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There are ways to reduce the apparent size of the orbicularis oris through enhancement of the chin and nasolabial folds. For that purpose we use autologous fat fascial grafts (LiveFill(R)).Lip reduction is possible in patients with excessive lip volume as well.Usually a combination of several methods gives the best result, and minimizes the over-prominence of the lip muscle.Also make sure your teeth are not overly protruding causing a forward impression on the lip.
Your chin is slightly under projected and a chin implant will improve the relaiionship with your lips. If your chin does not bother you, leave everything alone.
From your picture, you do seem to have an enlarged orbicularis oris. Debulking this muscle or injecting it with Botox could cause significant side effects such as altered smile or problems with eating. You may want to consider a chin implant. You also look like you have an underprojected chin. Augmenting the chin may make the rest of your face look more proportionate. Good luck.
Due to the size and diffuse anatomy of this muscle, it is not practical to debulk the muscle. In some instances the activity can be weakened via use of botulinum toxin. However, this is usually limited to the lip border and most commonly the upper lip only.
There is no way to reduce the size of the orbicularis oris. It is a circular functioning muscle of the mouth. It cannot be cut or removed for fear of paralysis from smiling.
If your hematologist feels you can have surgery, I'm sure it is appropriate. He/she will consult with your plastic surgeon to organize your surgical and pre-op and post-op care. The precautions you mention are in many cases the standard of care, regardless of a patient's hematology status.
For the most part this is not a common procedure to perform in the United States. The vast majority of these procedures are performed in the Pacific Rim nations where less prominent cheek bones is a sought after procedure. To the contrary, in the USA, prominent cheek bones are desireable and...
Greetings, I am Dr. Karan Chopra, a board-certified plastic surgeon, and I appreciate your inquiry regarding selecting a surgeon for a facelift procedure and evaluating before and after pictures. Choosing a surgeon ⎯ Examining facelift before and after photos can provide valuable insights w...
