jawsurgeryforums.com
General Category => Functional Surgery Questions => Topic started by: MrRochester on July 17, 2013, 09:01:35 AM
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My history is that I got braces when I was around 13. The orthodontist recommended jaw surgery plus chin surgery, but my parents declined and instead two upper teeth were removed and I endured a very lengthy braces treatment.
I am 26 and just had these x-rays done because I am contemplating either jaw surgery with sliding genioplasty or just a sliding genioplasty.
Here are my x-rays
(http://i.imgur.com/Reihunm.jpg)
(http://i.imgur.com/4o0emd9.jpg)
(http://i.imgur.com/3E692Ri.jpg)
(http://i.imgur.com/jUINydP.jpg)
This is my profile IRL (Image is too big to post in thread)
http://i.imgur.com/PvQXviL.jpg (http://i.imgur.com/PvQXviL.jpg)
Any advice would be appreciated. I'm especially wondering if it's worth it to endure the extra pain and braces to get full-fledged jaw surgery or to just get a chin wing osteotomy. The doctor I saw here in Germany seems to think that a sliding genioplasty won't be sufficient because my maxilla is recessed (but he hadn't seen any x-rays yet and based this opinion on how I bite). Thank you.
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I don't know why they chose to remove just two upper teeth. I wish they hadn't removed any because then maybe my maxilla wouldn't so recessed.
I've always been confused about my bite. My orthodontist was absolutely obsessed with it, but I never cared. No matter where I bite it feels unnatural. Whether I bite on my molars or further up front, it feels awkward. They usually tell you to bring your back teeth together and that's what they told me for this x-ray. It felt like I was pushing my lower jaw backwards and isn't how I'd normally bite.
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I don't know why they chose to remove just two upper teeth. I wish they hadn't removed any because then maybe my maxilla wouldn't so recessed.
I've always been confused about my bite. My orthodontist was absolutely obsessed with it, but I never cared. No matter where I bite it feels unnatural. Whether I bite on my molars or further up front, it feels awkward. They usually tell you to bring your back teeth together and that's what they told me for this x-ray. It felt like I was pushing my lower jaw backwards and isn't how I'd normally bite.
Totally natural. Your jaws arent actually aligned so biting together wont feel natural.
Your maxilla is indeed recessed so your lower jaw is sitting back, it isnt in its "natural" position. Some people that have this (myself included) grind their lower incisors at night. Basically their jaw is trying to push itself forward into the natural position. Do you grind your teeth at all?
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I noticed your wisdom teeth came in on your maxilla. Do you have your lower wisdom teeth taken out?
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I noticed your wisdom teeth came in on your maxilla. Do you have your lower wisdom teeth taken out?
Actually I still have my upper wisdom teeth so they weren't removed from my maxilla. I think I had my bicuspids removed from my upper jaw before braces when I was quite young.
I had my bottom wisdom teeth removed.
I do not grind my teeth at all except when working out. I have chipped the bonding on my front tooth like three times because I invariably grind my teeth/push my lower jaw forward when exerting myself at all. I have seen videos of myself and even when I am just sitting up or sitting down, I will momentarily jut my lower jaw out. I have no clue why I jut my lower jaw out if my upper jaw is recessed, but I have observed it so I know it's true.
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Here is my actual face in case it is helpful for giving me suggestions as to whether you think jaw surgery + sliding genioplasty or just sliding genioplasty alone is better.
http://imgur.com/a/Z0ri1 (http://imgur.com/a/Z0ri1)
I took all three of these just right now. I took the first two without flash and the last one was from a distance, but I had to take with flash because it doesn't show up well when you don't use flash from a distance. Anyway, they should give you some idea how I look in the flesh.
I know I'm not handsome, but I am just seeking more expert opinions on what level of cosmetic improvement you think I can have from my various options. I'm very eager to look better, but at the same time, I don't want to undergo a very invasive, expensive, and risky procedure if I am likely to only enjoy minimal improvement.
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I don't see any reason that you need to take out upper wisdoms. Amazing how you had room for them to come in. Shows that upper bicuspids had room as they take up even less space than wisdoms.
Anyway, agreed you do look good. If you step into any surgeons office though they will recommend jaw surgery to rotate jaws and move forward.
