Chin implant or jaw surgery? with lip incompetence (Photo)

Thank you for your question and for sharing your photographs. Based on my observations, it appears that your lip incompetence is primarily due to the position of the upper lip rather than the lower lip. In the first photograph of the series, the lower lip is covering the lower part of the upper incisors effortlessly, which is generally what would be expected. However, the upper lip sits in a high position, making it challenging for the lower lip to meet it comfortably.

This positioning is related to the insertion characteristics of the upper lip at the base of the columella and the anterior nasal spine. Rhinoplasty surgery can address this issue by lengthening the lower part of the nose. This is typically done alongside a slight reduction of the nasal bridge, which allows the upper lip to sit in a more favourable position without fully masking the upper incisors.

There is also a degree of mandibular underdevelopment that contributes to the overall facial proportions. While advancing the lower jaw could provide a partial solution, a genioplasty may offer additional benefits by allowing for adjustments to the vertical dimensions of the face. This could be considered with or without mandibular surgery, depending on the specific goals.

For the most comprehensive evaluation and management of the chin and jaw, consulting with a maxillofacial specialist would be highly recommended. They can provide detailed insights into the underlying characteristics and discuss the range of options available to address your concerns.

We can see from your photos that you have a recessed chin appearance. In our practice, we prefer to use rubberized silicone chin implants, since they are easy to put in, and even easier to remove, if necessary. Wishing you well moving forward. Sincerely, Dr Joseph

The lip incompetence is secondary to your recessed chin. Treatment is either a chin implant or sliding genioplasty and this will diminish or eliminate your lip incompetence. I perform both treatments in my office and the choice of treatment depends on the amount of chin recession. When the chin is moderately recessed in females, the sliding genioplasty achieves a better result that is natural. A medium to large implant can sometimes make the chin more masculine which is not acceptable in females. Both procedures are performed in the office with intravenous sedation. Neither procedure requires braces or changing your bite.