Ask a doctor

How Can a Chin Cleft Be Removed? Botox, Cutting the Fascia of Mental Muscle?

How are the results of using Botox, are there any complications? Can it be also done by cutting the fascia of mental muscle?

Doctor Answers (3)

How to remove a chin cleft

+1

The four basic ways of reducing chin clefting include:

  1. Filler injection to plump of the cleft temporarily. The filler isn't permanent and resorbs over the course of 6-12 months (depending on which filler is used).
  2. Bringing the mentalis muscle toward the midline with sutures
  3. Shaving the chin bone to smooth it out
  4. Grafting soft tissue into the cleft to fill it in permanently

Often a combined approach that uses muscle sutures, bone shaving and soft tissue grafting is used. This involves placing an incision on the inside of the mouth to access the area to do the surgery.

You can read more about chin cleft reduction surgery at my web reference link below.


Seattle Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Chin Cleft Reduction

+1

Chin clefts can be reduced by a variety of techniques. Injectable fillers can provide an immediate non-surgical improvement that will last as long as the filler persists. Permanent chin cleft reduction can be done through an intraoral approach where the mentalis muscle is divided, filled with a fat graft or dermal implant and then the muscle plicated onto itself. Either of these two procedures produce a reduction but not always a complete eradication of the chin cleft. 

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
5.0 out of 5 stars 26 reviews

Cleft Chin Removal

+1

Because the anatomy of a cleft chin results from a lack of muscle (or excessive muscle separation) in the midline of the chin, botox &/or cuting tissue away will just make it worse.  Thus, the midline actually needs fullness added by way of either an implant or a long acting filler such as Aquamid that last for 5+ years.  Glad I could help...RAS

Ryan Stanton, MD
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 16 reviews

You might also like...

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.