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Lip incompetence after braces and tooth removal. How to improve side profile? (photos)

tnshi98Feb 1, 2024
I've had braces twice in my life and had in total 6 teeth removed (2 upper premolars and the 4 wisdom teeth) the malocclusion is gone and the biting is almost perfect. However, I still got lip incompetence. I can close my lips if I try, however I get a mentalis strain, which in turn makes my chin looks recessed. Also, my lower lips seem to be protruding more than the upper one as well. What can I do to achieve a more aesthetically pleasant side profile? Thank you.

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Mats Hagstrom, MD (license on probation)
Board Certified Plastic Surgeon
Answered on Feb 5, 2024
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Michael P. Morrissette, DDS, FACS

Your chin projection looks good, however, the length of your chin appears short and therefore gives you a deep mentolabial fold and and rounded appearance. I would recommend a CT scan to determine your chin height. A vertical lengthening genioplasty will likely give you the look that you want.

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Mats Hagstrom, MD (license on probation)

From your pictures, it looks like your chin has fairly good projection, and advancing your chin while it might help balance, your face will create a deep labio mental fold.I’m guessing the lack of mandibular projection is actually a little further back in the body of your mandible. I suggest c...

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Mats Hagstrom, MD (license on probation)

Procedure options. Depends on what you’re trying to achieve. If you want to reduce the size of your chin, then surgery is probably your only option. Augmentation can be done with fillers, but removing tissue typically involves surgery. Chin reductions are probably more commonly performed by o...

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