Genioplasty plans - How to avoid the mentolabial fold ? Surgerymaxers GTFIH

Mythical Chadpreet

Mythical Chadpreet

Ascending to HTN
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I am looking to ascend with a sliding genioplasty to fix my recession. My main fear is trading one flaw for another and ending up with a deep, unnatural mentolabial fold post-op.
I've seen so many otherwise good genio results getting mogged by that deep crease under the lower lip. It looks awful and ruins the harmony of the lower third in side profile view.
For the guys who've had this done or are high-IQ on the topic, how do you avoid this?
  • Is it purely about the surgeon's skill ?
  • Does the amount of horizontal advancement matter? Is there a safe limit before the fold appears?
  • Should the movement be purely horizontal? Does adding any vertical length make it a guaranteed L?
  • What do you literally say to the surgeon? Do you just say "make sure I don't get a deep labiomental fold" and hope he knows what he's doing?
  • Or is it just a genetic dice roll and some of us are doomed to get it no matter what?
Appreciate any solid advice.
 
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