Do you have any pics of your bite from front and side?
In the hands of an expert a genio would probably aesthetically balance out your lower face.
How are you functionally as far as breathing , etc.?
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I don't see any reason that you need to take out upper wisdoms. Amazing how you had room for them to come in. Shows that upper bicuspids had room as they take up even less space than wisdoms.
Anyway, agreed you do look good. If you step into any surgeons office though they will recommend jaw surgery to rotate jaws and move forward.
Do you have any pics of your bite from front and side?
In the hands of an expert a genio would probably aesthetically balance out your lower face.
How are you functionally as far as breathing , etc.?
I saw a doctor here in Berlin and yes, he advised that I have full jaw surgery plus genioplasty (he performs chin wing osteotomy so it's a special type of sliding genioplasty). He said that if I want to "really look good" this is what should do and will offer maximal improvement.
Functionally I don't think I have many issues, certainly nothing that impairs my quality of life to a degree that jaw surgery would make any sense whatsoever. I might be a mouthbreather, but I try to pay attention to this and keep my mouth shut. If I were to have surgery, though, it would be solely for aesthetic reasons.
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Are you happy for the most part? If so, leave everything alone. Jaw surgery is a long road.
Definitely wouldn't do it in your case if no real functional issues. Just my opinion.
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I am unhappy with my appearance. I don't really have any functional issues so this is purely cosmetic. I think you are right that jaw surgery is too extreme for my situation.
What is your opinion on sliding genioplasty?
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What exactly don't you like about your appearance?
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What exactly don't you like about your appearance?
I personally have no problems with my appearance except some minor skin ones. I personally don't care about my chin position, but I posted on another messageboard and they told me that I have "no lower third" and that my chin is seriously deficient.
I won't do jaw surgery I don't think. I was only really considering it because the surgeon himself said that this would offer the greatest cosmetic improvement.
I think I will stick to just getting a chin wing osteotomy, a type of sliding genioplasty performed in Europe. I just want to be better looking and I don't want to limit my romantic and professional options in life (looks are hugely important in both these realms) when I have the possibility to correct them.
Does anyone here have an opinion on whether I would stand to benefit from a chin wing osteotomy? I'm thinking I would, but I am very afraid of looking worse afterwards and having a chin like Jay Leno.
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http://puahate.com/showthread.php?p=2186172 (http://puahate.com/showthread.php?p=2186172)
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http://puahate.com/showthread.php?p=2186172 (http://puahate.com/showthread.php?p=2186172)
Yes, this is the other forum I was referencing.
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http://puahate.com/showthread.php?p=2186172 (http://puahate.com/showthread.php?p=2186172)
LanzaIsMyHero
lmao seems like a valuable addition to this place
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That one poster is a real ahole from what I've read. My advice stay off that site.
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LanzaIsMyHero
lmao seems like a valuable addition to this place
I'm not proud of the things I post there, but I don't think it's fair to judge me based on the horrible things I've written. None of that stuff posted there is meant to be taken seriously and it's just a game of oneupmanship to see who can be the most shocking and anti-social. I have no idea how Sharptoys found that anyway unless he did a reverse image search on google
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Are there any cases of genioplasty where the person looked in your opinion worse afterwards? I've looked on pubmed and read as much as I can from people who've actually had it done, and it seems to have a very high satisfaction rate. Do you know any cases where the person looked like I do?
I can link you to a video of my face in motion if it helps in diagnosing whether I am a good candidate for SG or not.
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How does your chin look when you smile? I think my jaw and cin are recessed, but when I smile, I think my chin definitely sticks out enough, and I worry a sliding geno would make me look like a Witch!
I've been thinking about jaw surgery for ages now, but it's such a big thing.
If I was still really young, i'd get it done (even if it meant borrowing boat loads of money), but the idea of being
in braces for 2 years at my age is horrid!
I think I have recessed jaws and retroclined teeth. I think i'm probably a fairly good candidate for jaw surgery(I think I also have some sleep and speech issues).
However, like you, i'm mainly concerned about how I look, and I wonder if I could get something like a sliding genioplasy as a next-best-option type thing.
However, when I smile, I think my chin sticks out enough, so I'm not too sure.
From my profile, I feel as though i could benefit from liposuction or something? Even though i'm probably slightly UNDERwieght and have a visible 6 pack!
