I had a a mittleman jowl implant put in in 2006. I had severe pain and pressure swelling with molars gum bone and jaw the last few months...and the two last molars were finally removed. One was cracked and one was loose seemingly due to a crooked top tooth chomping on them incorrectly for over a year. It feels better since they removed the teeth but the complaint is not fully resolved. Does the silicone implant even go that far back after 14 years ? It feels like it may have migrated bc it ( or the bone) feels longer and higher up on that side. Trying to get a proper Ct scan by a PCP or Oral Surgeon was futile and to get a proper plastic surgeon or the original PS during this pandemic is impossible. My ENT neck and head surgeon is scheduled to call me to better direct me. I have some neck and throat issues too with a swollen lymph node so he may see me for that condition whether resulted or not ( I was thinking infection from implant) and hopefully give me a RX for a proper CT. Is a saggital ct the proper one? My insurance carrier did provide names of local plastic surgeons, so I am hopeful I’ll get properly treated asap as surgeons are scheduled to reopen soon. But I know plastic surgeons don’t want to correct other people’s work either so I sit wait and rot :( There’s no sign of infection visually at least per the oral surgeon, and no significant swelling on the outside of face. He doesn’t think my discomfort is related to my implant, as it may be tissue inflammation from trauma but my gum bone and jaw still doesn’t feel comfortable or natural. I’m concerned about migration and resorption and that this possibly needs debridement or removal! Possible Deformity as a result of same has made me very anxious. Can this be resolved fully without such an awful outcome!? Thank you for your help and advice.
I recently had chin augmentation and am quite satisfied with the results and healing. I consulted with three of the top-rated, board certified doctors in my large metro area and presented the specific concerns raised in this video. Not one, but ALL advised that movement is rare and that screwing a flexible implant in place was a very bad idea. I guess time will tell, but it seems the technique presented here is somewhat controversial.
I wish you luck. Many implant may not move, but many do move when not screwed as I get several requests a month to replace migrated implants. I can take several years, but trust me it is very common. I have a 30 year history and track record ofScrew retained implants, so definitely not controversial. I hope yours does not migrate if it does, call us.
my surgeon refused to use a silicone implant, he said they move with time. he said "modper" implants are much better however the company have stopped producing them are there any alternatives to silicone implants?
They don't move if they are fixated and that is why I use 2 screws on all silicone implants. Plus, many people don't use any screws and they don't move. Any implant can move. The problem with Medpor is if you have to remove it, It can fragment and be very destructive. Otherwise it is a good implant, just harder to fixate or trim or conform to jaw architecture because they are rigid. What ever works for a sp;ecific surgeon is a good choice.
My Dr. said he won't use a screw in a silicone implant because it may get infected. I told him it seems to be so commonly done but he insisted. I thought titanium screws resisted infection and are very biocompatible? What can I say to him about this?
I have personally placed at least 1,000 screws in implants over the decades and cannot tie them to infection. It is not impossible, but I know scores of surgeons that use them regularly. I have personally not seen an infected screw in over a decade.
I had a chin implant surgery two weeks ago and I'm really worried if the implant starts to move. Right now there is no problem, but I am afraid that I can't live a normal life and move my jaw without the implant starting to move. How common is it for the implant to start moving and causing problems? And does the implant often move right after the surgery, or can it start moving after ten years for example? My surgeon is experienced, but she didn't use any kind of screws for fixation which is why I'm worried. :(
I just got one done last week but I’m already regretting the size as we chose to go for a size small but a medium would of balanced out better. Also my lower teeth are aching and my left side of the chin feels like it’s asleep sort of how when ur leg falls asleep idk if that’s normal
Hello Dr Joe Niamtu, I would like to ask you one question about my chin implant isshue, If I can. I got chin implant 3 years ago and its placed in a wrong possition. I feel it while Im talking, because its too closed to my lower lip and thats annoying. I tryed massaging it and pushing it down, and its actualy helps and for a 15 minutes I have a good feeling while talking. Do you thing its possible to move it by myself down, if I will massaging it every single day? Thank you for your time, and I looking forward to your answer.
Joe Niamtu dr ..I have chin implant 9 years. .and I have dry mouth since 2 years. . Is thes can be related to my implant?? I don't know better to remove or replaced?
because of discomfort from the chin implant we decided to remove it and put a smaller one in. because of bone resorption the doctor did not put a smaller one in, so i have no implant but still a lot of discomfort, it hurts somehow and i have a dimple in my chin ever since it has been placed . what can i do to get rid of the discomfort, my underlip is also still numb and so i can not play my saxofoon anymore how i should play it
@@jniamtuiii improve over time,,,, well thank you for giving me hope, and my surgeon have seen a video about you and the screw you use , i send him that information and hhe was willing to use it . unfortunately my bone has decreased already so i dont have a new implant . will the hole in the bone heal too? you can see it from the outside that there is something wrong , my chin has a big dimpe actually allready from the start of the implant . thanks for all the videos that are allso helpfull for every surgeon and since he does not have the tome to look them up i am sending him the ones that are interesting for him to know and he was pleased with it .
