Implants or Fillers for Labiomental Sulcus?

For treating the folds around the mouth and chin I recommend using some type of volume enhancement to "fill" in the fold. Lifting procedures typically do not work well here. I avoid implants having seen enough problems with the older gortex implants that were used in these areas. I prefer to use HA fillers such as Perlane or Juvederm. For a more permanent solution I like fat grafting using the patients own harvested fat.

A good thing to try out is to use fillers like perlane or restylnae, or juvederm to see how it fills out your sulcus.  Permanent fillers like silicone are frought with problems.