Underdeveloped jaw or collapsed skin - seeking a second opinion before proceeding with labiomental crease filler (photos)

Question

My lower lip does not protrude as far out as my upper lip does, my mouth corners are downturned, and the area between my mental crease and lower lip is hollow. I am wondering if this is a bone structure issue or if it is just collapsed skin under my mouth. A cosmetic dermatologist told me I just need some filler in the labiomental crease and oral commissures but I’d like a second opinion before proceeding

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your concerns and seeking a second opinion before proceeding with treatment. Based on the description and your photos, it seems like the issue could be a combination of both bone structure and skin laxity. A recessed lower jaw can contribute to the appearance of a disproportionate lip protrusion and a hollow area between the lower lip and chin.

Fillers can be an effective solution to enhance the labiomental crease and oral commissures, providing more balance to the facial profile and improving the appearance of downturned mouth corners. However, it is crucial to ensure that the treatment plan aligns with your aesthetic goals and addresses the underlying issues.

I recommend consulting with a board-certified dermatologist or plastic surgeon who has experience with facial contouring. They can perform a thorough facial assessment and discuss whether fillers alone will achieve the desired results or if additional treatments, such as jaw augmentation or skin tightening procedures, might be beneficial.

Remember, it's essential to choose a practitioner who understands your concerns and can tailor the treatment to your unique facial anatomy. If you have any further questions or need assistance, feel free to reach out.

Eric M. Joseph, MD · Answer

This area is notorious for leading to nodules bumps or visible product. You could certainly consider fillers to the corners of your mouth to fill these indentations. I hope this helps! Sincerely, Dr Joseph

Falguni Patel, MD, FACOG · Answer

Hi!
The concerns you are expressing are very valid and actually very common as well amongst men and women. Starting at age 28, we actually lose collagen which leads to increased skin laxity, loss of volume, and hallowing in certain areas of the face. Genetics and environmental stressors plays a role in how our face ages as well. In your particular case, the downward smile can be fixed with a little toxin (i.e. botox, xeomin, dysport etc) injected to the muscle that controls the pull of the smile, and when it kicks in the smile will be turned upward. Adding a little filler to the chin/lip area will provide more balance in your lower face as well and restore some lost volume.

Underdeveloped jaw or collapsed skin - seeking a second opinion before proceeding with labiomental crease filler (photos)

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Underdeveloped jaw or collapsed skin - seeking a second opinion before proceeding with labiomental crease filler (photos)

Answers (3)

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Everything you need to know about Chin Filler

Our mission is to create a world where every investment in modern beauty is Worth It.