I am very confused because I have been to multiple orthodontic consultations and every one says something different as far as my treatment. Some say I need jaw surgery and some say I don't. I am unhappy with how my jaw grew in vertical and my face is asymmetrical. I also have to strain to keep my mouth closed and I can't breathe out of my nose comfortably. Also, can Invisalign be combined with jaw surgery rather than brackets ?
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Answers (2)
From board-certified doctors and trusted medical professionals
Although there is a little amount of vertical excess in the lower third of your face, it has not disturbed the harmony and esthetics of your face. If incomplete closure of lip is a concern to you, a v-y plasty of the lip in combination with rhinoplasty, may solve this problem considerably.
It is important that you discuss this with your surgeon. Advancement of the maxilla could cause elevation of the nasal tip, widening of the alar base and changes to the nasolabial angle. The maxillary movement as well as the thickness of your soft tissues and the appearance of your nose...
With ageing comes volume loss. Dermal fillers is a safe option without the surgical risk, but it is temporary and needs repeating. Implants is an option but you will need to discuss the risk and surgery with an experienced facial surgeon.