Can multiple fat injections permanently decrease the labiomental fold? (Photo)

Question

I have a pretty tight fold under my chin which also causes a line to form under my lips. I don’t like how this looks from profile view either. Would the morphs be possible with fat injections? How much would this cost and how many sessions would I need?

Ajaya Kashyap, MD · Answer

Thankyou for your query! Fat injections can certainly decrease the sharp angle of the fold that you are describing. Usually one or two sessions suffice, but it depends on your anatomy and the movement in the area. Please find an experienced Board certified Plastic surgeon who can examine you and help you with al your concerns. All the best!

Zoran Potparic, MD · Answer

The easiest way to find out what can be achieved with augmentation of labio-mental depression  (crease) is correction with  a filler; a small amount of filler may achieve significant improvement. In person consultation with a board certified plastic surgeon, is recommended. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

Your facial bone structure has a projecting chin that gives you a deep labomental fold. fat grafting is not a good option for this. all of the issues stem from your bone structure and soft tissue manipulation is not going to treat the underlying primary problem which is skeletal. 
Your mandible is short it lacks projection all the way up to your incisors and from there on your chin project excessively. most likely you’ll have a significant overbite dental occlusion. On profile pictures your upper lip has more forward projection than you lower lip despite that your chin projects as as much as it does. I suggest you consider having a few consultations with local oral surgeons who can give you a more definitive assessment regarding what’s going on and how your facial bone structure is affecting how this soft tissues behaved. The problem is not a lack of fat. multiple fat injections would just create a new problem you didn’t have before.
If you’re going to experiment with volume augmentation as a solution then you should definitely start with fillers because they are far more accurate, predictable and forgiving. Once fat is grafted it’s very difficult to remove if you don’t like the outcome.
Fat is good for diffuse overall volume but it’s not good for precise small areas of augmentation on the face. For that fillers are by far superior.
Oral surgeons tend to look at things from a bone perspective which is almost always the fundamental reason why each person looks the way they do. Soft tissues tend to be very consistent and predictable from person to person. What varies how each individual person looks is based on bone structure.
Plastic surgeons Tend to be more soft tissue oriented. It’s a good idea to have a clear understanding of what the primary underlying problem is even if you opt for a secondary treatment.
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Mats Hagstrom MD

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