JonathanA

Hello,

I underwent rhinoplasty and chin augmentation a little over six years ago and am very happy with the results.

However, the other day I was doing some TMJ exercises for my jaw and felt a sharp pain in my chin where the silicon implant is. I still feel some minor pain in my chin but look the same as far as I can tell.

I now live across the country. Is it worth making a trip out to Newport Beach to meet with Dr. Daniel or is it more likely that I just strained a muscle or something? I was told that it would take considerable impact to cause a shift. Is this true?

Thank you.

-Jonathan

Mr. Z

If the chin implant was fixated in place using a screw displacement is highly unlikely. It could be that a nerve was irritated. Email Dr. Danial and see what he says. Let me know what you hear.

robyne00

Welcome to the forum!!!

I would definitely phone or e-mail the surgeon ASAP.

Please keep us posted regarding your situation.

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I am an unpaid volunteer super moderator. I receive no remuneration from this site. Although I am a medical professional, any recommendations, statements, advice, or opinions I provide are mine, and mine alone. Consult carefully with the medical professional of your choice. All statements, recommendations, opinions, and advice expressed by me are mine personally – independent of the site and made as a forum member only – and do not necessarily reflect those of PlasticSurgerySpot.com.

JonathanA

Just an update:

First consultation was okay. Doctor prescribed a couple of x-rays (panorex and lateral cephalogram) but seemed keen on a sliding genioplasty.

Having a second consultation with another highly-recommended Las Vegas surgeon on Friday and seeing Dr. Daniel in Newport Beach next Tuesday. Hopefully will be getting this done fairly soon, as the discomfort is not improving.

-Jonathan

JonathanA

Second update:

The surgeon I saw thinks that the implant shifted and thinks that the best option is to remove it and screw in a Medpor implant in its place. It seems pretty straightforward and I'm leaning toward this option at the moment.

-Jonathan

robyne00

Please keep us updated regarding your progress!

__________________
I am an unpaid volunteer super moderator. I receive no remuneration from this site. Although I am a medical professional, any recommendations, statements, advice, or opinions I provide are mine, and mine alone. Consult carefully with the medical professional of your choice. All statements, recommendations, opinions, and advice expressed by me are mine personally – independent of the site and made as a forum member only – and do not necessarily reflect those of PlasticSurgerySpot.com.

JonathanA

Third update:

I spoke with my original surgeon on Tuesday and he doesn't think that the implant shifted, but that I aggravated a nerve. Apparently, it can take as long as 3-4 months for the sensation to return to normal.

He recommends that I leave it alone for now as long as it doesn't get any worse. If the discomfort continues into the Fall, then he says that we may want to consider removing the implant.

The x-rays look normal (confirmed by three surgeons) and the placement is good, so I think I'll just leave it be for now and hope that it goes away. As soon as it does, I'll post an update.

Has anyone experienced this type of thing before? Never knew you could damage or irritate a nerve out of nowhere.

-Jonathan

robyne00

I agree with the third surgeon, however, sensation should return between 2-4 months. Every situation is individually dependent. Good luck! Please keep us updated.

__________________
I am an unpaid volunteer super moderator. I receive no remuneration from this site. Although I am a medical professional, any recommendations, statements, advice, or opinions I provide are mine, and mine alone. Consult carefully with the medical professional of your choice. All statements, recommendations, opinions, and advice expressed by me are mine personally – independent of the site and made as a forum member only – and do not necessarily reflect those of PlasticSurgerySpot.com.

JonathanA

Thanks, Robyne. I'll keep an eye on it and hope for the best! Will update again in a month or so.

Best,
Jonathan

la_angel

Well Jonathan that's great to hear that it is probably something that doesn't need surgery and will heal on its own! I wouldn't call what happened to you normal, but it isn't unusual for nerves being irritated with chin implants (but usually the symptom is loss of sensation).