It's nothing new that it's about the bones.
Your bones also play a big role in your soft tissue positioning. Your nose could be crooked due to recession, not always because of the cartillage.
The same about the lips: CCW rotation of your maxilla and mandible determines the length of your philtrum, projection of your lips and other variables heavily.
What can we do about that?
Nothing besides Lefort osteotomies and BSSO pretty much.
Thumbpulling and any other palate expansion method are brutal cope.
Example
Do the lips look better in the before or after?
Ofcourse in the after, the lips being aligned is just as important as other parameters like lip volume, width and shape.
