Hollow Wrinkle Between Lower Lip and Chin?

The crease between the lower lip and chin is called the labiomental crease. This is difficult to improve in some patients as it is tightly bound down to the underlying tissue. Botox may help a little, but has a risk of affecting the function and appearance of your lower lip.
Often subcision, a dissecting procedure, is done from below the crease by placing a needle adjacent to it and cutting the bands of collagen that hold it down. Immediately thereafter or at another appointment, a filler may be placed under the crease to help lift it. There are many such creases that don't need the subcision. Good luck.

A deep furrow between the lower lip and the chin, the labiomental crease, which may resemble an upside down smiley face, may result from a family trait predisposition or more typically follows years of use of the surrounding muscles of facial expression. While considered one of the signs of facial aging, it can be seen in younger people as well.

Fortunately, most instances of these deepening clefts can be improved with the use of volumizing fillers, such as Radiesse or a combination of Radiesse and Perlane L--both of which are excellent lifting agents and the ones I use in my Upper East NY practice. In my Israel practice, where a greater number of regulatory agency approved products are available, I prefer to use the more robust version of Perlane, Restylane SubQ, either alone  or in combination with Radiesse for this purpose. 

In most cases, volumizers are sufficient to give the necessary lift to correct the problem. However, in instances where additional improvement may be needed, subcision may be performed. Subcision, a minimally invasive technique requiring only local anesthesia, entails the use of a fine needle inserted directly under the depression and moved from side to side to break up any fibrous tissue bands that may be pulling the overlying skin downward. Once freed from these fibrous tethers, the overlying skin can "float" to the surface and volumizing fillers can then be added (I prefer to do so at the same treatment session to eliminate the need for a second visit) to fill the newly created space below the crease and to further buttress the improvement and potentially prolong the benefits of treatment.

Occasionally, if the muscles of facial expression around the crease, such as those that give rise to the pebbly appearance of the chin or the marionette lines appear to be contributing to the problem, a few microdroplets of a neuromodulator, such as Botox, Dysport, or Xeomin, may be instilled in these surrounding areas to achieve additional improvement of the entire aesthetic unit.

 

This labiomental skin crease can be appropriately treated with a filler.  Juvederm and Restylane work well for this area, but may last 6-9 months.  Radiesse lasts up to 18 months but must be carefully injected into the appropriate plane to avoid lumps.  There is also a semipermanent filler, but I tend to avoid this as complications associated with it are difficult to correct. 

The use of Botox is an advanced application.  As such, it should only be used by physicians who are experienced in injecting in this area.  The line which occurs between the lip and chin is called the labiomental crease and can be softened with the proper use of Botox.  

The labiomental crease is located between your lower lip and your chin.  It is a difficult area to great is Botox is not an effective treatment.  Dermal fillers may help somewhat but are also not very effective.  Surgery is the best option to release the underlying attachments.  Good luck.

The area between the lower lip and chin is called the labiomental crease. Botox to the chin will help in this area by softening the muscle that pulls the chin and causes the crease. You can add a filler such as Restylane, Juvederm or Radiesse to this area depending on how deep the crease is.

The hollow, deep, wrinkled area between the lower lip and the chin is called the labiomental crease. Botox can help soften the muscle pull. Another filler can then be used along the crease and lateral to improve the appearance. But this is not guaranteed as that area is difficult to improve.

 

The valley between lips and chin is called labiomental crease and fillers can be quite helpful to soften the demarcation. On the other hand, Botox or Dysport can be effective to minimize gnarled appearance that some individuals have on the chin by relaxing the mentalis facial muscle.

This is a good question because so many consumers are unaware of all the many ways that Botox or Dysport may be used apart from treating the frown lines.  As all of the panel members mentioned, Botox to this area works well in softening this strong facial muscle.  We often utilize a combination treatment of both Botox and dermal fillers such as Restylane or Juvederm to shape the chin and soften the crease.  Oftentimes, the sides of the chin begin to develop depressions, and the skin begins to develop lines and wrinkles that reflect changes to the lower face.  Softening this area and smoothing out the topography is an excellent way to restore a more youthful, relaxed appearance.

See the below link for further information and photos.

The groove between lower lip and chin is called ' Labiomental or mental groove'. It is caused initally by the aggressive chin muscle (Mentalis) continuously pushing upwards and with time becames deeply engraved.
The first line of action is to use Botox in the chin (Mentalis) to stop the movement.
Next step is to use a filler in the groove, such as Juvederm, Restylane, Radiesse or Sculptra
Regards