Recessed maxilla? How can I increase facial attractiveness? (Photos)

Question

Hey there, people have been saying my face os quite flat. I feel lie my face is not angular and harmonious. What can do to increase facial angularity and overall attractiveness. I know without scans its hard to say, but is my maxilla recessed? Do I have any recessed features? What procedures are best and least invasive to do. Thanks, appreiciate it.

Anna Chacon, MD, FAAD · Answer

I understand what you mean by wanting more angularity and facial harmony, but I would be careful about labeling your maxilla as recessed from photographs alone. Maxillary position is best evaluated with your bite, dental relationship, facial proportions, and, when appropriate, cephalometric or 3D imaging. A proper facial evaluation looks at the maxilla, mandible, chin, midface, lips, and their relationship to one another—not just how "flat" the face appears.

If there is mild midface deficiency but your bite is normal, non-surgical contouring is usually the more conservative approach. Depending on the anatomy, carefully placed filler can add projection to areas such as the cheek or lateral midface and create more definition without changing the underlying bone.

For stronger angularity, the cheekbones, jawline, and chin often matter more aesthetically than simply increasing maxillary projection. Subtle improvement in these areas can create considerably more facial definition without making the face look overfilled.

If there is true skeletal maxillary deficiency, particularly when associated with an abnormal bite or other functional problems, orthognathic surgery may be considered. That is a much larger intervention and should be based on objective skeletal and dental measurements rather than aesthetics from a photograph alone.

So, I would not assume that your main problem is a recessed maxilla. Facial "flatness" can come from several different proportions, and the most attractive result usually comes from correcting the specific imbalance rather than simply adding projection everywhere.

Recessed maxilla? How can I increase facial attractiveness? (Photos)

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