Hey Dr. Niamtu! Do you per any chance offer custom jawline implants? Or just the custom chin implants? Id like to augment the jaw angles and the chin :) great stuff on your channel, perfect for mental prep before a surgery and research
I receive a chin implant . Now I am not able to smile my smile looks like I am the joker will this problem correct itself or is it possible for me to just remove the implant?
Many docs do that, but I still see many implants move that were sewn in. Many doctors don't use any means of retention and have good success. Having said that, I get weekly email from patient with migrated implants. In my opinion, nothing beats screw fixation.
doctor you are very profesional ask my doctor for one or two screw he denay and the implan is moving and i will sue him because i tell him him about his video and he even see
How does this happen? Shouldn't the surgeon know what they are doing? Scary, but I'm glad I'm researching it before I make a life changing decision.
Some doctors don't understand they dynamics of implants
I had a a mittleman jowl implant put in in 2006. I had severe pain and pressure swelling with molars gum bone and jaw the last few months...and the two last molars were finally removed. One was cracked and one was loose seemingly due to a crooked top tooth chomping on them incorrectly for over a year. It feels better since they removed the teeth but the complaint is not fully resolved. Does the silicone implant even go that far back after 14 years ? It feels like it may have migrated bc it ( or the bone) feels longer and higher up on that side. Trying to get a proper Ct scan by a PCP or Oral Surgeon was futile and to get a proper plastic surgeon or the original PS during this pandemic is impossible. My ENT neck and head surgeon is scheduled to call me to better direct me. I have some neck and throat issues too with a swollen lymph node so he may see me for that condition whether resulted or not ( I was thinking infection from implant) and hopefully give me a RX for a proper CT. Is a saggital ct the proper one? My insurance carrier did provide names of local plastic surgeons, so I am hopeful I’ll get properly treated asap as surgeons are scheduled to reopen soon. But I know plastic surgeons don’t want to correct other people’s work either so I sit wait and rot :( There’s no sign of infection visually at least per the oral surgeon, and no significant swelling on the outside of face. He doesn’t think my discomfort is related to my implant, as it may be tissue inflammation from trauma but my gum bone and jaw still doesn’t feel comfortable or natural. I’m concerned about migration and resorption and that this possibly needs debridement or removal! Possible Deformity as a result of same has made me very anxious. Can this be resolved fully without such an awful outcome!? Thank you for your help and advice.
A 3D CT scan should show the implant. It is hard to figure out without seeing a scan and you the patiet.
I recently had chin augmentation and am quite satisfied with the results and healing. I consulted with three of the top-rated, board certified doctors in my large metro area and presented the specific concerns raised in this video. Not one, but ALL advised that movement is rare and that screwing a flexible implant in place was a very bad idea. I guess time will tell, but it seems the technique presented here is somewhat controversial.
I wish you luck. Many implant may not move, but many do move when not screwed as I get several requests a month to replace migrated implants. I can take several years, but trust me it is very common. I have a 30 year history and track record ofScrew retained implants, so definitely not controversial. I hope yours does not migrate if it does, call us.
@@jniamtuiii Yes...I hope so as well!
Hi, is everything okay with implant? Are you satisfied with the result after this time?
This guy knows his shit about facial implants.
Listen, folks.
Thanks for watching
my surgeon refused to use a silicone implant, he said they move with time. he said "modper" implants are much better however the company have stopped producing them
are there any alternatives to silicone implants?
They don't move if they are fixated and that is why I use 2 screws on all silicone implants. Plus, many people don't use any screws and they don't move. Any implant can move. The problem with Medpor is if you have to remove it, It can fragment and be very destructive. Otherwise it is a good implant, just harder to fixate or trim or conform to jaw architecture because they are rigid. What ever works for a sp;ecific surgeon is a good choice.
My Dr. said he won't use a screw in a silicone implant because it may get infected. I told him it seems to be so commonly done but he insisted. I thought titanium screws resisted infection and are very biocompatible? What can I say to him about this?
I have personally placed at least 1,000 screws in implants over the decades and cannot tie them to infection. It is not impossible, but I know scores of surgeons that use them regularly. I have personally not seen an infected screw in over a decade.
