What will happen if I fix my mentolabial sulcus? (Photos)

The cause of your deep mentolabial fold is the diminished height of your chin. Fillers are not going to improve this fold. The treatment for a short chin is a vertical lengthening genioplasty. This surgery will diminish your mentolabial fold and provide excellent facial balance to the lower third of your face. The surgery is performed in the office with intravenous sedation. There is no change to your bit and the recovery is about 3-5 days.

Good question! Firstly, it is rather difficult, though not impossible, to soften that sulcus or groove by filling it. That groove represents the internal attachment of your lower lip. I have tried various fillers, as well as synthetics, to bring it outward with only minimal longterm success. Additionally, you have to be careful when placing a chin implant so that you don't get a "witch's chin" deformity!

Based on these photos, you may benefit from chin implant? It will give opportunity to correct your mentolabial angle at the same time, if needed. Filler and fat grafts are options as well. In person consultation with an experienced board certified plastic surgeon is recommended. Good luck.

If you use a hyaluronic acid filler to fill in your labial mental sulcus you should see a smoother transition which should not effect your mouth movement. If for some reason you don't like the look then it is reversible with hyaluronidase.

Based on the photo, you appear to be a candidate for a chin implant. To understand your options, consult in person with an experienced and expert board certified plastic surgeon.

The best technique in my experience to significantly reduce the depth of the labiomental sulcus is the placement of an intraoral dermal-fat graft after release of the indented sulcus skin. This will not affect mouth movement. Another approach, and a better one from an aesthetic standpoint, is to vertically lengthen your chin which is why yours is too deep. (short vertical chin)

I suggest adding some filler in this area. That should have minimal impact.

Best,

Mats Hagstrom, MD

There are many different way to improve your mentolabial sulcus. The simplest one is to use a biocompatible filler. An autologous fat transfer is slightly more complicated even a surgical release and placing an autologous dermal graft.