jawsurgeryforums.com
Surgeon Information => Surgeon Reviews and Leads => Topic started by: screwsandplates on May 22, 2013, 02:09:13 PM
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I know that this is a really risky procedure no matter what, but I'm really not liking my chin implant because it looks boxy and unnatural. I kind of dread having my photo taken because my current implant looks almost cartoonish and very sharp on the corners. I got it done 4 years ago before I knew what jaw surgery was; had I known, I would never have gotten it :/ Does anyone know of some surgeons who are good at chin revisions? I'd like to minimize scarring and get a feminine shape with more projection. I might wait until after surgery to have it done just to be on the safe side, so the surgeon doesn't have to be an awesome jaw surgeon or anything. Unfortunately I don't have the option of going to my original plastic surgeon because I signed a pre-op contract that said I can't get a re-do (for free) after 2 years. I don't know if it makes a difference but I am 19 and have pretty good skin elasticity.
I'm not really expecting many replies because I've searched endlessly to no avail. But I'm keeping my fingers crossed. Thanks for reading.
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you had a genioplasty (silicone chin implant? i'm assuming) done when you were 15?
Dr Joe Niamtu and Michael Yaremchuk do revision chin implant surgery but they are located on the other side of the country
If you're currently in braces and getting ready for jaw surgery, I'd advise you get the implant removed, live "without a chin" for a few months which would actually be ideal since your tissue & nerves need to heal and just wait for your surgery
was your implant secured in-place with a screw?
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i would remove it during orthognatic surgery!!! isn't that an option?
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you had a genioplasty (silicone chin implant? i'm assuming) done when you were 15?
Dr Joe Niamtu and Michael Yaremchuk do revision chin implant surgery but they are located on the other side of the country
If you're currently in braces and getting ready for jaw surgery, I'd advise you get the implant removed, live "without a chin" for a few months which would actually be ideal since your tissue & nerves need to heal and just wait for your surgery
was your implant secured in-place with a screw?
Yes, silicone along with a rhinoplasty. I don't think there was a screw. Almost 100% certain. I think my surgeon used just a natural pocket because it shifted a bit. I don't regret the rhinoplasty, but I probably should have waited on the implant. Idk... I do see your point, but I'm really afraid of how it will look. It looked bad before and it will only look worse once it is removed :/
Thank you so much for the recommendations! :D I had heard about Yaremchuk but not Niamtu. Travel isn't really an issue for me if it means a good result. I also found this guy: Dr. Wittenberg. He's in Vancouver, but his results look amazing. http://www.drwittenberg.com/photo-gallery/chin-gallery.html (http://www.drwittenberg.com/photo-gallery/chin-gallery.html)
I'm kind of in the shopping around stage right now, since it doesn't feel quite real yet. When I get it done you guys can PM me and I'll send you before and afters.
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why can't you get it out during jaw surgery??
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why can't you get it out during jaw surgery??
Ah, that would be ideal! :)
Arnett wants to wait until after (he's really cautious about it and advises against doing anything to it, but he knows how unhappy I am with it), Cohen wants to do it during surgery, and I don't know what Schendel will say (I have a consult coming up in a few weeks). Both plans sounded good to me. I just refuse to remove it pre-op (at least more than a week anyway) :P
Ultimately, I just want the best jaw surgeon and best chin revision specialist. I wanted to get it done this summer, but think it's a bit late.
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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.
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I think... (fairly certain though) that Dr Denenberg (located in Nebraska) does revision chin implant surgery as well
You should definitely email their offices and ask, just to be safe
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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
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I think... (fairly certain though) that Dr Denenberg (located in Nebraska) does revision chin implant surgery as well
You should definitely email their offices and ask, just to be safe
Thanks Pekay :) How do you know about all of these surgeons? I'm grateful for your help :)
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yeah arnett/gunson are fairly conservative when it comes to implants. there are risks but i would go for it. i dont know how much experience arnett has in confronting implants but i imagine he is competent.
dr. yaremchuk is one of the more well-known implant revisionists, id email him and send him your photos.
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Thanks Pekay :) How do you know about all of these surgeons? I'm grateful for your help :)
I used to post over at healthboards/PS, saw certain names being brought up over and over..
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dr. yaremchuk is one of the more well-known implant revisionists, id email him and send him your photos.
Will do :) wonder if I should ask for a photo prediction or f that would be unrealistic...
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Wow ...this interesting info about the chin implants.
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Wow ...this interesting info about the chin implants.
