What causes the upper lip/philtrum area to protrude and creating folds?

[idkeither]

not my upper lip but the area from my upper lip to the nose protrudes and creates nasolabial folds. And I am wearing braces right now which amp up the effect. what exactly causes this? maybe narrow maxilla thus lack of bone volume?
i will be getting bimax soon and my surgeon wants to move the maxilla forward and CCW rotated. wouldnt that make that area protrude even more? should i get MSE before the op?
someone knowledgeable help pls

 

[Lorsss]

nasolabial folds are usually caused by a combination of maxillary forward growth, and bad fat storage in cheeks

 

[Deleted member 7725]

nasolabial folds are usually caused by a combination of maxillary forward growth, and bad fat storage in cheeks

You mean lack of maxillary forward growth or forward growth?

 

[JosephGarrot123]

Recessed maxilla. especially the paranasal area. The palate maxilla protrudes, however if the paranasal area is recessed it will cause noticable nasolabial folds

 

[Lorsss]

You mean lack of maxillary forward growth or forward growth?

I just meant maxillary projection.
forward growth maily depends on maxillary projection

 

[Deleted member 7725]

Recessed maxilla. especially the paranasal area. The palate maxilla protrudes, however if the paranasal area is recessed it will cause noticable nasolabial folds

Does LF1 treat the paranasal area? My maxilla is recessed but my philtrum is convex due to camouflage orthodontics.

 

[JosephGarrot123]

Does LF1 treat the paranasal area? My maxilla is recessed but my philtrum is convex due to camouflage orthodontics.

Yes, probably like 50-75% of the area is moved forward. Depending on the cut

 

[Deleted member 7725]

Yes, probably like 50-75% of the area is moved forward. Depending on the cut

Lifefuel. My paranasal area looks like my avi. Completely hollow with deep folds.

 

[JosephGarrot123]

Lifefuel. My paranasal area looks like my avi. Completely hollow with deep folds.

Well maybe I'm mistaken, It depends on which cut is used

 

[AlwaysHaveQuestions]

You mean lack of maxillary forward growth or forward growth?

both imo

 

[Deleted member 7725]

both imo

I meant does lack of forward growth or too much forward growth cause it?

 

[AlwaysHaveQuestions]

I meant does lack of forward growth or too much forward growth cause it?

just think about it. if one is more forward or recessed than the surrounding it will cause a crease

 

[Deleted member 7725]

just think about it. if one is more forward or recessed than the surrounding it will cause a crease

You're right, just noticed that Jordan Barrett has nasolabial folds at rest. I guess medium forward growth like Chico, Delon, Gandy, etc is ideal as opposed to dog-tier.

 

[AlwaysHaveQuestions]

You're right, just noticed that Jordan Barrett has nasolabial folds at rest. I guess medium forward growth like Chico, Delon, Gandy, etc is ideal as opposed to dog-tier.

if you still want the gaunt look i think having a wide palate and chin is good enough

 

[StrangerDanger]

You're right, just noticed that Jordan Barrett has nasolabial folds at rest. I guess medium forward growth like Chico, Delon, Gandy, etc is ideal as opposed to dog-tier.

Looks like he has the opposite

 

[Deleted member 7725]

Looks like he has the opposite
View attachment 1288262

Yeah, I guess his lower maxilla is so insane that despite his dog tier forward growth, his paranasal area is still lagging behind his palate.

 

[idkeither]

Looks like he has the opposite
View attachment 1288262

this is what exactly im talking about. what to treat it tho?

i saw this article that says mse has significant effect on the paranasal area: https://pubmed.ncbi.nlm.nih.gov/30450504/

should i get mse before bimax even though my ortho refused me for it?