What Is The Best Way To Improve A Really Deep Labiomental Fold?

Q: Dr. Eppley, Following jaw surgery five years ago which corrected an anterior open bite and opened my airway to resolve sleep apnea, I am left with some aesthetic issues, including a deep labiomental crease, slight lip asymmetry, and lip incompetence (see photo). 

Is it possible to get an idea of the all-in cost for surgery to reduce my labiomental fold? Would this be an in-office procedure? I realize a more in-depth consultation may be necessary but any general information you can provide would be helpful at this stage. Thank you.

A: The best procedure I have found to correct a really deep inverted-V type labiomental fold is a dermal-fat graft placed through an intraoral approach where the graft is placed directly under the released skin crease but above the muscle. This will also help the lower lip incompetence. This is not an office procedure.

Dr. Barry Eppley

Indianapolis, Indiana