What causes this deep chin crease and how can I fix it? (Photo)

Question

I have a slight overbite and I'm curious if it can cause or at least worsen this deep crease.

Alejandro Nogueira, MD · Answer

It is a widely spread idea osseous genioplasties consist of only 
sliding genioplasties, which is absolutely untrue; with just sliding the
 chin bone you can address successfully the issues and wises of no more 
than 30% of the patients seeking chin surgery.
There come the 
multidimensional osseous genioplasties, those aiming to modify 
structurally the chin bone by means of increasing or decreasing the 
dimensions of one, two or three dimensions of the chin. 
Actually 
there can exist weird combinations in which the case needs shortening 
certain axis and enlarging other/s. You are one of such peculiar, 
challenging and (professionally) interesting cases.
Your atypical facial profile at the chin and the deep labiomental crease is due to a combination of the following:
-extremely short vertically chin dimension
-too prominent and oversized anterior chin projection
-(I guess, frontal and oblique views needed) too broad and square horizontal width
Therefore
 you'd be a case for vertical enlargement (bone graft supply is bound 
here) and anterior deprojection / reduction (never ever sliding 
backwards, which leads to a double chin deformity) and eventually 
horizontal narrowing.
Eventually we can consider a strip grafting to smooth the labiomental crease, but it is very likely with just the aforementioned custom genioplasty may suffice; intraop assessment and decision-making is bound here. You may wonder about the effect of only correcting the depth of the labiomental creas... in your case a total disaster, an "en bloc" look and too masculine.
Feel free to request additional information and advice, with full set of images if possible.

Chang-Hyun Oh, MD · Answer

If I am getting your question right, you are mentioning 'labiomental groove'.
this groove is defined as a groove between lower lip and chin.
There are several causes for deep labiomental groove.
Sometimes it is caused by micrognathia, and malocclusion ( your overbite may be one cause.)
In some cases it is caused by hypertrophy of chin bone, or hypertrophied muscles.
To define the definite cause, you should visit your surgeon.

What causes this deep chin crease and how can I fix it? (Photo)

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What causes this deep chin crease and how can I fix it? (Photo)

Answers (2)

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Everything you need to know about Genioplasty

Our mission is to create a world where every investment in modern beauty is Worth It.