Can premolars extraction consequences be fully reversed without cosmetic surgery?

I am asked this question virtually daily because there are 10's of thousands of patients all over the world who are suffering the adverse effects of this antiquated treatment modality that seems to be on the rise again.All of the symptoms that you are experiencing (elongated face, facial pain, flat cheekbones, airway problems, facial asymmetry, etc.) are direct consequences of bicuspid extraction orthodontics. Extracting teeth and constricting dental arches are incredibly unhealthy for your airway and TMJ. Airway issues can lead to obstructive sleep apnea which can literally kill you and TMJ Dysfunction can cause a myriad of problems; including headaches, neck aches, facial pain, tinnitus, clicking of the jaw joint, etc.Your problem can NOT be fixed by simply moving teeth. Because teeth were extracted your previously underdeveloped dental arches are now grossly underdeveloped, i.e. the problem of your underdeveloped dental arches was made worse by extracting teeth. The only way to resolve this is to develop your dental arches. This can be done with simple, removable, comfortable dental appliances. You can read all about your problems and solutions by visiting my website.Good luck!

That is what usually happen with bicuspid extraction to supposedly create more room to fit the rest of the teeth. This is a practice that should not be done any more ( at least for a big majority of cases). To reverse that the best option is to find a capable and understanding and open minded orthodontist who can push back the teeth and basically open the spaces that used to belong to the bicuspids. Then you can replace the missing teeth with Implants (or bridge which is not the best option)