And sometimes I think I need more 'bulk' (like the edges of the bone of my chin and jaw need to be brought down more )
I'm not even sure if such an operation exists, but here's what I mean.
[attachment deleted by admin]
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jesterofmalice: how old are you? judging by the profile picture you just posted you seem like a good candidate for a genio
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You look pretty good dude. Your nose has some of the same flaws I do though.
My feelings on jaw surgery mirror yours. I'm simply not willing to endure braces at my age (26).
I think I'm going to get SG though. I'm really no expert whatsoever so the only thing I can really tell you is that I relate to you in terms of being unhappy with my appearance.
Here are the pictures of me smiling you said you were curious about. I took them right now once without flash and once with. My chin also appears to look better I believe when smiling than when not smiling.
http://imgur.com/a/0vVi9 (http://imgur.com/a/0vVi9)
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Why do I have -3 karma btw? What have I done to offend exactly? Maybe it's halo effect and people are downvoting me because they don't like my appearance.
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jesterofmalice: how old are you? judging by the profile picture you just posted you seem like a good candidate for a genio
Hey
i'm 29
I'd hope so, but I have my concerns :
MrRochester. I actually meant a picture of you smiling from profile type view.
I don't have a decent camera at the moment, but I have this one awful picture which show's
how I think my chin already juts out enough when I smile, so I wonder if I had sliding geno, that would be
even more exaggerated when I smiled.
Not to confuse matters even more, but I also sometimes think that some sort of facelift would help me! (crazy at my age)
I think, due to the lack of underlying support (small recessed jaws?) to teh soft tissue, my face is a little 'shapeless' and 'heavy'
[attachment deleted by admin]
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Oh fudge you're right. Smiling from the side looks awful! I'm too embarrassed to even post the photographic result of this experiment. Weird. I wonder why it looks so much worse to smile from the side than it does to smile from the front.
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You both look good to me as is.
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If you do get a sliding G then I suspect it will increase your sublabial fold, so consider getting a long-term filler like radiesse in the fold to camouflage it. This is what I had to do after my chin implant (yes, I have one, flame me... :() Radiesse is a tricky filler to use so if you do get a sliding G and the surgeon doesn't do a lot of fillers then go to one who does. (I'm now looking at getting a BSSO and keeping the implant rather than BSSO + genio)
From a female perspective I'd say you look pretty good and a sliding G might make you look a little better, but what would really improve things would be stronger mandibular angles which I believe is very tricky to do surgically. But that's just one opinion, everyone likes different things
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Your case reminds me a lot of mine. I had double jaw surgery for 2 recessed jaws and a long, recessed chin. Initially, I was considering a genioplasty only as many others looked at me like I was crazy for considering the long, painful process of jaw surgery for what seemed to be a "borderline" case. Now, 6 months out, I'm thrilled with my results and relieved I went this route. Consider that when the maxilla is recessed, merely bringing the chin forward might cause this recession to appear even more obvious due to the new relative position of the chin.
Expecially if the proposed genioplasty advancement is 4 mm or greater I would have some concerns. Genioplasty is really only a masking procedure; most people with recessed chins have an underlying jaw issue. With a large genioplasty there is a risk of looking unnatural and, as another poster mentioned having a noticeable step-off.
I also read that you have concerns about your nose. This type of surgery has a huge and typically positive impact on that feature. Bringing the jaws forward makes the nose appear relatively smaller from the side, with some slight widening from the front and a bit of upturn (about 1 mm for every 3 mm forward maxillary movement). Many people are very concerned about what impact surgery will have the nose and while it's worth considering, after looking at thousands of cases and experiencing it myself I would say changes are overwhelmingly positive. Makes sense given that bringing the jaws to their ideal position brings everything into harmony.
I thought about this decision long and hard though, and it's not my place to tell you what to do. I just felt compelled to say something because I want you to consider everything. It is definitely a big decision.
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Wow...I just saw on that other thread that you had braces from 12-17 and headgear. That is exactly what I had -- it worsened the recession of my jaws. Not surprising we both ended up here!
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Unfortunately I don't have the money for jaw surgery. I would do it if I did. Do you have before and after pictures? Was your face similar to mine beforehand? I guess from your avatar that you're a woman so your aesthetic goals wouldn't be quite the same as mine (I would like to look more masculine).
