Is a deep mentolabial sulcus an aesthetic concern when wanting to increase horizontal chin fullness with implant? (Photo)

Question

Hello, I'm interviewing docs for a chin implant and neck lift. I'm getting different opinions on the implant. One didn't recommend an implant because it would make my mentolabial sulcus deeper and my lips more puckered because an implant pushes the chin horizontally forward. A second disagreed and said the implant is lined with the jaw bone which points slightly downward and so the lower part of the chin would look fuller and tapper into the sulcus. Who is correct? Thanks

Jonathan Kulbersh, MD · Answer

I am impressed with the detailed nature of your question.  You are correct that you have both a deep labiomental sulcus and a weak chin.  In this situation, I do not believe a chin implant is contraindicated.  I would be conservative with your chin implant, and I would not place an over large implant.  A large chin implant will make the crease appear to deep but a small or medium chin implant would help with your result of a neck lift.  I hope this helps

Barry L. Eppley, MD, DMD · Answer

If you have a chin augmentation that increases both horizontal and vertical chin projection (which you need), your deeper labiomental sulcus will not be a concern. But if you increase horizontal projection of the chin only, the labiomental fold will get deeper.

William Portuese, MD · Answer

The photograph demonstrates significant fatty deposits in the neck, and a mildly weak  chin profile. A neck lift with a small chin implant can help  give a better jawline definition without having to worry about in mental labial sulcus.  For many examples, please see the video and the link below

Is a deep mentolabial sulcus an aesthetic concern when wanting to increase horizontal chin fullness with implant? (Photo)

Answers (3)