I was just looking at Movehed's site and came across this result. I've often heard people complain about lips becoming thinner after surgery, but this is extreme. Was this a result of surgery, or do you think she just had fillers in the before pic?
"Patient has history of asymmetry and condylar hypoplasia, planned for bilateral total joint replacement and Lefort 1 osteotomy"
https://movahedoms.com/services/tmd/combined-total-joint-replacement-with-orthognathic-surgery/case-study-5/
Intriquing case. Let me see if I can crack it.
Her lips LOOK smaller (but didn't shrink) because the L1 must have been a SET BACK and the double joint replacement set back the mandible and/or the chin was brought forward. All together would have made the lips look RELATIVELY smaller because they are MORE in the BACKground than prior when they were more in the FOREground.
He notes she got a Lefort 1. But it's looking like the L1 could have been in the BACKWARDS direction. I looked for that on the PROFILE view and found what I was looking for as to the most likely explanation why her lips looked smaller. For example, the nose to lip curve is MORE open in the before. So, less open in after could indicate set L1 set back where nasal spine goes backwards. LI set back puts the upper lip area more in the background which would make the lip look RELATIVELY smaller even though same size as before.
The double side joint replacement also could have given somewhat of set back to the mandible which would further explain why he had to do a L1 set back to match it. Chin also looks like it could have been brought forward.
Basically, the conVEXity of her face looks to be SET BACK so it's not as conVEX anymore. So, 'dished in' where it was conVEX. But just enough to make it straight profile and NOT conCAVE.
Trade off was the lips going BACKWARDS as in more in the BACKground where as prior they were more in the FOREground which is why they look relatively smaller.
His photos are lined up correctly (horizont can be drawn through same place on nose). Then a vertical dropped from there where you can see a set back relative to the vertical.