What Would Be The Best Treatment For My Deep Labiomental Crease?

Q: Dr. Eppley, I had lower jaw surgery at 17 to correct my overbite. My orthodontist said since I grew up with an overbite it cause the deep labiomental crease. It makes me very insecure and I am interested in solutions to fix it, without making my chin bigger since I am scared of it appearing more masculine. I’ve heard fillers and fat grafting sometimes don’t last or have much of a difference. I am interested in what you have to say in what would be appropriate for me. Thank you 

A: While your labiomental fold is deep I do not see any need for chin augmentation. Your chin has adequate projection for a female and any more, as you have rightly stated, runs the risk of making it look too masculine. Your focus should be on treating the deep labiomental fold. The first place to start is to have injectable fillers done and see if you like the change. If so then you can graduate to a more permanent method such as release with interpositional composite fat grafting.

Dr. Barry Eppley

Indianapolis, Indiana