How Can I Fix The Wide Nasolabial Angle Between My Upper Lip And Nose?

Q: Dr. Eppley, Hello, my main concerns are the following: 

1) is my forehead too inclined? 

2) my lower jaw is visibly weak. What can be done? 

3) the angle between my upper lip and nose seems too wide. Is it possible to fix it? And also, is it maybe that my maxilla should be more forward as well? 

I’d like to have your opinion as many have already dismissed my concerns. 

Thank you.

A: Thank you for your inquiry and sending your pictures. In answer to your questions:

1) The slope of your forehead is a bit retroinclined. (see attached imaging)

2) Options are either isolated chin augmentation or a total jawline augmentation. (see attached imaging)

3) You are referring to your nasolabial angle. But when you say wide do you mean too acute or obtuse? Should the angle be bigger or smaller? I believe you mean the angle is too open or greater than 90 degrees. Yours is that way because of protrusion of anterior nasal spine which can be reduced.  Moving the maxilla forward will actually make it worse.

Dr. Barry Eppley

Indianapolis, Indiana