I had the procedure done a year ago. My history is that I had a chin implant removed with disastrous consequences. My mentalis muscle is "severely damaged " according a new doctor who did his best to reattach the muscle superiorly. So, would another deeper V-Y lip procedure or even a V incision closed zipper-like help even a little bit?? When I pinch my lower lip together slightly I get a lift in height. Maybe it doesn't work like this? Ugh this is beyond frustrating!
April 23, 2023
Answer: V-Y plasty With close to 30 years of experience with doing V-Y plasties of the lip and popularizing this procedure combined with fat transfer (FATMA) I can tell you that I’ve realized that V-Y plasties without proper chin support are limited in their scope to elevate the lower lip and hide the lower teeth. I’ve come to realize the vital link between the chin and the lip almost to the point that I consider them as one unit. A strong chin is important to support the lower lip and those with weak recessive chins tend to age with their lower lips sagging and rolling forward. Therefore, if you have had a chin implant and subsequently had it removed and especially though the oral route you may need more than just a V-Y to elevate and firm up your sagging flaccid lower lip. Trying to stabilize the mentalis muscle onto the bony chin is not always a reliable procedure especially without an adequately projected chin. Therefore, these factors have to be considered before proceeding with any further surgery whether it includes a new V-Y plasty or not. There is also ways to support the lower lip with filler with Caisson Contouring, a specialized method of placing filler utilizing engineering principles. I hope this helps, best of luck !
Helpful 1 person found this helpful
April 23, 2023
Answer: V-Y plasty With close to 30 years of experience with doing V-Y plasties of the lip and popularizing this procedure combined with fat transfer (FATMA) I can tell you that I’ve realized that V-Y plasties without proper chin support are limited in their scope to elevate the lower lip and hide the lower teeth. I’ve come to realize the vital link between the chin and the lip almost to the point that I consider them as one unit. A strong chin is important to support the lower lip and those with weak recessive chins tend to age with their lower lips sagging and rolling forward. Therefore, if you have had a chin implant and subsequently had it removed and especially though the oral route you may need more than just a V-Y to elevate and firm up your sagging flaccid lower lip. Trying to stabilize the mentalis muscle onto the bony chin is not always a reliable procedure especially without an adequately projected chin. Therefore, these factors have to be considered before proceeding with any further surgery whether it includes a new V-Y plasty or not. There is also ways to support the lower lip with filler with Caisson Contouring, a specialized method of placing filler utilizing engineering principles. I hope this helps, best of luck !
Helpful 1 person found this helpful