How Can I Make My Labiomental Fold Less Deep?

Q: Dr. Eppley, I have a deep mental crease. Some time ago I underwent a bilateral sagittal split, which I am told was successful and to date, have had no issues. I have regular checkups at the dentist and have been told that my bite is fine, after years of feeling that it wasn’t. For the deep crease the dentist did suggest fillers to me however, I understand this is only a temporary measure and I would prefer a more permanent solution if at all possible.

I did not have my chin altered during the surgery, although I was led to believe this was going to happen and was offered to have it done at a later date, but I declined their offer.

To me my chin has had such an impact on my self confidence over the years and I am wondering if you would be able to help me please 

I am based in the UK and have been unable to find anyone who does this kind of surgery.

Picture of my face taken this week and my chin this week.

Kind Regards

A: If I interpret your inquiry correctly your goal is to have the labiomental crease made less deep. Otherwise the structural shape of your chin is acceptable. While injectable fillers are one treatment option you have correctly assumed that they would be temporary Fat grafting is a more assured option for softening the deep labiomental crease and this could be done by either a percutaneous injection technique or the placement of an intraoral dermal-fat graft….each has their own advantages and disadvantages.

Dr. Barry Eppley

Indianapolis, Indiana