I can definitely relate to people thinking I'm crazy. My parents are wealthy and when I asked if they would pay for my jaw surgery, it was like I'd ask if they would finance a trip to the moon.
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cant believe heargear is still used. for shame. never heard of a positive case involving long-term braces.
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Agree, CK. That fact actually makes me physically ill.
MrRochester I'll pm you.
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i brought it up with my new ortho and there was no critical response. acted as if it is a completely normal and acceptable form of treatment. sad.
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I've gotten a lot of that attitude as well. I think because it's been around so long, and also the changes are so gradual and there's technically no way to "prove" that the adverse growth pattern was caused by headgear. I only know it from looking at myself before/after treatment and seeing others who have had the same.
Still, there is a new wave of orthodontists focusing on forward movement of the jaws to maximize the airway and for optimal aesthetics. It's catching on but not near fast enough.
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Wow...I just saw on that other thread that you had braces from 12-17 and headgear. That is exactly what I had -- it worsened the recession of my jaws. Not surprising we both ended up here!
How old are you and how was your recovery? fairly easy?
i brought it up with my new ortho and there was no critical response. acted as if it is a completely normal and acceptable form of treatment. sad.
and this guy does decompensation for surgery? wth?
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of all the dentists and orthodontists i met with there was only one who showed visible outrage at headgear and long-term braces. and she was a dental hygienist LOL. i think the thought process is if they cant fix it, they dont care that much. and bad mouthing orthodontics/dentistry in general is rarely good business.
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In defense of my orthodontist, he originally told my parents that braces alone were not a great option and that jaw surgery and chin work would provide a far better result. My parents didn't listen and instead I endured almost a world-record breaking length of braces treatment. So my orthodontist only resorted to extractions+headgear when my parents rejected his recommendation of surgery.
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i was similar but my original ortho pretended braces would deliver the same result and surgery would only be needed if my bite was "perfect." probably would have been better off having no braces. what parent wants to have their kid subject to invasive, risky surgery?
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i was similar but my original ortho pretended braces would deliver the same result and surgery would only be needed if my bite was "perfect." probably would have been better off having no braces. what parent wants to have their kid subject to invasive, risky surgery?
My parents were horrified when I casually mentioned that I'd consulted an ortho and jaw surgery was mention as one of the options. Because my step-father is an doctor and did quite a bit of anesthetics, he has seen le forts and BSSOs and is REALLY against me getting one. He is generally dead against any of me or my siblings getting anything that involves a general.
Here in the UK we are really behind with orthodontics. They hardly ever do jaws unless in really extreme cases. There are a lot of overbites here - once person springs immediately to mind - Beth Ditto, the gymnast. Gummy smile and big overbite, clearly a person who would benefit from double jaw surgery - she was in braces at the olympics so let's see, but I would bet that she doesn't
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How old are you and how was your recovery? fairly easy?
and this guy does decompensation for surgery? wth?
I just turned 26, was 25 when I had the surgery in January this year. Recovery was relatively easy as far as jaw surgery goes; I think I heal quickly because I de-swelled super fast from my both my wisdom teeth extractions prior to surgery and jaw surgery.
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I just turned 26, was 25 when I had the surgery in January this year. Recovery was relatively easy as far as jaw surgery goes; I think I heal quickly because I de-swelled super fast from my both my wisdom teeth extractions prior to surgery and jaw surgery.
how is the lower lip? fully numb, partially numb?
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Mostly numb. Only able to feel light sensation. It doesn't bother me too much.
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i didnt mind general. i think the most annoying part for me was being woken up. if they just let people come out on their my own it would be fine but they want to make room for other patients in the recovery so after x hours they start forcibly kicking people out.
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The doctor called today and said that the nerve isn't in the way and he is ready to perform surgery.
I got cold feet, though, and was like "um um um, yeah, let me think about it some more". I'm such a wimp! I probably should find out how many millimeters he intends to advance my chin before agreeing to surgery.
