How could I make my top lip align with my bottom lip? (Photo)

Question

Hi, i think my upper lip sticks out too far,could you please tell me what can be done to fix it and which area will be augmented ie. The upper lip or the bottom/chin? Thank you

Kenneth D. Steinsapir, MD · Answer

For some folks, they are not interested in having their upper and lower jaws broken and the long term braced needed to readjust the bite needed to fix this issue.  An oral surgeon would be the specialist who does this type of work.  This will advance the jaw and chin and improve the relationship between the upper and lower lip.  It also has powerful benefits for the overall facial appearance.

Lillian Overman, MD · Answer

I agree with the others who have pointed out that your photo suggests that your lower jaw does not project far enough forward. To make a decision about what to do, it may be helpful to determine which fits your circumstances:
1. Do you have dental issues from a poorly developed lower jaw? If so, this is not a purely cosmetic situation. You should seek an oral maxillofacial surgeon to discuss surgery to align your upper and lower jaws.
2. Do the teeth of your upper and lower jaws align nicely? If that is the case, then this is purely cosmetic question. In this situation, you could have filler placed in your chin for temporary improvement or have a chin and/or jaw implant placed surgically for a long term result. If you are curious as to how much an implant could improve your appearance, you could start with filler in the chin and see how you like it. This could help you make a decision about pursuing surgery.
Best of luck to you.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Unfortunately your picture offers a limited view of your profile but it appears that your chin is a bit small and set back relative to your upper jaw.  You may see some benefit from dermal filler placement but likely best to see an ASPS board certified plastic surgeon or an oral-maxillofacial surgeon for a consultation.  Best wishes.

Jason Emer, MD · Answer

This is tough to tell from your pictures, but these fillers, (Volbella, Restylane, Juvederm) are good to create a symmetrical top and bottom lip. Nova threads can be used to improve lift and shape. Implants or fat are alternatives. Technique will be important here, so you'll want to see someone meticulous. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Praven Chetty, MD · Answer

Dear user93832:Difficult to give an approximate answer without a full lateral photo, but from what is illustrated I would recommend chin augmentation with a dermal filler like Voluma.  Please see an expert injector with an eye for angles, proportions and balance.  Best wishes.

John S. Won, MD · Answer

Hi there,
It appears that you have what we call "retrognathia" which means projection of lower jaw is not aligning with upper jaw. Essentially lower jawbone is set slightly backward. Skin and lips follow the contours of the underlying bone. It would be nice to move the lower jawbone forward to address the fundamental issues. However, it's invasive, costly, and time consuming. It will require serious commitment to do just that. 
Alternatively, there is way to "camouflage" the set back look of your jaw hence lower lip. Your chin point is too far behind the facial profile, so it can be addressed with filler injection on the chin area. Secondly, patients with set-back lower jaw also have "orange peel" appears at skin over the chin area due to forcefully closing the lips at rest. That can be addressed with botox injection at the chin area. It will smooth out the skin and give much more relaxed look. Lastly, carefully planned filler to lips to increase the projection of the lips (more for lower lips) would create pleasing visual effect and overall balance of your lower face. 
Hope this helps!

Shaun Patel, MD · Answer

Thanks for sharing this question. The photo you have uploaded does not provide a complete view of your profile. However, I get the sense that you may have recessed chin. The chin could be augmented with a filler such as Juvederm Voluma, Restylane Lyft, or Radiesse. However, surgery is another option and if this is something you would consider, then I would consult with a plastic surgeon. Filler into the chin and lower lips may help somewhat.

Johnson C. Lee, MD · Answer

Thank you for your photo. It is difficult to determine what is the cause of the discrepancy without examining your teeth resting position and the other bony and soft tissue structures of your mid and lower face. It is likely that your lower jaw is set back relative to the rest of your face. If that is the case, fillers may be of minimal help and you would require more extensive reconstructive surgery. It is best to have an in-office examination to determine what treatment options you are a best candidate for. Hope this helps!

Johnson C. Lee, MD PLastic Surgery

Johnson C. Lee, MD PLastic Surgery

Joseph B. Silberman, DMD, FAGD · Answer

Your lips don't meet due to your lower jaw not being in the ideal position relative to your upper jaw. If you want this corrected, you should see an Oral Surgeon for an evaluation. They can do what's called a mandibular advancement to correct your problem. It will also address your bite problem as well. You'll need to have braces along with the surgery.  This will be a permanent fix. I would avoid any other procedure to try and "fix" this issue.

Alain Michon, MD · Answer

Thank you for your question and picture. It is hard to comment based on this picture. Dental and/or bony structures could be an issue. If not, dermal fillers are a great option to improve symmetry of the lips and also for chin reshaping. I recommend seeing an expert for a proper consultation and treatment plan. All the best,

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