Q: Dr. Eppley, How to improve my undereyes? Can a chin augmentation be done that doesn’t simply just push the bottom tip of the chin forward ?(but fills in below the lower lip as well)
A:In regards to your chin augmentation question, the depth of the labiomental fold (under the lower lip) can never be changed by any form of chin augmentation and it will always end up a little deeper with any form of increased chin projection., That is because the labiodental fold represents the attachment of the mentalist muscle above the chin bone. The attachment of the muscle can not be changed or removed for the obvious functional reason. That being said it can be treated at the same time as a chin augmentation by either fat injections (externally) or a dermal-fat graft. (internally) The latter is more effective at reducing the labiomental fold than the former.
Your lower eyelids show classic pseudo fat herniation due to recession of the infraorbital rims. This can be improved by a lower blepharoplasty that takes the bulging fat and repositions it over the bony infraorbital rim bone to create a smoother lower eyelid contour into the cheek.
Dr. Barry Eppley