How Can I Fix My Deep Labiomental Fold?

Q: Dr. Eppley, I have a deep mental crease on my chin that i want surgically fixed. i want a permanent solution for removing the line instead of fillers and Botox. i read on the internet that there is a surgery to release the muscle from the skin so the line is no longer there.

A: There are surgical procedures that can help reduce a deep labiomental fold but no procedure can completely remove it. You have an inverted V-shaped crease which is the most refractory to change. While placing fat grafts behind to push it out, these V-shaped folds are very resistant to such maneuvers. The external open approach with dermal graft placement is the most effective but that results in a fine line scar very much like the one you have from the indentation…only less deep.

Dr. Barry Eppley

Indianapolis, Indiana