Hey folks, sorry for the slightly long post, but I've had a bit of a journey, surgery-wise, and would really appreciate any support with my predicament and the following question.
Could I benefit from further maxillofacial surgery to widen and and advance my upper jaw?
(I would be really interested to hear if anyone has experience of having upper jaw surgery/advancement for a second time, or whether good maxillofacial surgeons these days are more experienced/capable of controlling the nose in upper jaw advancement)
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I had maxillofacial surgery for a class three underbite aged 20 (in 2010), which gave me a functioning bite, but sub-optimal results for appearance. I believe my upper jaw is still sunken in my face, giving me a weak profile, over-strong lower jaw and a poor smile (my upper teeth/jaw is very narrow). I also rely on my beard to give definition to my upper jaw area.
I believe my lower teeth are still leaning back and that they need to be brought forward to accommodate my upper jaw moving forward and being widened (decompensation by orthodontics). In my original jaw surgery, I believe my upper jaw was moved forward by roughly 8mm and my lower jaw moved back by about 5mm, so I do understand there are certain limits to further movement (however I believe it is only my upper jaw which needs to be moved).
Since my original jaw surgery, I have decided to pursue other procedures on the advice of cosmetic surgeons, which have not principally addressed or disguised my concerns. I have undergone an advancement genioplasty (for a weak chin) and cheek implants.
Whilst the genioplasty did achieve a strong chin, I think the cheek implants weren't that well designed and didn't even come close to replicating the definition of cheek fillers, which I had done once before. Instead they mostly seemed to give me sideways/profile projection and I would could consider having them removed if I was to ever have more surgery (although I would only do so tentatively).
I also had a rhinoplasty, advancement and lengthening of nose in 2019 with a London specialist, a procedure I was happy with, given how short/upturned and sunen my nose was previously and after my original maxillofacial surgery The nose was lengthened and advanced using rib cartilage to create soft tissue behind the nose, so that it is set further forward. In these photos, there remains some swelling as it was taken only 2 months after the operation.
Whilst I don't think my original surgeons did anything to control my nose, this rhinoplasty specialist has assured me he works with maxillofacial surgeons and has developed techniques to combat this upturn, and would happily consult with a maxillofacial surgeon if I went down this route. Obviously there would be no point in going down the route of further jaw surgery, if it was significantly affect my nose again.
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