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Face Sag and No Dimention (And Who Knows What Else) at Age 23? (photo)

The ortho says I have borderline vertical maxillary excess, but that he doesn't recommend a corrective surgery via max fax surgeon since it is so slight, he didn't really list any alternatives. So why do I look this way? Weak bone structure? Loose skin?Something wanky is going on with my lips and teeth? What are your suggestions? Mind you I am tight on money, but I would prefer it if it was on the permanent side rather then wearing off at a given time.

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