Can The Philtrum Of The Upper Lip Be Reduced In Thickness?
Q: I am a 25 y.o male with a substantial overbite that has remained after a long orthondontic treatment at a too late of an age and a recessed chin, altogether creating that “neanderthal” ethnic look to my bottom face.
Rather than living with it or going through a massive jaw surgery, I was wondering since a significant part of the protrusion is actually caused by a fat philtrum – wether there is a procedure that can reduce the philtrum thickness (with an internal stitch in the upper mouth). From a short online enquiry I am starting to think it isn’t possible, and even if that is the case – would still like to know why – is it because it has muscles and not only fat?
I would also like to know why are lip reductions usually very subtle (only about 10%?), and whether there is a vertical reduction in the circumfrance of the lips (I have enough excess lips to go around two mouths…)?
Thanks for your time.
A: Philtral upper lip reductions are not possible because the lip is largely muscle and would cause a lot of lip dysfunction. PLus whatever little bit of thinning could be obtained is not enough to make a visible difference to compensate for maxillary protrusion.
I can explain to you why your perception of lip reduction results is only ‘about 10%’. That has not been my experience where it is more typically a 20% to 30% improvement in my lip reduction surgery efforts. Perhaps, some surgeons are understandably more conservative since you can always take more but you can”t put any back.
Dr. Barry Eppley