What are the bulges/shadows under my lower lip, and how to fix them? (Photo)

If you have not had filler, I am not completely certain why you have this fullness, that is bothering you, below your lower lip. It's not appear to be unsightly, even close up, so please consider letting it be. I hope this helps! Sincerely, Dr Joseph

It's not uncommon to notice irregularities or bulges under the lower lip, and these can be due to a variety of factors including natural anatomy, muscle tension, or residual effects from past surgeries. Since you've had lower jaw surgery, it's possible that the bulges are related to changes in tissue dynamics or muscle activity in the area.

Here are a few potential approaches to address these concerns:

Consultation with a Dermatologist or Plastic Surgeon: It's essential to have a thorough evaluation by a specialist who can assess the specific characteristics of the bulges. They can determine whether these are due to muscle activity, fat deposits, or skin laxity.

Non-Surgical Options:

Botox: While you mentioned planning to use Botox to soften the mentalis muscle, it can also help reduce the prominence of bulges if they are related to muscle tension. Botox can relax the muscle activity in the area, potentially smoothing the appearance.
Laser or Ultrasound Treatments: These can help tighten the skin and improve the overall texture and appearance of the area without adding volume.
Surgical Options: If the bulges are due to excess tissue or fat, a minor surgical procedure might be necessary to remove or reposition the tissue. This would be determined after a comprehensive assessment by a qualified surgeon.

Avoidance of Fillers: As you mentioned, fillers might add additional volume and could potentially worsen the heaviness. It's wise to proceed cautiously with fillers unless a specialist specifically recommends them for your situation.

Ultimately, a personalized evaluation is crucial to determine the best course of action. Consider scheduling a consultation with a dermatologist or plastic surgeon who can offer you tailored advice and treatment options.