If you need any more info, feel free to ask. I'm sadly an expert on it now xD
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Will do :) wonder if I should ask for a photo prediction or f that would be unrealistic...
im sure he would do it but i dont know how reliable they are. id just do a phone consult no reason to fly all the way to boston. implants are just so risky id definitely want more info on how arnett would approach it, how much experience he has etc...implants aren't their focus obviously.
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Did Arnett want to keep the existing chin implant in or replace it with a new implant?
Interesting that Arnett said you could keep your wisdom teeth.
I would lean towards keeping any teeth as ou never know what the future holds and maybe they can be used somehow.
Now you can have your wisdom teeth banked like they bank baby cord blood.
Supposedly they can use the stem cells in them to fight certain diseases.
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Did Arnett want to keep the existing chin implant in or replace it with a new implant?
Interesting that Arnett said you could keep your wisdom teeth.
I would lean towards keeping any teeth as ou never know what the future holds and maybe they can be used somehow.
Now you can have your wisdom teeth banked like they bank baby cord blood.
Supposedly they can use the stem cells in them to fight certain diseases.
He wanted to keep the existing implant. I'm quite confused about all of this. Like I said, my procedure is straightforward for the most part. I wish I could get all possible surgeons in one room and ask them all, as a panel lol xD There should be a game show for this kind of thing :P But in all seriousness, do you guys think it would be a good idea to ask a third surgeon to compare the two plans?
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He wanted to keep the existing implant. I'm quite confused about all of this. Like I said, my procedure is straightforward for the most part. I wish I could get all possible surgeons in one room and ask them all, as a panel lol xD There should be a game show for this kind of thing :P But in all seriousness, do you guys think it would be a good idea to ask a third surgeon to compare the two plans?
I think a revision chin implant surgery + a proper genio will result in serious damage to your mentalis muscle thus causing chin ptosis
I saw a case similar to yours on a different forum, the surgeon flat out told the patient (female, middle aged) to have her implant removed, live without a chin for a few months and get a proper genioplasty and even after all this she still had a very mild case of chin ptosis post-op. last i checked she was waiting for the 1 year mark to get the mentalis muscle reattached/repaired (2nd surgery)
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He wanted to keep the existing implant. I'm quite confused about all of this. Like I said, my procedure is straightforward for the most part. I wish I could get all possible surgeons in one room and ask them all, as a panel lol xD There should be a game show for this kind of thing :P But in all seriousness, do you guys think it would be a good idea to ask a third surgeon to compare the two plans?
i would insist for taking it away!
worst case scenario? youll need extra surgery to correct ptosis...
if you keep it
best case scenario? youll need extra surgery to remove implant...
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I think a revision chin implant surgery + a proper genio will result in serious damage to your mentalis muscle thus causing chin ptosis
I saw a case similar to yours on a different forum, the surgeon flat out told the patient (female, middle aged) to have her implant removed, live without a chin for a few months and get a proper genioplasty and even after all this she still had a very mild case of chin ptosis post-op. last i checked she was waiting for the 1 year mark to get the mentalis muscle reattached/repaired (2nd surgery)
That's what I'm afraid of. Could you please link the case to which you're referring? It seems like there is no good option :/ I really don't want to go back to school and my friends with no chin/a saggy ptosis chin.
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That's what I'm afraid of. Could you please link the case to which you're referring? It seems like there is no good option :/ I really don't want to go back to school and my friends with no chin/a saggy ptosis chin.
PM sent
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PM sent
Thank you. That's really worrying, considering that she had exactly what I wanted to have done. I will bring it up with the next surgeon I consult. I wonder if there's any good solution :( What I would give for a time machine... That poor lady.
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Thank you. That's really worrying, considering that she had exactly what I wanted to have done. I will bring it up with the next surgeon I consult. I wonder if there's any good solution :( What I would give for a time machine... That poor lady.
well I'm not a doctor/surgeon or anything but imo your best option is to get your implant removed and let everything heal for a few months
what sort of implant do you have right now? Terino Square I 8mm?
you can gain close to 5-6mm of chin projection with fillers (if done properly by the right dermatologist or plastic surgeon)
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well I'm not a doctor/surgeon or anything but imo your best option is to get your implant removed and let everything heal for a few months
what sort of implant do you have right now? Terino Square I 8mm?
you can gain close to 5-6mm of chin projection with fillers (if done properly by the right dermatologist or plastic surgeon)
I don't know the style. I will have to email my PS and see. One surgeon I consulted said that it makes no difference if I get it taken out earlier or during surgery, but what you're saying does sound convincing.
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I'm reluctant to recommend people I haven't at the very least met personally (or known SEVERAL people who have worked with them), but I would be curious if Dr. Henry Kawamoto is still in practice? I know he is/was in California.