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Thank you for your question.In order to determine whether you've got an underbite, I would need to see your occlusion. Looking at your profile view, you've certainly got a small chin (microgenia) which sits posteriorly (retrognathia).Assumimg that you have a normal occlusion or did not wish to undergo orthognathic surgery, a genioplasty will most certainly give you an excellent result.Hope that helps.Kind regards,Ivo Gwanmesia London Plastic Surgeon (UK)
To make the diagnosis of an under bite requires dental x-rays. From the one limited photograph, there's a weak and recessive chin profile for which a chin implant can augment the chin forward to help with facial balance and proportions.
It could be both weak chin and jaw issue. It is hard to tell without evaluating the teeth and xrays. But in your case you could probably get away with just a chin surgery.
The 'pouting' lower lip makes the thin upper lip more obvious. The most ideal approach is to have a genioplasty which will reduce the lower lip 'pout'; and combine it with fillers to the upper lip for balance. Many patients of ours have had the similar situtation. The options also vary with the position of the bite.
You have hyper dynamic chin ptosis, meaning the soft tissue chin pad pulls down over the bone when you smile. This problem can be improved by a submental chin reduction procedure where this relative excess of soft tissue can be removed.
A rhinoplasty would correct the minor asymmetries of your nose which could be balanced by giving you a fuller better projecting chin with either a small implant or a sliding genioplasty in which the chin bone is actually cut, advanced forward and then plated.
The midface is not a facial area that can be shortened like the perimeter areas of the forehead or chin. A subnasal lip lift can help but the actual vertical length of the bone can not be changed.