What's really cool is that he was able to tell from the x-ray alone that my breathing in my nose is f**ked up. I never mentioned my nose to him, but he told me without my mentioning that I can barely breathe through my left nostril (I guess my septum must be very deviated even though it's not that obvious on the surface). This is totally true. Whenever I told my parents or mentioned this to other people, I think they thought I was being a drama queen or trying to get attention. It's nice to have a doctor tell you that it's not all in your head (unsolicited too since as I just said, I never mentioned my nose breathing difficulties to him).
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The doctor called today and said that the nerve isn't in the way and he is ready to perform surgery.
I got cold feet, though, and was like "um um um, yeah, let me think about it some more". I'm such a wimp! I probably should find out how many millimeters he intends to advance my chin before agreeing to surgery.
What's really cool is that he was able to tell from the x-ray alone that my breathing in my nose is f**ked up. I never mentioned my nose to him, but he told me without my mentioning that I can barely breathe through my left nostril (I guess my septum must be very deviated even though it's not that obvious on the surface). This is totally true. Whenever I told my parents or mentioned this to other people, I think they thought I was being a drama queen or trying to get attention. It's nice to have a doctor tell you that it's not all in your head (unsolicited too since as I just said, I never mentioned my nose breathing difficulties to him).
Yeah mouth breathing is so awful, my dentist even referred to living with it as a 'decreased quality of life' cause it affects your mood, concentration, enjoyment of life. You're basically slowly suffocating lol. I'd definitely get any nasal obstructions removed regardless of what you decide to do with your jaw surgery.
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I realized today I'm ineligible for surgery anyway. I take low dose accutane (isotretinoin) and that messes up your bone growth formation and calcification. I can't have surgery even if I desperately want it. I told my surgeon that I was taking low dose accutane, but he didn't seem to even know what it was (he's a maxfac). However, after looking up studies on accutane and bone growth problems and surgical complications, it's not worth the risk.
This is actually a relief in a lot of ways. I think I was searching for a way to avoid having surgery and now that I can't have it, I've been unburdened in a lot of ways.
http://www.ncbi.nlm.nih.gov/pubmed/1626958 (http://www.ncbi.nlm.nih.gov/pubmed/1626958)
http://www.ncbi.nlm.nih.gov/pubmed/6237578 (http://www.ncbi.nlm.nih.gov/pubmed/6237578)
http://www.ncbi.nlm.nih.gov/pubmed/15803349 (http://www.ncbi.nlm.nih.gov/pubmed/15803349)
http://www.ncbi.nlm.nih.gov/pubmed/2591100 (http://www.ncbi.nlm.nih.gov/pubmed/2591100)
http://www.ncbi.nlm.nih.gov/pubmed/10456346 (http://www.ncbi.nlm.nih.gov/pubmed/10456346)
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Accutane = acne med
MrR: What if you were to stop taking Accutane? would you be a candidate for surgery then?
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Yeah I could stop taking it. I don't even have acne, but just take it so that have very clear skin as opposed to clear skin. I like the way it makes my skin look so I'm reluctant to stop.
They officially recommend you wait 6-12 months after stopping accutane before having any procedure done though so my plan to have surgery this summer isn't happening.
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Yeah I could stop taking it. I don't even have acne, but just take it so that have very clear skin as opposed to clear skin. I like the way it makes my skin look so I'm reluctant to stop.
(http://img.gawkerassets.com/img/18u98n4szqdnogif/ku-medium.gif)
EDIT: In all seriousness, you should probably stop. Isotretinoin is an incredibly toxic treatment, even for severe acne.
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(http://img.gawkerassets.com/img/18u98n4szqdnogif/ku-medium.gif)
EDIT: In all seriousness, you should probably stop. Isotretinoin is an incredibly toxic treatment, even for severe acne.
What do you find amusing? Do you not think my skin isn't clear or something? I don't have any pimples or blackheads or anything.
There is a difference though between when I'm on Accutane and when I'm not on it. When I take it, I don't get any blackheads on my nose or produce any oil at all. Sometimes when I'm off Accutane, I will also get a pimple on my back. I never get them on my face fortunately.
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What do you find amusing? Do you not think my skin isn't clear or something? I don't have any pimples or blackheads or anything.
Because the cost-benefit ratio for Isotretinoin/Accutane is horrible, even for those with severe acne. If I recall correctly, the original manufacturer pulled it off the shelves because of the number of lawsuits they were losing.
