Vanity Cosmetic Surgery Hospital

Thank you for your thoughtful question—it’s clear you’re paying close attention to your facial proportions, and that’s an important part of making informed aesthetic decisions.

While your philtrum does appear slightly long, the overall imbalance in your side profile seems to stem more from a recessed or underprojected chin than the philtrum itself.

In many cases, enhancing chin projection—whether through filler or a chin implant—provides a more dramatic and balanced improvement than addressing the upper lip area alone.

As for lip lift surgery, it’s important to know that the procedure not only shortens the philtrum but also increases the amount of visible pink lip (vermillion show). While this can create a more defined upper lip, it may also shift the overall look toward a more feminine aesthetic, especially in individuals with softer lower facial features.

If chin support is addressed first, you may find that your concerns about philtrum length become less prominent. A full consultation with a facial plastic surgeon can help assess how these features interact and guide the best approach for your goals.

Wishing you clarity and confidence as you move forward,
Op. Dr. Güray Yeşiladalı
Board-Certified Plastic Surgeon

Thank you for your question. The photos provided are limited and focus on a very small portion of your face, which makes it difficult to offer a precise evaluation. A full set of images—including frontal and side views of the entire face—would allow for a more complete assessment of both function and aesthetics.

That said, the procedure most often associated with correcting a negative canthal tilt (as you described) is canthopexy. This technique adjusts the position of the lateral canthus to achieve a more neutral or slightly upward angle.

As per RealSelf community guidelines, we are not able to provide price estimates within medical responses. However, you can share your full-face photos directly with a clinic’s patient coordinator or surgical consultant, who can help guide you through the process and provide information about cost based on your individual needs.

Wishing you clarity and ease as you continue your research,

Warm regards,
Op. Dr. Güray Yeşiladalı
Board-Certified Plastic Surgeon

Thank you for your thoughtful question—it's great that you're researching this in detail before your procedure.

Sliding genioplasty involves cutting and repositioning the lower portion of the chin bone (genial segment) to improve projection, shape, or symmetry. The repositioned bone is then stabilized with plates and screws in its new location.

Bone resorption, when it occurs, typically affects the edge of the advanced bone segment—especially areas that are no longer under mechanical stress or lack full vascular support. In most cases, this resorption is minimal—usually 1–2 mm—and clinically insignificant. It does not typically compromise the overall result.

There are a few things that can help minimize this process:

Precise surgical technique with good contact between bone surfaces

Stable fixation with well-positioned plates and screws

Healthy post-op healing supported by adequate nutrition (calcium, vitamin D, and protein)

Avoiding tobacco and chronic inflammation, both of which can impair bone remodeling

It's worth noting that bone resorption is a natural part of how the body adapts to changes in structure. Most patients do not even notice it—especially when the movement is moderate and the procedure is well-executed.

Wishing you confidence and clarity as you move forward,
Op. Dr. Güray Yeşiladalı
Board-Certified Plastic Surgeon

Thank you for your question. Reviewing edited photos can be helpful during planning, especially for vertical genioplasty.

While exact measurements would require clinical imaging, the changes shown in your edits appear to reflect approximately 8 mm of vertical lengthening from the front view, and about 9 mm of projection when viewed from the side—very similar to what can be achieved with genioplasty.

A few key points to consider:

Photo edits are two-dimensional, so they can’t fully capture how facial volume and light behave in motion. A vertical advancement like this not only elongates the lower face but also adds depth and structure, which tends to give a more defined and masculine appearance in real life.

This degree of change is realistically achievable with vertical genioplasty, which moves your own bone structure and produces a highly natural and permanent result. While chin implants can create similar visual effects in some cases, they don’t offer the same degree of vertical control or anatomical integration as genioplasty.

If this is the look you’re aiming for, a full facial assessment and 3D imaging would help confirm that vertical genioplasty is the most suitable option.

Warm regards,
Op. Dr. Güray Yeşiladalı
Board-Certified Plastic Surgeon

Thank you for your question and for including photos—they help clarify your anatomy and goals.

Based on your images, your nipple position appears close to the inframammary fold, which means you're likely in the range where a crescent lift could be considered. This type of lift is suitable only for very mild nipple descent, and in your case, that seems anatomically plausible.

However, since you're aiming for a significantly larger implant, it’s important to consider how much additional volume will shift the breast tissue and nipple downward. Large implants can accentuate existing laxity, and in some cases, they may create the appearance of further droop, even if there was only minor descent to begin with.

A crescent lift may help with minor adjustment in nipple height, but it does not address skin laxity or breast envelope tightening. If your goal is volume with upper pole fullness while maintaining a lifted appearance long-term, a more supportive technique (such as a vertical or circumvertical lift) might ultimately give you a more balanced result—especially with large implants.

A consultation with a board-certified plastic surgeon who can assess your tissue support and implant goals in detail would help confirm the safest and most effective plan for you.

Warm regards,
Op. Dr. Güray Yeşiladalı
Board-Certified Plastic Surgeon