Receding chin and lip incompetence (lip strain). What procedure would do best to fix this? (Photo)

Question

When my face is resting my moth is open. To make my lips meet I have to strain them. I have a receding chin. I am wondering what procedure would do best to fix this. I played around with a plastic surgery app and I created what i would want my profile to look like. I would like to know what steps needed to be taken to create this. Thank you!

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures.  If your exam reveals "long face" imbalance then a upper and lower jaw surgery and genioplasty would be appropriate.  If an exam does not reveal this then a genioplasty with advancement and vertical reduction would be beneficial.

David W. Rodwell III, MD · Answer

A chin implant is the perfect option for you and will provide a nice balance to your other facial features.This will give you the added forward projection that you want when viewing your side profile, and it will help to support the lower lip.That lip strain that you describe (often associated with dimpling of the skin from the muscle contracting over the chin) is a dead giveaway for someone who would benefit from a chin implant.I use silastic chin implants, and place them through a small incision hidden below and behind the chin.  You will find that there are a variety of implant materials and placement techniques, but most surgeons these days prefer silastic implants.Chin implants come in various shapes. One thing I like about the silastic ones is that they can be further customized by carving them into the perfect contour for each patient.You have nice feminine features, so make sure you and your surgeon are on the same page with your goals for the final appearance.  You can certainly get a very nice result without an overly masculine strong chin.

Michael Eisemann, MD · Answer

You have mentalis muscle strain in an attempt to bring your lips together. This is a result of a receding mandible and/or chin. Orthognathic surgery with advancement genioplasty or sagittal split mandibular osteotomy for class 2 malocclusion will greatly improve  your facial aesthetics and possible your dental occlusion .Michael eisemann M.D.Plastic SurgeonHouston,Texsas

Harsh B. Amin, MS, MCh · Answer

wellfor you sliding genioplasty may do betteronly implant may or may not correct the oral competence issue

Barry L. Eppley, MD, DMD · Answer

With a short chin associated with lip strain, the best procedure is a sliding genioplasty because it moves the bone and the attached mentalis muscle. This corrects the anatomic basis for both problems.

William Portuese, MD · Answer

If her mouth is open all the time, it's important to have an internal examination of the nose and correct any obstruction that may be there. Frequently patients have a deviated nasal septum for which a septoplasty can address.  When patients  have a weak chin profile,  a chin implant can be inserted under local anesthesia as an outpatient surgical procedure.   Chin implants are placed through sub mental approach to give added projection to the chin, but have nothing to do with lip strain.

Somyos Kunachak, MD - Account Suspended · Answer

Dear kehogan,I agree that based from your unretouched photo that you have receding chin and a relatively thick and hanging lower lip most probably due to the lack of support from the chin. With this, chin implant will  be beneficial to improve your facial harmony and to improve your lower lip as well, but if this is not enough, a lower lip surgery will further improve your concern.

Receding chin and lip incompetence (lip strain). What procedure would do best to fix this? (Photo)

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