What can be done about my lower face (chin, nose, long philtrum)? (Photo)

Question

I feel like my chin is getting more recessed yet pointy as I get older. I refuse to take pictures smiling because of my pointy chin, my long philtrum not showing my teeth, and my nose bowing down in the middle. What is going on and why is this happening as I get older? What procedures can be done to fix all of this and to give me a more youthful smile and more feminine features in my lower face?

Michael P. Morrissette, DDS, FACS · Answer

It appears in the photos that you have a short chin that is slightly forward. The deep mentolabial fold gives me the indication that the chin is short. Typically, the chin is lengthened and moved either forward or back with a sliding genioplasty. The surgery is performed in the office with intravenous sedation and you don't need braces. The length of the upper lip can be changed with an upper lip lift to show the front teeth at rest.

Ali Riza Öreroglu, MD · Answer

To soften the pointed appearance of your lower face, fat grafting to the jawline can be performed. Additionally, a lip liftand fat grafting to the lips can help shorten and volumize the upper lip, creating a more aesthetic smile. Rhinoplastywould be the appropriate option to correct the nasal bowing. An in-person consultation is essential to determine the safest and most effective plan.

Gary M. Horndeski, MD · Answer

You would benefit from a rhinoplasty to refine the tip and increase your angle. You would also benefit from a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. You may also benefit from a chin implant to soften the projection of your chin.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

It would be difficult to give you good advice based on these few photos. Full face front and profiles would help to see facial relationships and proportion. Nose, lip,  possibly neck surgery should be considered? In person or teleconference consultation with a plastic surgeon with good reputations nose and face surgery is recommended. Good luck.

Eric M. Joseph, MD · Answer

In general, when somebody has a small Central upper lip, along with a long philtrum, lip lift surgery tends to address both of these issues. You appear to have strong chin projection, and a chin implant would only make it stronger. If you're hanging columella is bothering you, you may wish to consider rhinoplasty surgery. Please consider Consulting with several reputable facial plastic surgeons so you could see what to expect after well executed surgery. I hope this helps! Sincerely, Dr Joseph

What can be done about my lower face (chin, nose, long philtrum)? (Photo)

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