AboutAlan M. Engler, MD, FACS Expertise Dr. Engler has answered over 2700 plastic surgery questions for Allexperts. His expertise is in cosmetic plastic surgery including breast surgery (breast enlargement with implants, breast reduction, breast lifts), liposuction, eyelid surgery, tummy tucks, facelifts etc.
Dr. Engler has been listed as one New York`s Top Doctors, and as "One of the World's Most Famous Aesthetic Surgeons" (Aesthetic Surgery, TASCHEN Books, Angelika Taschen, Editor). He is the author of 4 books, including "BodySculpture" (a best-selling plastic surgery book on breast surgery, liposuction and tummy tucks), "EyeScapes" (Plastic Surgery of the Eyelids), "Restylane," and "The Slim Book of Liposuction."
Dr. Engler has two US Patents for surgical instruments that he's designed, and has appeared on numerous television shows, including The Tyra Banks Show, The Ricki Lake Show (four times), and the Dr. Keith Ablow Show. Videos of his appearances are available on YouTube (SEARCH FOR "DR. ENGLER"). His website is www.bodysculpture.com.
Experience Dr. Alan Engler is a board-certified plastic surgeon in New York and the author of BodySculpture - Plastic Surgery of the Body for Men and Women (ISBN 0966382749) one of the top-selling plastic surgery books on amazon.com, barnesandnoble.com, etc.
Education/Credentials Dr. Engler graduated from Yale University (undergraduate) and the College of Physicians and Surgeons of Columbia University (medical school). He did his residency training in General Surgery and, after that, Plastic Surgery, at the Montefiore Medical Center in New York. He is on the faculty of the Albert Einstein College of Medicine in New York.
Question Hello
I'm Mother of 38 years old .
I had a chin implant 9 months ago (silicon - intraoral)
The doctor removed the implant 18 days later because was too big for me and put a little one....but 15 days later i was too swelling and i had to come back to Atlanta and he removed the implant completly.
2 days later i had a fluid inside and the doctor take out th fluid with a needle all looks good but 1 week later I had a hard golf ball in my chin.
Now is 9 months and is better and softer but still you can see a ball and the more deformity is right under my bottom lips for this reason I don't have the "S " form so I don't have de mentolabial sulcus...
I saw two doctors in Atlanta and they told me that Ihave a scar tissue and they wante to try with steroids.
Questions:
-Is the steroid work enough to have a normal S form
-Can I have a normal chin agai?
All this problem is a nightmare and I feel so depres because I don't know if I will come back to my pre-op.
Thank you a lot
Maria
Answer from Dr. Alan Engler
www.bodysculpture.com
Hi Maria,
I'm obviously sorry for the problems you're having.
It sounds like the right things have been done thus far; trying a smaller implant, removing that when even that didn't help, getting the wound closed, and now considering steroid injections. The scar tissue may settle down on its own over time but, at 9 months, it's reasonable to try a little steroid. A little - there are problems with too much.
The only other thing is that, now that you're healed, if you still have a deformity, you may want to reconsider trying to insert a SMALL chin implant. I know that that sounds like the craziest idea, and you may not even want to consider it, but, in a way, that might be the best way to reshape the chin.
I know it's easy for me to say, but it's just a thought,
