“If I ever have it taken out, will my face sag?” It is the question men ask quietly before a jaw implant, and it deserves a straight answer rather than a reassuring one. It matters because the tissue over an implant, the skin, fat and chewing muscle, behaves differently from one face to the next, and a surgeon who quotes a blanket rule is not describing you. At Troell Cosmetic Surgery, Dr. Robert J. Troell, a Fellow of the American College of Surgeons, assesses that individually: what the soft tissue does after a jaw-angle implant comes out depends on the patient, on anatomy, implant size and time in place, and he examines it himself at follow-up instead of promising an outcome in advance. The implant shape is designed per patient on the patient's own CT scan, and the smooth solid silicone he uses develops little tissue ingrowth, so removal or replacement stays straightforward. Our medicalSpecialty is facial plastic surgery, and Troell Cosmetic Surgery & Facial Plastic Clinic is a cosmetic and facial plastic surgery practice. How removal is judged, and what the material means for it, is in our custom jawline implants guide — tap Learn More to read it.