Intraoral Scar from Chin Implant - Mentalis Muscle Resuspension? (photos)

Thank you for your pictures. Your webbing is incisional placement problem. This can be corrected but it may need supplemental tissue especially if it is if it affects the gum tissue that is closest to your teeth. The mental is muscle can be repositioned to help you achieve better lip competence.  The dimpling your chin is a soft tissue/scarring deficit. This can be nicely treated with fillers as a temporary measure or fat as a more permanent solution.

Depending on your examination, you may be a candidate for scar revision or possibly intralesional steroid injections to try to soften your intraoral scar. The dimpling on your chin may be improved, depending on the cause. If it's from a hyperactive mentalis muscle, Botox or Xeomin may prove beneficial. If they are only at rest, you could consider an injectable filler.Hope this helps you.Dr. Joseph

This scar can be removed and replaced with an incision that should sit flat. If your profile still bothers you, a chin augmentation procedure could be performed at the same time. With regard to the trouble closing your mouth, that will need to be evaluated in person to make any specific recommendations. The dimpling in your chin is frequently responsive to Botox. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

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.

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

Cosmetic Facial Surgery

Richmond, Virginia

niamtu@niamtu.com

You should have the scars removed and have sliding genioplasty performed to get the form back.