There is a difference though between when I'm on Accutane and when I'm not on it. When I take it, I don't get any blackheads on my nose or produce any oil at all. Sometimes when I'm off Accutane, I will also get a pimple on my back. I never get them on my face fortunately.
I don't doubt that. What I do doubt is whether it's worth using a potential chemotherapy drug to exfoliate your skin.
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Roaccutane is absolutely horrible for your liver. In the UK docs often won't prescribe more than a 6 month course of it. You can fix your skin with diet - don't eat any processed foods or foods that aren't natural for humans (SUGAR, GRAINS, SEED OILS). Fillers and lasers (fraxel) will minimise your acne scars.
Re: changes post-surgery, I had absolutely no issues adjusting to my face post rhinoplasty/chin implant. Granted, it wasn't a huge change but the only thoughts that ever crossed my mind were "yup, much better, let's move on" and "hmm a bit swollen". Maybe because the swelling and therefore the change happens gradually but I never had to readjust at all. I've basically forgotten my old nose and I'm only 4 month post-op.
It's funny how differently people see you differently than you yourself do. One of my best friends (female) has what I consider to be great bone structure - strong cheekbones and chin. However, she thinks her chin is too big and her forehead is manly and prefers mine (which is totally flat and smooth, she has a slight ridge and indent at the brow).
I absolutely hate my round face and small chin but am always told how cute/young/feminine it looks. But I still don't like it because I'd rather be beautiful than cute. At the end of the day what you think of your face is so much more important and affects how you feel much more than what others think. Parents are a particular nightmare as they will never criticise their child and are totally blind to your flaws. And bfs/gfs/husbands/wives are just as bad!
Your lip discrepancy isn't nearly as bad as mine - looks about 0.5cm, mine is at least double and is the main reason I'm seeking surgery. If you're not getting jaw surgery but want to do one procedure I would do mandibular angles or wrap-around implants or genioplasty + filler .
A no-cost solution is to shave your beard in a way that makes your mandible angles look sharper. If you hair is sparse in in place then you can tint the skin with dye. Personally I use contouring powder around my jawline
Eg -http://4.bp.blogspot.com/-yXd7_vqT_tw/UINRh-3KheI/AAAAAAACWe4/8EsqPw7oxS0/s1600/Hot+Sexy+Arab+Sheikh+Hamdan+bin+Mohammed+bin+Rashid+al+Maktoum+(4).jpg (http://4.bp.blogspot.com/-yXd7_vqT_tw/UINRh-3KheI/AAAAAAACWe4/8EsqPw7oxS0/s1600/Hot+Sexy+Arab+Sheikh+Hamdan+bin+Mohammed+bin+Rashid+al+Maktoum+(4).jpg)
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Traditionally no, but there's no reason not to. I put it on all my male models when I do shoots - under cheekbones, around jaw, sides of nose, eye crease, center of cupids bow. I then highlight browbone, top of cheekbones, center of forehead, cupids bow, and fill in the top outer section of the eyebrows. On the day-to-day I don't recommend highlighting for guys but contour is easy and not obvious.
The key is NOT to use bronzer or a powder "2 shades darker than your skin tone" as most will advise to but do use a powder the colour of the shadows on your face. In my case (very fair) that means a purple-grey-brown. I use a narrow brush that's about 1/4" wide.
If it's for a picture you can put on 2x a much, plus a non-shimmery highlighter.
Generally I recommend you wear a silicone-based primer as men have larger pores and it also makes things stay for longer.
Eyebrow shape is so important for the whole face. Of course the ideal is almond eyes (higher at outer edges than inner) and eyebrows to match - look at any top model, male or female. If you've got a very round eye shape and eyebrows that go down rather than up, then pluck those suckers at the bottom outer corner and fill them in on top. Or get hairstroke cosmetic tattoo - yes even guys, it's more common than you think.
