What is wrong with my face?

[tim06]

What is wrong with my face? I already got a rhinplasty and a sliding genioplasty with 11mm advancement. My mouth is very unsymmetrical and my whole face just looks off, here are two pictures: http://imgur.com/a/LzAwQ

Any ideas what to do? I have class 1 occlusion.

[tdawg]

Looks like you have some asymmetry. Maybe a cant. FTR I dont think its a big deal and I personally would not have surgery to fix it.

[buzzhead]

Being that I cannot see your dentition it looks like a soft tissue thing.  Some asymmetry is fine.  I think you look good. 

[GJ]

I believe that's what's known as a "yaw". Showing your teeth and a straight photo would help.

Only surgery can correct a yaw, and I seem to remember it being difficult to correct.

[tim06]

I believe that's what's known as a "yaw". Showing your teeth and a straight photo would help.

Only surgery can correct a yaw, and I seem to remember it being difficult to correct.

I guess it is more like a soft tissue issue, I visited multiple maxillofacial surgeons and they never mentioned something like this.

[UKMaxfac]

To me, it's that you have a very tall upper third of the face and a short lower third:
http://imgur.com/DKtEVCC

[tim06]

To me, it's that you have a very tall upper third of the face and a short lower third:
http://imgur.com/DKtEVCC

Yeah that is 100% correct, when you view my profile it is even more obvious. My cranium is much to high and my lower third is recessed, even after the genioplasty. However there are no surgeries I know of which could reduce the height of your cranium, and adding 10 mm in height to the mandible will most likely also look off.

[Jilkster]

Yeah that is 100% correct, when you view my profile it is even more obvious. My cranium is much to high and my lower third is recessed, even after the genioplasty. However there are no surgeries I know of which could reduce the height of your cranium, and adding 10 mm in height to the mandible will most likely also look off.

Lowering the hairline would likely help.

[CCW]

Bimax recession.

[A-V-P]

Looks like you have some asymmetry. Maybe a cant. FTR I dont think its a big deal and I personally would not have surgery to fix it.

I agree, I would not do a thing.
Many guys and women here are very good looking and I don't understand why they seek surgery if they don't have any functional problems... Surgery can really get your life effed up unfortunately...

[tim06]

I agree, I would not do a thing.
Many guys and women here are very good looking and I don't understand why they seek surgery if they don't have any functional problems... Surgery can really get your life effed up unfortunately...

Well it is really hurting me in my everyday social life. With the previous surgeries it already improved, leading me to the hope that further fixing my flaws will result in an equal improvement.

[A-V-P]

Well it is really hurting me in my everyday social life. With the previous surgeries it already improved, leading me to the hope that further fixing my flaws will result in an equal improvement.

Well of course you do what you want to do.
Good luck whatever you choose.

[katapult2]

I have seen some B/A's from you in a german forum. I think you have improved very well by the genio but I dont know what the Rhino did. Only judging the pics, I dont believe that you need to fix the asymmetry. Your biggest problem is now your Hair/Hairline. You can take finasterid to stop hairloss.

[A-V-P]

I have seen some B/A's from you in a german forum. I think you have improved very well by the genio but I dont know what the Rhino did. Only judging the pics, I dont believe that you need to fix the asymmetry. Your biggest problem is now your Hair/Hairline. You can take finasterid to stop hairloss.

His hairline seems just fine... No problem there either.
Have you googled "finasterid/propecia ruined my life".... pretty sad stories... Some men are quite brave if they eat those even after they have read what it can cause.

[Jilkster]

Lowering the hairline would substantially improve overall harmony in my opinion, finasteride won't achieve that.

You may consider some filler for your facial asymmetry, I got radiesse to lower one gonial angle and wider and center the chin, it worked quite well.

Your lower eyelids seem to droop a little and you lack volume below the eyes. Easiest go-to would be just getting filler. Implants + lower eyelid retraction repair may be ideal.

Hairline is the most important issue in my opinion, because it very much highlights the vertically deficient mandible as a result of its impact on overall harmony.