last year i had a intramural chin implant removed. Since then, the inside of my bottom lip sticks to my bottom gum. The best way i can describe it is if you imagine a large sticky gummy bear stuck on the inside of your mouth and you can't remove it. It feels gross! The mentalis muscle feels extremely tight and i can't close my mouth. I have dimples on my chin as well Is there anything that can be done for these problems? thankyou very much
March 16, 2018
Answer: Treatment of Chin Vestibular Stenosis/Scar You have vestibular scarring because the incision was placed too low in the vestible. Now there is web banding across it and tightness. The reapproximation of the mentalis muscle may or may not have been done adequately. This is a tissue deficit problem and I have found that the placement of a dermal fat graft in the vestibule with the use of the dermal side as an inter positional graft after the scar release to be very effective for this type of vesicular stenosis problem. Resuspension of the mentalis muscle can be done at the same time if that is needed but it is not clear of its necessity based on your pictures alone.
Helpful 8 people found this helpful
March 16, 2018
Answer: Treatment of Chin Vestibular Stenosis/Scar You have vestibular scarring because the incision was placed too low in the vestible. Now there is web banding across it and tightness. The reapproximation of the mentalis muscle may or may not have been done adequately. This is a tissue deficit problem and I have found that the placement of a dermal fat graft in the vestibule with the use of the dermal side as an inter positional graft after the scar release to be very effective for this type of vesicular stenosis problem. Resuspension of the mentalis muscle can be done at the same time if that is needed but it is not clear of its necessity based on your pictures alone.
Helpful 8 people found this helpful
May 13, 2014
Answer: Chin implant scar The scar can sometimes be resected, but if severe may need a mucosal graft to reconstruct the area. The dimples are easily treated with Botox. You need to consult someone who does a lot of this as it an advanced case, especially if you have mentalis dysfunction, which if all have dimples, it is probably minor.Joe Niamtu, III DMD
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May 13, 2014
Answer: Chin implant scar The scar can sometimes be resected, but if severe may need a mucosal graft to reconstruct the area. The dimples are easily treated with Botox. You need to consult someone who does a lot of this as it an advanced case, especially if you have mentalis dysfunction, which if all have dimples, it is probably minor.Joe Niamtu, III DMD
Helpful
