Fix jaw and protruded mouth? (Photo)

Question

I have a very weird side profile and bone structure. I also suffer from an open bite, long face, and protruded mouth (which I’m closing with braces) Do I need tooth extraction and jaw surgery to fix this? A orthodontist and oral surgeon said I don’t need surgery. But I feel so depressed and deformed. I just want a normal face.

Gerald Wittenberg, MSc, DMD (retired) · Answer

You have a vertical growth pattern and although the orthodontist and surgeon suggest 'no surgery'; the 'long face' and bite are typically approached surgically. If you prefer, a masking approach can work via both a genioplasty and jawline augmentation/contouring. The 'slope of the lower jawline' can be altered cosmetically; and the profile improved. Lip competence will be helped with the chin procedure. One has to avoid a 'chin surgery only' however, since it may look too tapered from the front view.

Fix jaw and protruded mouth? (Photo)

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