I've had 3 jaw operations and braces to fix an retrognathic lower jaw and overbite. Rapid expansion and BSSO on the upper and mandibular advancement (lower) with fat injections in my lips. As a result, my nose is much wider and flares a lot, my lips are uneven, and my lips placement seems off not allowing my upper teeth to show unless I smile real large and force it. The look is displeasing to me. Will a lip lift and rhinoplasty correct these issues? Any guidance is appreciated.
July 31, 2019
Answer: Keep it simple
First off, you have a great looking face.
You could improve your lips simply and reliably with filler. I wouldn't to much else.
If your nose flares/flattens a bit with smiling you could do an internal nasal base reduction via your mouth behind the upper lip. Your issue, though mild to moderate, does occur after maxillary/midface surgeries (Le Forte) so when I perform these I do a little nasal base reduction via intraoral route (same incision used for the maxillary osteotomies) in anticipation of this. When you do this transoral route for the base reduction you can incorporate some soft tissue plication of the upper lip where it will bunch up a little and hopefully give you your previous look back, though it's not a definite result. So you could do all that with no external incision but I gotta tell ya, you really have a pretty face so keep it as simple and concervative as possible.
Best of luck
Dr. Chase Lay
Oh! Don't do the lip lift.
Helpful 1 person found this helpful
July 31, 2019
Answer: Keep it simple
First off, you have a great looking face.
You could improve your lips simply and reliably with filler. I wouldn't to much else.
If your nose flares/flattens a bit with smiling you could do an internal nasal base reduction via your mouth behind the upper lip. Your issue, though mild to moderate, does occur after maxillary/midface surgeries (Le Forte) so when I perform these I do a little nasal base reduction via intraoral route (same incision used for the maxillary osteotomies) in anticipation of this. When you do this transoral route for the base reduction you can incorporate some soft tissue plication of the upper lip where it will bunch up a little and hopefully give you your previous look back, though it's not a definite result. So you could do all that with no external incision but I gotta tell ya, you really have a pretty face so keep it as simple and concervative as possible.
Best of luck
Dr. Chase Lay
Oh! Don't do the lip lift.
Helpful 1 person found this helpful
September 1, 2015
Answer: Fillers are nice for lip augmentation
I don't think you need a lip lift or rhinoplasty. You may consider fillers for slightly augmenting the upper lip. Making it about 20% fuller would look nice and still natural. A nice result would not make your lips look too big, but slightly fuller. This will also help with the amount of dental show.
Helpful
September 1, 2015
Answer: Fillers are nice for lip augmentation
I don't think you need a lip lift or rhinoplasty. You may consider fillers for slightly augmenting the upper lip. Making it about 20% fuller would look nice and still natural. A nice result would not make your lips look too big, but slightly fuller. This will also help with the amount of dental show.
Helpful