Filler to deep mental crease? (Photo)

Question

I have been experiencing an unfortunate complication from the removal of a large jaw implant. My lower lip is sagging and I have a deep mental crease possibly due to a loss of support in my mentalis muscle. I've had the muscle repaired a couple of times, but it only lasts about 6 weeks or so, and then my lower lip reverts to a low position as before. Is it possible to regain a little improvement if I were to fill the deep crease?

Nadir Qazi, DO · Answer

Thank you for reaching out with your question about your unfortunate complication from the removal of a large jaw implant. It is understandable that you are experiencing a sagging lower lip and a deep mental crease, which could be attributed to a loss of support in your mentalis muscle. While you have had the muscle repaired a couple of times, you mentioned that the results only last for about 6 weeks before your lower lip reverts to its previous position.
Regarding your question about whether filling the deep crease could lead to an improvement in your condition, the answer is not entirely straightforward. Filling the deep crease with dermal fillers, such as hyaluronic acid-based fillers, could potentially help to restore some volume and structure to the area, thus reducing the appearance of the crease. However, it is important to note that this would not address the underlying cause of the problem, which is the loss of support in the mentalis muscle.
To address the root cause of your condition, it may be necessary to explore other treatment options such as muscle repositioning or fat grafting to provide more structural support to the area. These procedures can help to redistribute tissue and restore the natural contours of your face, potentially leading to a more sustainable improvement in your condition.
It is important to consult with a qualified and experienced dermatologist or plastic surgeon to determine the best course of action for your specific case. They will be able to assess your condition and recommend an appropriate treatment plan based on your individual needs and goals.
In conclusion, while filling the deep crease could provide some temporary improvement to your condition, it is important to address the underlying cause of your problem to achieve a more sustainable and long-lasting result. We wish you the best of luck in finding a treatment plan that works for you.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

Jawline and Chin contouring would significantly help your lower face contour. I would use these fillers in combination with Morpheus 8 to help improve the shape and resiliency of these areas.

Dr. Karamanoukian
Realself100 Surgeon

Nima Shemirani, MD · Answer

Hi @Rs1518.  Dermal fillers can be used to help soften the depth of the mental crease.  I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of luck, Dr. Nima!

Erin Smith, MD · Answer

A trial of intradermal filler to increase the volume of the mental crease may improve your symptoms, however would be a non-permanent solution. It is recommended you discuss options with your treating provider.

Eric M. Joseph, MD · Answer

Filling mental creases may lead to visible product, so this should be performed judiciously. That would not address "sagging" of your lower lip, only the crease's appearance. Hope this helps! Dr Joseph

Nelson Lee Novick, MD · Answer

The routine use of robust HA fillers for elevating and recontouring the so-called "mental crease," the horizontal depression below the lower lip and above the chin. I have routinely been performing this filler technique for many years (as it helps not only improve the appearance of the region in full face, but in profile view, as well). It takes only about five minutes in experienced hands and the results typically elicit an immedate "Wow!" reaction. Just make sure to consult an experienced, board certified cosmetic dermatology injector. Best of luck.

Camille Cash, MD · Answer

Yes, filler can be used to help soften the depth of the mental crease.  The treatment is done in the office with the results lasting approximately a year.  See an expert injector near you to learn more.

Robinson Facial Plastic Surgery - Alpharetta · Answer

Hello there! Filler in the mental crease could certainly soften that for you. I would also recommend a small amount of Botox or Dysport to the base of your chin, to keep it from curling upward, which would exacerbate the crease. The idea with the filler would be to soften the crease rather than completely get rid of it, and I believe that is totally doable. Good luck!

Thomas Spalla, MD · Answer

That's a challenging situation that you have. Filler may be possible, but this needs to be done judiciously - possibly over several sessions to ensure that there's not too much pressure being exerted on tissues that I'd assume are somewhat fibrotic given your unique situation.
You may wish to ensure that the bone beneath has good volume. Consider seeing an oral surgeon who should be able to assess this in the office through a cone beam CT scan. If there is significant bony loss, an oral surgeon could perform bone grafting to this region in the office.

Filler to deep mental crease? (Photo)

Answers (13)

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