Will a chin implant deepen my mental sulcus? (Photos)

Question

I’m 47 and am scheduled for a chin implant. My doctor warned that it may deeper my mental crease, but the aesthetic benefit would outweigh the deepening of the crease . Also should I get a small or medium implant. I have full lips, so the doctor said he will choose which looks best in surgery.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. While the crease may deepen after chin augmentation, the aesthetic benefits will likely outweigh this concern. Inserting a chin implant can add a well-defined projection to the jawline and bring balance to the rest of the facial features. 
The size and shape of the implant should be compared to each individual patient’s bone structure and aesthetic goals. Silicone implants are often recommended because they are the easiest to customize. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concerns and develop the best approach for you.

Michal Brichacek, MD · Answer

A chin implant will definitely deepen the mental crease by nature of making the chin larger. Different surgeons have different preferences when it comes to sizing. We like to take a Vectra 3D image and use that to help with sizing.

Michael P. Morrissette, DDS, FACS · Answer

A chin implant does tend to increase the depth of the mentolabial fold. It is a good idea to allow the surgeon to select the best fit for your chin.  You may need a medium or large implant as your chin is moderately recessed.

Marc Polacco, MD · Answer

Thank you for your question. While an implant will deepen the crease, it will also help add projection and definition to the chin and jawline. I tend to base implant size based on patient bone structure and height. In general the taller the patient, the more likely a larger implant will be needed for a natural result. All the best to you!
-Dr. P

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are an excellent candidate for chin augmentation. It is a straight forward surgery with little downtime. The labiomental crease is often worsened with this procedure, however I have had a very high success with subcutaneous release and fat grafting to this area. Best wishes to you.

Daniel Barrett, MD · Answer

Dear Sincere3539,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Joseph Shvidler, MD · Answer

In your particular situation, the sulcus between your lower lip and chin may look deeper, due to jetting position of your lower teeth. However, your overall aesthetic balance will improve. You will also likely get improvement in your neck laxity.

Mats Hagstrom, MD (license on probation) · Answer

When contemplating getting chin augmentation it’s important to look at the shape or angle of the chin. In your case the chin is not very pointed and your labelemental angle is not problematic for getting an implant. For individuals who already have a pointed chin augmentation can create a witches chin appearance. With the modest augmentation I think you’ll be fine and any increase in the labiomental angle is probably justified.

The alternative procedure is a sliding genioplasty.

Horizontal augmentation can worsen an already deep labiomental ankle but vertical augmentation does not.

Some people benefit from both vertical and horizontal enhancement.

Best,

Mats Hagstrom MD

The alternative procedure is a sliding genioplasty.

Horizontal augmentation can worsen an already deep labiomental ankle but vertical augmentation does not.

Some people benefit from both vertical and horizontal enhancement.

Best,

Mats Hagstrom MD

Will a chin implant deepen my mental sulcus? (Photos)

Answers (8)

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