My surgeon moved my upper jaw down 4 mm to increase incisoral show. I can understand that my philtrum may lengthen as a result but do you think swelling is exacerbating the issue? The tip of my nose down to my upper lip is currently numb, though I have more mobility at the center of my lips than the sides. One side of my face is also more swollen than the other because bone was taken for grafting. I know the overall area will look better with time but I'm concerned specifically about my philtrum.
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May 9, 2019
Answer: Philtrum Length after a Lefort 1 osteotomy
Thank you for the question. It is a common occurrence for the ala width to be wider following LeFort surgery so most surgeons control this by placing ala cinch sutures at the end of the surgery. The end result should be no difference between before and after surgery in regards to the width.
Orthognathic surgery will have little effect on the position of the hyoid bone. Isolated geniioplasty or chin surgery, would improve the overall neck/jawline angle and diminish the appearance of a prominent hyoid but not alter the position as well. A chin implant or genioplasty surgery would...