What Is The Best Approach For My Sliding Genioplasty Revision To Correct My Tight And Indented Labiomental Sulcus?

Q: Dr. Eppley, I had a sliding genioplasty about two years ago. It has left me with a deep and tight labiomental fold. The maxillofacial surgeon who performed the procedure suggested division of the muscle and overlapping them to release the fold. I see on your website that you strongly suggest a fat graft to correct the deep fold. Is that what you would suggest for me?

A:Thank you for your inquiry and sending your pictures, With your tight and indented labiomental sulcus a release and interpositional graft is clearly the best treatment in my experience. Tissue tightness and a depressed contour indicates a soft tissue deficiency. Any form of manipulation of the muscle alone will either not work or make it worse. Like any form of a scar contracture you can’t make it better but just moving around the already scarred tissue, that is a conceptually flawed approach.

Dr. Barry Eppley

Indianapolis, Indiana