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Alexander Rivkin, MD
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Alexander Rivkin, MD
Plastic surgeon | Views: 244065


Friendname: AlexanderRivkinM.D.
Business Name: Westside Aesthetics
Website: www.westsideaesthetics.com
 
Location: 1033 Gayley Ave #104
los angeles, CA 90024
United States
Telephone: 310 443 5273
Languages Spoken: English




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Ask An Expert > Alexander Rivkin Message Board > HELP for stretched out chin!!!!!
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melodic
Los angeles, CA
HELP for stretched out chin!!!!!
PLEASE HELP!! I had 3 implants put in over 3 years. After the last one was taken out my chin never returned to its original state. Is there anyhthing that can be done to help get my chin back to its original shape??

Dying in California,


 



AlexanderRivkinM.d.
Plastic surgeon
los angeles, CA
United States
View My Professional Profile
Fillers may help  August 18, 2009 6:11 PM

It may be possible to correct this issue with filler injections. I would consider something like Perlane - a thick hyaluronic acid - because it does a good job aesthetically and is dissolvable.


melodic
Thank you!!  August 18, 2009 10:42 PM

Thank you doctor for your timely response, I appreciate it SO MUCH. I should have been clearer in my ?. The skin stretched and I dont necessarily want to "fill it"...it lost its previous shape and I'd like for the skin to go down and conform to my chin bone more. It seems to be "bigger" although there is no longer an implant...I want it to be delicate looking like it was PreOp! It LOST its dainty definition. PRAYING this is possible!!!! THANK YOU!!!!


drnassif
Plastic surgeon
Beverly Hills, CA
United States
View My Professional Profile
  August 24, 2009 10:40 AM

Hello,

I would need to see a photo before your first chin implant and a photo of your chin now to help advise you. It would bee difficult for the chin to change shape because once the implant is out it should go back to its original state. You can send photos to Lisa, my patient care coordinator at Lisa@spaldingplasticsurgery.com. Thank you.
Dr. Nassif


wellbeing4all
  November 7, 2009 6:12 PM

The statement "...once the implant is out it should go back to its original state" is incorrect. The correct statement would be "MAY go back to its original state."

Hundreds of cases of chin disfigurement following removal of a chin implant have been documented and I do not know how surgeons get away with either not consulting the medical literature or ignoring it.

Though it is not guaranteed that ALL patients who have their implant removed (without replacement) will incur such disfigurment to the chin pad, it is a documented risk that the patient MUST be made aware prior to surgery.

Ref:
Cohen S R et al 1991 ?Chin disfigurement following removal of alloplastic chin implants? Plastic and Reconstructive Surgery July 88(1) 68-70.
Zide B M 1991 Discussion of Cohen S R et al ?Chin disfigurement following removal of alloplastic chin implants? Plastic and Reconstructive Surgery July 88(1) 68-70.

Further online ref:
http://medpro.smiletrain.org/library/images/PRS105-3-1213.pdf




 



 

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