Bone graft and dental implants or deep plane facelift first? 41 yr old (Photo)

Considering the complex issues you've described with missing teeth, jaw structure, and the effects of previous treatments, it might be beneficial to seek a referral to a maxillofacial surgeon or a dentist specializing in implants. These professionals specialize in addressing underlying bone structure and dental concerns that could be contributing to your current facial concerns.Given your specific situation involving missing back bottom teeth and the impact on your facial structure, consulting with a specialist who can comprehensively evaluate your case might provide valuable insights and treatment options. They can offer expertise in addressing both dental and facial structural issues.I would recommend scheduling consultations with a maxillofacial surgeon or a dentist specializing in implants along with a board-certified plastic surgeon or a facial plastic surgeon. This multidisciplinary approach could help create a personalized treatment plan to address your concerns effectively.These specialists can assess the tissue problems you've mentioned and determine the most appropriate sequence of treatments, whether it involves dental procedures, bone replacement, or potential facial aesthetic procedures.Please consider discussing this possibility with your current healthcare provider to obtain a referral to the appropriate specialists who can provide a thorough evaluation and tailored recommendations for your unique situation." Also the aging process is a normal thing in us female, maybe with a small face lift also you can improve your appearance.Dr.Carmenate

Hello. The lack of teeth in the posterior region of your lower jaw does not affect your facial contour or wrinkles on the skin. Muscle groups called buccinator from the inside and masseter from the outside support this area. Therefore, the completion of your missing teeth will not harm your complaints about the appearance in the cheek area, but will be beneficial as it will increase your chewing function.

Definitely, the first step should be bone grafting and implant surgery. After the healing period, you can have your face lift operation.