Question

Problems with Goretex implant 6 years later

I woke up with a painful chin about 5 weeks ago after having a chin implant in June 2002. Post-op I had no problems whatsoever. It seems to be getting slightly better, but the pain/discomfort comes and goes. Sometimes the pain throbs, sometimes I feel some tingling, sometimes it's slight and other days it's heavier. It doesn't seem to be central to one location on the chin.

Could I have traumatized it? Could I have bruised a nerve? I think I may have slept on it very wrong one night, but I'm not sure. There is no swelling, redness, or discharge on my chin or lips, and I can't pinpoint a place the infection could have taken hold (no sinus infections, colds, etc.). The treating physician said we could do a fat transfer in 3-6 months but I'm skeptical of this procedure. Any thoughts or advice?


Asked by: HRHalderman
Denver, CO

Answers (2)

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1
November 11, 2008

Get a diagnosis first

Your pain may or may not be related to your implant. Late infections can and do occur, but without any swelling, erythema, fever or other symptoms it doesn't sound like an infection. Implants can get infected via hematogenous (blood borne) spread from other infections like you've suggested such as a sinus infection. Other sites of infection, even ones far from the implant, such as infected cuts on the hands or legs or pelvic inflammatory disease could lead to blood borne bacteria that could infect an implant.

Your symptoms sound more like an issue with the mental nerve which runs right near your implant. It's odd for an implant to move after so many years, but they can. Implants can also cause bone resorption that may lead to "movement" of the implant. You should get at least a tentative diagnosis before you begin treatment.

I'm not sure from your question whether your physician has suggested fat injections to treat your pain or has suggested removing the implant and then putting in fat. Fat injections are not a solution for pain. Find out what's causing the pain first and treat it.

2
November 11, 2008

Dealyed pain after an implant

Stella Desyatnikova, MD
Stella Desyatnikova, MD
Board Certified
Facial Plastic Surgeon

Pain and soreness can be related to your implant, and a possible current infection, or it can be a totally unrelated problem. Once you have an implant, it is a foreign body, and it is possible to develop an infection around it later in life, sometimes many years later.
In any case, fat injections are not the answer to treating pain. I would be extremely skeptical of this procedure in your case, and I would certainly want to investigate further what is causing your problem. If your treating physician is not able to diagnose it, perhaps he or she can refer you to another physician who can diagnose and treat it.

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