why is arnett against it? i would definitely do all in one...if problems will arise...you'll solve them, but i don't think it'll be the case.
I asked him about doing a sliding genioplasty during surgery and tossing out the implant. He said that it is risky because in most cases he has seen, even at the hands of skilled surgeons, there is almost always unattractive puckering and dimpling. I believe he used the words "horrendous" and "deformed". I liked that he was so straightforward about it, but it bummed me out to tell you the truth. Chin implants generally stretch out the skin and form a tough pocket of scar tissue around them. When they are removed, the tissue remains stretched out and not as strong as it used to be. Surgeons will either remove the scar pocket or leave it and sew the muscles back to where they should be. Cohen wants to leave it in because he said that it will shrink and go away on its own after a while.The chin won't ever be exactly the way it was pre-op, but it should provide support for the lip and chin pad (in my case I had virtually no chin pad).
My options as of now are:
a) leave the implant in and see how I feel about it post op (jaw surgery)
b) remove the implant and replace it with a sliding genio or a different implant during surgery
c) get the surgery and forget about replacing it
