Will A Chin Implant Lessen The Labiomental Fold?
Q: Dr. Eppley, I have had a prior sliding genioplasty but want more of a result with further horizontal augmentation. But I’d like to avoid a revision genioplasty. I was wondering if you think it would be possible/advisable to get advancement of the chin and labiomental fold area with a combination of chin implant (I think wraparound would make sense if I’m already having the jaw implants) and some soft tissue procedure to reduce the fold (filler possibly?). I attached a morph of my goal and a superimposition.
A: The amount of horizontal chin advancement you have shown is achievable with an implant. However filling in the labiomental fold can not be done with any form of an implant as that area reflects the attachment of the mentalis muscle which sits above where any implant can be extended. That is an area which can only be augmented by fat grafting. But that part of your imaging is not achievable in the magnitude you have shown.
Dr. Barry Eppley
A detailed description and pictures of your concerns allows for the most informed response.