I apologise in advance for the length of this post...
I recently went to see a maxfac surgeon, to see if I can improve my overall aesthetics. Taking my pictures into account, I've always had a protruding lip appearance, which is most obvious with a side profile picture, possibly this looks more protrusive due to my weak chin or jaw generally. This is my biggest gripe.
I have a basic understanding of the issues with my jaw/teeth but I wonder how best to approach my situation to get the best results, but I'm not as well informed as many of the people on this forum so I'm probably not even aware of many of the issues.
I have many questions but I'll try to focus on: What is possible/the best option to treat my issues?
- Orthodontically (I know I have dental problems so I will definitely need orthodontics regardless, but I recognise that before resolving these I must be absolutely sure that any changes to jaw alignment surgically must be considered first so they can harmonise together)
- Camouflaging using a genioplasty so my lips look less protruded
- Jaw surgery
- Ignore it as surgery is too invasive and will not provide a good result
If there are other options, I'd happily consider those also. Which treatment option is most appropriate? Purely treating this potential issue isn't my only concern, however, I would also like to have a much stronger and defined chin/jaw overall, to hopefully remove the fatty look to my lower face that you can see on the side profile. Although, I recognise this could be a case of tongue positioning which I'm not sure can be corrected?
I'm also not sure if these end results would look natural or not, which is another concern.
Below are some other key things my maxfac surgeon mentioned
- I have an underdeveloped chin
- I have a lot of teeth that I have lost posteriorly
- I have overcrowding, particularly in the maxilla anteriorly in my top jaw
- My anterior bite is classified as a Class II Division 2 deep bite. My top teeth are retroclined and go straight down onto my bottom teeth and my bottom teeth will have a tendency to bite into the palatal aspects of my gums.
- I have bi-dentoalveolar protrusion which gives me a prominent perioral appearance.
- I have maxillary hypoplasia.
I have attached my Xrays, my profile, and a crossfade between, and a forward-facing picture that I hope are sufficient.
I would also appreciate
any other positive criticism or recommended surgeries to improve my aesthetics overall, as I'm very open-minded to such things and I am keen to learn about more avenues for improvement.
Thanks!
https://imgur.com/ltTkyIFhttps://imgur.com/LiYwRuahttps://imgur.com/Zvk7ijZhttps://imgur.com/vC7ngJYhttps://imgur.com/cxELusNhttps://imgur.com/Qs6Dt91