Treating a long face with gummy smile and fixing my profile? (Photo)

Question

I need to know what would help my face be more symmetrical and better defined

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures.  You would benefit from jaw surgery.  Specifically, you need upper jaw repositioned superiorly (upward), moving the lower jaw and chin forward. You should consult with a board certified oral & maxillofacial surgeon or plastic surgeon with Craniomaxillofacial experience.

Ronald J. Edelson, MD · Answer

Thank you for the photos.  You indeed have a gummy smile and a long midface.  You should be evaluated by an oral surgeon who does orthognathic surgery.  Your facial bones need to be properly aligned in order to get a proper result.  This is pretty big surgery, but often it is covered by insurance.  You might get a referral from your dentist who I'm sure will know whom to send you to.

William Portuese, MD · Answer

The photographs demonstrate a very weak chin profile. Chin implants can successfully augment the chin for cosmetic purposes, while a sliding genioplasty would help with  alignment of the teeth as well as cosmetic. A chin implant is inserted  under local anesthesia as an outpatient procedure, while a sliding genioplasty is performed as an inpatient procedure under general anesthesia. Chin implants are manufactured in a variety of sizes and shapes which is best determined at the time of consultation and examination.  For many examples, please see the link below

Dan Mills, MD · Answer

There is no question that you would benefit from more facial balance with a chin implant or sliding genioplasty if your teeth dont match up.  But the other thing I see in the photo that you wanted was smaller cheeks that would be helped by reduction of your buccal fat pad.  That would give you more definition and a sculpted appearance.  Anything else would be helped by seeing you in person.  Good luck.Dan Mills MD FACS

Treating a long face with gummy smile and fixing my profile? (Photo)

Answers (4)

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