Will fat graft fix my deep mentolabial fold? (Photos)

Question

I have a very round mentalis muscle and a quite deep mentolabial fold, but I'm not sure as to why. I also feel I have a protruding chin. I'd like to get it fixed, yet I have no clue what exactly. Would a fat graft or an implant help? Any permanent solutions to improve the chin?

Tim Neavin, MD · Answer

This is a great (yet unusual) question.  The ML fold is often ignored in plastic surgery for no good reason.  It is an area I routinely inject to support the lower lip and rejuvenate the perioral area.  When this area is volumized, it can  also soften the transition to the chin.

Zoran Potparic, MD · Answer

It is very difficult problem to solve permanently. You should try filler first to see the effect. It should be done by a board certified plastic surgeon because it requires release of adhesion between the skin and muscle before placing filler. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

The appearance of each persons face is primarily determined by facial skeletal structure. soft tissue coverage tends to be very consistent from person to person this is especially true for young people.
In your case the body of the mandible it’s lacking in projection and this gives you a dental overbite occlusion with your upper teeth sitting slightly forward compared to your lower teeth. at the same time the mentalis or the tip of your mandible or chin project significantly.
The soft tissues simply follow the skeletal contour and then this area it starts with the lip who’s position is based on where your lower teeth sit followed by the projecting chin.Most people look at this and see it as a soft tissue issue but it is in fact a tissue that’s based on the skeletal structure including your teeth.
Attempt of treating this with soft tissue manipulation will be limited because soft tissues are normal and are not representing the problem.
If you want to try augmenting the area then fat transfer is not a good technique.
Try a few rounds of filler and see if you like the outcome.
If you want to dress the primary underlying problem then consult with a few local oral surgeons.
You’ll probably find plastic surgeons will also take a soft tissue approach. Any time and treatment doesn’t directly affect the underlying primary cause of the problem the results will be limited.
Best,
Mats Hagstrom MD

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