22F here. I had an expander + braces as a preteen, so my bite is fine. Due to mouthbreathing my jaws have grown down and look recessed. I do have TMJ/jaw deviation upon opening and trouble breathing from my nose, and lip incompetence. I tend to puff out my upper lip to breathe well. Reason I don't want genio + rhino is because I believe genio may make my face even longer, and the rhino might look strange if my maxilla is recessed.
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Answers (1)
From board-certified doctors and trusted medical professionals
The only proper solution for both the bite and for proper esthetic balance is the jaw surgery and braces. Extracting upper teeth collapses the upper.lip, accentuates the nose and does not solve the smaller lower jaw profile
Lefort 1 Multi Piece Osteotomy is a surgical procedure used to correct skeletal malocclusion, dentofacial asymmetries, and midface deficiencies or excesses by readjusting the position of the carrier segments of the teeth. I believe that a more detailed examination is necessary to decide on the...
The vertical dimension can be controlled with the double jaw advancement but it is the perception of the patient to the physical change that does occur that may be less desirable. One cannot move bones that far without a cosmetic change. As well the inclination of the front teeth from...
