Lower lip projects more than upper lip - how to fix Rickett’s line? (Photo)

People with upper lip protruding beyond the lower lip, and vice versa is kind of divided half-and-half amongst the population. It does not mean that it requires any kind of correction. However, if it bothers you a great deal, I would recommend having some filler placed into the upper lip for better projection or more projection as I should’ve said. Your chin is also quite small and I would recommend having a chin enlargement as well in order to improve general facial proportions. I hope this helps and good luck from New York City plastic surgery, Dr. Leonard Grossman

It’s normal for the lower lip to be larger than the upper lip. And most people, the lower lip also projects slightly more forward.
The relationship of the lips to each other is directly related to the dental position or occlusion.
Individuals who have a significant overbite typically have an insufficient mandible in relationship to the maxilla.
This leads to the upper lip often having more forward projection than the lower lip.
Almost all facial soft tissue issues related to aesthetics are based on facial skeletal structure.
Issues related to the lower, 1/3 of the face are therefore usually related to the shape and size of the mandible.
Facial aesthetics are not only based on the relationship between the maxilla and the mandible, but both skeletal structures can be over projecting or under projecting.
I find oral surgeons, especially those Who are involved with cranial facial surgery a really good at making a quality assessment based on fundamental bone structure.
Oral surgeons tend to be more bone oriented while plastic surgeons tend to be more soft tissue oriented.
That’s a plastic surgeon. I used to see things in terms of soft tissues because that’s what I was taught to do and the tools I had were almost exclusively related to soft tissue manipulation.
The more time I spend doing this kind of work convinced that almost all facial aesthetic issues have as a fundamental problem, a skeletal origin.
On your profile picture, the mentalis region of your mandible is slightly backward sloping. you have a shallow (small) labiomental sulcus. When that’s the case, shin augmentation is often ideal.
The chin can be successfully enhanced, using fillers, a chin implant, or a sliding genioplasty.
All of these treatments have advantages and disadvantages and treatment is better than the other. Enhancing or augmenting your chin would be the easiest way to improve your Rickett’s line.
Ultimately, the lack of projection of your midface can only be treated surgically. Cranial facial surgery isn’t for everyone.
Even though someone may not consider a Le Fort type surgery it can be helpful to get a Complete facial skeletal assessment.
Even if treatment options are not directed at the Primary underlying cause it can help to understand why soft tissue manipulation is going to give a partial improvement.
Having a good understanding of the underlying cause can be helpful in making decisions of procedures or solutions.
Facial aesthetics is a complex field and different providers will definitely have a different views.
The longer I practice the more convinced I am that facial skeleton structure is at the underlying cause of almost all facial aesthetic issues, other than direct aging.
Those who age well tend to have strong, skeletal foundation to support the soft tissues.
In regards to your question, I don’t think the problem is with your lower lip and its projection, but rather the lack of projection of the upper lip. The issue if you want to call it that is in the Maxilla.
Best,
Mats H
In my next life, maybe I’ll be an oral surgeon.