I have big lips and big front teeth. Should I get lip reduction 1st or braces? (photo)

Question

I have big lips and big front teeth..should I get lip reduction 1st or braces ??

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thank you for your question.  If you are considering braces or any dental work this needs to be performed before the lip reduction.  You always have to deal with the bone structure first. Lip Reduction involves the removal of excess lip tissue to reduce the overall volume and is carried out by injecting local anaesthetic into the mouth, in a similar fashion to a dental block.
The surgery involves reducing the size of upper and/ or lower lips depending on what the area of concern is. The amount that is removed is measured and should maintain the balance of the rest of the face. Factors that we consider are the overall facial size, shape an symmetry. Patient ethnicity is important to consider also.
The scars are placed inside the mouth and therefore are not visible normally. The procedure is carried out under local anaesthetic as a day-case procedure.All The Best

Regina Rodman, MD · Answer

Thank you for your question and your photos.The lip position depends most on the dentition.  If you are considering both, get braces first.  Once your teeth are in the position that they will stay in, then get the lip reduction.  Your doctor cannot determine how much needs to be taken off until the teeth are adjusted and the lip is sitting in it's permanent position
Best of luck, 
Dr Rodman

I have big lips and big front teeth. Should I get lip reduction 1st or braces? (photo)

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