She also wanted to have malar and lip augmentation lipofilling to nasolabial and
labiomental sulcus.
In the examination of the side profile, the labiomental fold (indentation between the lower lip and the lower portion of the mandible), the lip and chin relationship (the lower lip should ideally be 2-3 mm behind the upper lip), the cervicomental angle (angle between the jaw and the neck should be 105[degrees]-120[degrees]), and the nose and chin relationship were evaluated.
Before the injection of local anesthesia (1% lidocaine+0.001% adrenaline), the labiomental sulcus, mental nerve, and submental folds were determined while the patient was in the supine position with head flexion.
The posttreatment records showed improvement of the lower third of the facial profile and retraction of the lower lip with a favorable deepening of the
labiomental fold.
The authors suggest, however, that total TMAO is the procedure of choice in those cases where a profound change in
labiomental sulcus is needed.
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Labiomental (Labm): The distance between point B and the deepest point of the Labm crease.
HF, horizontal forehead lines; GF, glabellar frown lines; PO, periorbital lines; PA, preauricular lines; CL, cheek lines; NL, nasolabial folds; UL, upper radial lip lines; LL, lower radial lip lines; CM, corner of the mouth lines; ML, marionette lines; LM,
labiomental crease; NF, horizontal neck folds.
The measurements were: a) the distance between point A and subnasale b) the distance between prosthion and labrale superious c) the short- est distance between the upper incisor and the attachment points of the upper and lower lip d) the distance between infradentale and the vermilion border of the lower lip e) the distance between point B and the deepest point of the
labiomental crease f) gnathion and soft tissue menton.
Clinical signs and symptoms included swelling, pain, loosening of teeth, and
labiomental anesthesia, but rarely pathologic fracture.
Mentoplasty performed on patients with unrecognized micrognathia can result in an unnatural postsurgical appearance marked by prominence of the
labiomental sulcus.
Outer
labiomental row ending anteriorly opposite 1-1 infralabials, inner row opposite 3-3 infralabials.