How can I reverse the dramatically aging effect getting upper dentures has caused?

Question

Went to a chain dental and made a huge mistake letting them talk me into extracting all my uppers and getting dentures. I look 10-15 years older and it has made a substantial change for the worse in my appearance. I would like to have a plan to reverse this sunken in, no lip, clownlike appearance. Where, or with what type of specialist do I start? Do I try new dentures, fat graft, fillers, facelift., or what to at least resemble my former self?

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Aging certainly can occur or seem accelerated after dental extractions and dentures placement. The upper jaw bone can resorb in an accelerated manner decreasing the height of the face and causing the tissues to appear to be collapsed or sagging. 1.  I would first visit with a board-certified oral and maxillofacial surgeon to assess the need for bone grafting and possible dental implants to help restore vertical height. 2.  Then I would visit with a general dentist or a prostatitis to create a quality set of dentures that further establish is your dentition and your lower facial height.3.  At that point if you're still displeased with your facial appearance, visit with the board-certified plastic surgeon for complete physical exam and consultation to discuss your concerns and to see if the fillers versus facelift would be an appropriate solution

Vincent N. Zubowicz, MD · Answer

It sounds as though you would benefit from implants and possibly bone grafting for both functional and aesthetic reasons. You may want to consider consulting with "clear choice" that does restorations in one day.

Ben Talei, MD · Answer

It's very hard to give you advice without seeing the actual problem you're describing.  Some patients I've treated have had similar issues with aging and loss of normal dentition resulting in a long and sunken upper lip.  If this is the case, there are many solutions, the best of which is  a Lip Lift procedure.  Still, i can't give advice without seeing what you're looking for.

Robert Singer, MD · Answer

I am sorry about your negative experience with your dental procedure.Keep in mind that following advice from a surgeon on this or
any other website who proposes to tell you what to do without seeing  photosand  without examining you, physically feeling your tissue, assessing your
desired outcome, taking a full medical history and discussing the pros and cons
of each operative procedure would not be in your best surgery. I would suggest
that you find a surgeon certified by the American Board
of American Plastic Surgery and one who is ideally a member of The American
Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are
comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, M.D., FACS

La Jolla,
 California

Darryl J. Blinski, MD · Answer

Seek either fat grafting or HA fillers as a first step. A posted photo would have been very helpful...

Scott Shadfar, MD · Answer

Hello Sherrysells, Thank you for your question.I am sorry to hear about your experience. Without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of any further treatments it is difficult to be comprehensive.Without photos it is also difficult to recommend a particular treatment.  Sometimes if you have recession of your lip due to lack of teeth, this problem can be compounded due to atrophy of the bony maxilla (bone resorption).  You can try to combat that with implants, fillers, or fat grafting.  However you have to be careful and account for when you wear your dentures to avoid overfilling the upper lip.Other options are dental implants which are permanent, but carry a significant price.I would seek care from a oral surgeon to discuss your dentition first.Best of luck, Dr. S

M. Dean Vistnes, MD - Account Suspended · Answer

Without pictures it is hard to say what the best treatment plan would be for you. Please seek an in person consultation. Good luck, Dean Vistnes.

How can I reverse the dramatically aging effect getting upper dentures has caused?

Answers (7)

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