@@jniamtuiii Thank you!
I had a chin implant surgery two weeks ago and I'm really worried if the implant starts to move. Right now there is no problem, but I am afraid that I can't live a normal life and move my jaw without the implant starting to move. How common is it for the implant to start moving and causing problems? And does the implant often move right after the surgery, or can it start moving after ten years for example?
My surgeon is experienced, but she didn't use any kind of screws for fixation which is why I'm worried. :(
Most don't move, even without screws, but the ones with screws don't move. I would consult with your surgeon if you are worried.
I just got one done last week but I’m already regretting the size as we chose to go for a size small but a medium would of balanced out better. Also my lower teeth are aching and my left side of the chin feels like it’s asleep sort of how when ur leg falls asleep idk if that’s normal
You should ask your surgeon, but most chin implant patients have temporary numbness.
Hi, is everything okay with implant? Are you satisfied with the result after this time?
Hello Dr Joe Niamtu, I would like to ask you one question about my chin implant isshue, If I can. I got chin implant 3 years ago and its placed in a wrong possition. I feel it while Im talking, because its too closed to my lower lip and thats annoying. I tryed massaging it and pushing it down, and its actualy helps and for a 15 minutes I have a good feeling while talking. Do you thing its possible to move it by myself down, if I will massaging it every single day?
Thank you for your time, and
I looking forward to your answer.
No, I think that you can't move it, has to be done surgically, we do that frequently for misplaced implants.
Joe Niamtu dr ..I have chin implant 9 years. .and I have dry mouth since 2 years. . Is thes can be related to my implant?? I don't know better to remove or replaced?
How many years did this situation take to occur in this patient?
Not sure exactly, some of the misplaced implants were there for years and others for weeks. Thanks for watching.
because of discomfort from the chin implant we decided to remove it and put a smaller one in. because of bone resorption the doctor did not put a smaller one in, so i have no implant but still a lot of discomfort, it hurts somehow and i have a dimple in my chin ever since it has been placed . what can i do to get rid of the discomfort, my underlip is also still numb and so i can not play my saxofoon anymore how i should play it
I think you need to discuss those issues with your own surgeon. Many times these things will improve over time.
@@jniamtuiii improve over time,,,, well thank you for giving me hope, and my surgeon have seen a video about you and the screw you use , i send him that information and hhe was willing to use it . unfortunately my bone has decreased already so i dont have a new implant . will the hole in the bone heal too? you can see it from the outside that there is something wrong , my chin has a big dimpe actually allready from the start of the implant . thanks for all the videos that are allso helpfull for every surgeon and since he does not have the tome to look them up i am sending him the ones that are interesting for him to know and he was pleased with it .
@@laptopm1113 Thanks for the update, hope it all works out for you.
Sir at jaw line how much area is not risky to put jaw implant
Not sure what you mean
What about fixating with permanent sutures? Does that also work to prevent micro- movement of the implant?
sutures move, screws don't. I prefer sutures.
@@jniamtuiii It seems like you prefer screws though... Confusing lol.
@@Ipsissimus No confusion on my end, in my 30 plus years of using screws has been superior. Thanks for watching
What are the aftr effects of having an implant??..doc plz giv me a reply
Most people are swollen for 1-2 weeks and their lip may be numb for a while. Generally pretty easy recovery.
@@jniamtuiii i mean ....is there any long term aftr effects?
Hey Dr. Niamtu! Do you per any chance offer custom jawline implants? Or just the custom chin implants? Id like to augment the jaw angles and the chin :) great stuff on your channel, perfect for mental prep before a surgery and research
Thanks. I don't do angle implants. Berry Eppley from Indiana does the most.
the implant should be replace for every years or it just Permanently?
It is permanent unless a problem occurs, which is rare.
I receive a chin implant . Now I am not able to smile my smile looks like I am the joker will this problem correct itself or is it possible for me to just remove the implant?
Impossible to say, you surgeon should be able to guide you.
Do you know of any doctors in the Chicago or Indiana area that specialize in chin augmentation?
Sorry, I don't
What about suturing a implant in place and the surgeon making a small pocket for it to fit?
Many docs do that, but I still see many implants move that were sewn in. Many doctors don't use any means of retention and have good success. Having said that, I get weekly email from patient with migrated implants. In my opinion, nothing beats screw fixation.
Is it normal to still feel numbness after 8 months post surgery?
Talk to you surgeon, but it can take over a year for things to settle down in some cases
hi
doctor you are very profesional ask my doctor for one or two screw he denay and the implan is moving and i will sue him because i tell him him about his video and he even see
Sorry to hear that, it could still heal OK