How Can This Dent That Appeared Between My Lower Lip And Chin After A Sliding Genioplasty Be Fixed?

Q: Dr. Eppley, i recently got a sliding genioplasty and all though the procedure went great, I found a new dent that appeared between my bottom lip and chin and every time i pull my bottom lip it appears, I wanted to know if you can fix it after my genioplasty.

A: The dent to which you refer is the deepening of the labiomental fold which is a natural occurrence in any sliding genioplasty in which significant horizontal projection is done. It can also occur, however, if the labiomental fold tissues/mentalis muscle closure gets sewn down too tight combined with failure to fill in the stepoff bony defect from the sliding genioplasty…which appears to be what your video is showing.

This is treatable but it depends on how far postop you are…which you did not provide your surgery date in your inquiry.

Dr. Barry Eppley

Indianapolis, Indiana