Our bones are always remodeling in response to stress. Constant pressure from a chin implant can lead to resorption of the mandible or jaw bone. In severe cases of bone resorption after chin augmentation, chin implants can lead to tooth loss or deformities of the mandible. Removal of the chin implant is necessary to halt the prosorption in such extreme cases of bone resorption.
  • Extrusion: After the chin implant is placed in its pocket in front of the mandible, it can shift in position, causing it to partially extrude out of the body. Wound healing problem after a chin augmentation procedure may also lead to implant extrusion and require removal of the implant.
  • Personal Dissatisfaction: Whether the chin implant is too small, excessively large, or not the ideal shape for your particular needs, it can be removed. After most of the inflammation has resolved from a chin augmentation procedure, timely removal of an unwanted chin implant is important.

Cheek Implant Removal

With the growing popularity of fat injection into the face, cheek implants have decreased in popularity. In fact, many patients with cheek implants are choosing to have their firm cheek implants removed and replace the lost volume with fat injection. Other causes for removing cheek implants are listed below.

  • Infection: Though infections of the face are exceedingly rare, cheek implants may occasionally become infected. In a majority of cases, the exact cause for the infected cheek implant is not identified, but dental infections or procedures have occasionally been known to lead to infection of cheek implants. Once infected, the cheek implants have to be removed and replaced once the infection has fully resolved.
  • Asymmetry: Nearly all faces have some degree of asymmetry from one side to another. Any type of facial procedure can highlight the already existing facial unevenness or asymmetry. If the asymmetry is significant enough, the cheek implants can be removed or exchanged to improve results.
  • Nerve Compression: Cheek implants placed over the cheek bone or zygomatic arch can under rare circumstances place excess pressure on a sensory nerve to the face. Called the infraorbital nerve, this particular nerve exits the skull at the inferior aspect of the eye socket or orbit. Short-term or permanent injury to the nerve can lead to numbness or pain at the corresponding side of the face. Once diagnosed, immediate removal of the implant is necessary to prevent any long-term nerve damage.
  • Personal Dissatisfaction: Whether the cheek implants are too small, too large or just not the right look, dissatisfaction with cheek implants may rarely occur. Please contact our office to discuss your personal experience with your cheek implant to allow us to give you as much information as you may need to make an informed decision regarding possible removal of your cheek implant.

Nose Implant Removal

  • Infection: Infections of implants placed into the nose are actually higher than other types of implants such as breast implants. If infected, a course of antibiotics may be started, but the nose implant will likely have to be removed.
  • Extrusion: Under rare circumstances, a nose implant may extrude or come out of a wound at the nose. Such problems are most common in smokers or patients at high risk for wound healing problems. Once a nose implant begins to come out of the nose, it has to be removed in order to minimize the risk for infection. Another means of nasal support or augmentation will have to be performed once the infection has resolved.
  • Change in Shape: Nose implants can either shift in position or in shape long after the implant was placed inside the nose. Whether due to trauma or unknown causes, if the change in shape or position of the implant is significant enough, the nose implant has to be removed and repositioned into its correct location. Certain types of nasal implants such as L-struts may actually break leading to change in nasal support and shape. In such cases, the nose implant will again have to be exchanged for either another synthetic implant or one made of the patient’s cartilage.
  • Asymmetry: Close examination of anyone’s nose typically reveals subtle asymmetry or unevenness from one side to another. Nasal implants may at times highlight the asymmetry of the nose. If such problems are moderately severe, the nasal implant can be removed and / or replaced. Please take the time to contact out office to discuss your particular problem and interests such that we can provide you will all the guidance you require to make an informed decision.
  • Personal Dissatisfaction: On occasion, the results of a nasal implant may fall short of your expectations. If you are extremely dissatisfied with the results, the nose implant can be removed. A detailed examination by Dr. Sayah and in-depth conversation are necessary to plan the nose implant removal. Replacement of the implant with another may be necessary. You are encouraged to contact our office for a consultation to discuss your particular case.

Please request a consultation to discuss your particular concerns.