Example -(http://[url=http://www.maskcara.com/maskcara/wp-content/uploads/2013/01/facelift.jpg]http://www.maskcara.com/maskcara/wp-content/uploads/2013/01/facelift.jpg[/url])
Here's a good tutorial about contouring. -
http://www.maskcara.com/maskcara/2012/11/10/hac-yourself-flawless/ (http://www.maskcara.com/maskcara/2012/11/10/hac-yourself-flawless/)
For men I do a line under the cheekbone and then a line downwards (like this http://s5.postimg.org/peq1ao2p3/mens_hairstyles_fashion_trends_2012_2013_cool_ha.jpg (http://s5.postimg.org/peq1ao2p3/mens_hairstyles_fashion_trends_2012_2013_cool_ha.jpg))
If you ever why models have such ridiculously prominent cheekbones in pictures, it's because they add a lot of makeup to already good bone structure. Kim Kardiashian and J Lo also use loads of contouring ;)
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I've not had any experience with using yogurt as a cleanser so can't comment on that other than to say it seems to be quite a popular method on the internet.
But yes, as you say, lactic acid should certainly be beneficial.
It's great that you wear a hat outside, you should still wear sunscreen though IMO as the rays will ultimately bounce off any object and land on your face.
I'm lucky I don't like tans haha
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Roaccutane is absolutely horrible for your liver. In the UK docs often won't prescribe more than a 6 month course of it. You can fix your skin with diet - don't eat any processed foods or foods that aren't natural for humans (SUGAR, GRAINS, SEED OILS). Fillers and lasers (fraxel) will minimise your acne scars.
Re: changes post-surgery, I had absolutely no issues adjusting to my face post rhinoplasty/chin implant. Granted, it wasn't a huge change but the only thoughts that ever crossed my mind were "yup, much better, let's move on" and "hmm a bit swollen". Maybe because the swelling and therefore the change happens gradually but I never had to readjust at all. I've basically forgotten my old nose and I'm only 4 month post-op.
It's funny how differently people see you differently than you yourself do. One of my best friends (female) has what I consider to be great bone structure - strong cheekbones and chin. However, she thinks her chin is too big and her forehead is manly and prefers mine (which is totally flat and smooth, she has a slight ridge and indent at the brow).
I absolutely hate my round face and small chin but am always told how cute/young/feminine it looks. But I still don't like it because I'd rather be beautiful than cute. At the end of the day what you think of your face is so much more important and affects how you feel much more than what others think. Parents are a particular nightmare as they will never criticise their child and are totally blind to your flaws. And bfs/gfs/husbands/wives are just as bad!
Your lip discrepancy isn't nearly as bad as mine - looks about 0.5cm, mine is at least double and is the main reason I'm seeking surgery. If you're not getting jaw surgery but want to do one procedure I would do mandibular angles or wrap-around implants or genioplasty + filler .
A no-cost solution is to shave your beard in a way that makes your mandible angles look sharper. If you hair is sparse in in place then you can tint the skin with dye. Personally I use contouring powder around my jawline
Eg -http://4.bp.blogspot.com/-yXd7_vqT_tw/UINRh-3KheI/AAAAAAACWe4/8EsqPw7oxS0/s1600/Hot+Sexy+Arab+Sheikh+Hamdan+bin+Mohammed+bin+Rashid+al+Maktoum+(4).jpg (http://4.bp.blogspot.com/-yXd7_vqT_tw/UINRh-3KheI/AAAAAAACWe4/8EsqPw7oxS0/s1600/Hot+Sexy+Arab+Sheikh+Hamdan+bin+Mohammed+bin+Rashid+al+Maktoum+(4).jpg)
What are wrap around implants?
Would filler be able to give a more prominent jawbone at all?
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Unfortunately not, you can't alter your genetic pore size and if they have been stretched then they are unlikely to return to the original size.
Bollocks, course you can! What you need is Estee Lauder Idealist - that will shrink them right down. Then use a silicone-based primer (e.g. smashbox or Makeup Forever) and watch them vanish ;D
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What are wrap around implants?
Would filler be able to give a more prominent jawbone at all?
1) https://www.google.co.uk/search?q=wrap+around+mandible+implants&rlz=1C1ASUT_enGB518GB518&um=1&ie=UTF-8&hl=en&tbm=isch&source=og&sa=N&tab=wi&ei=bq7xUaauF4fRsgbBp4GgDQ&biw=1454&bih=704&sei=cK7xUe6iPI7NsgaBm4HYAw (https://www.google.co.uk/search?q=wrap+around+mandible+implants&rlz=1C1ASUT_enGB518GB518&um=1&ie=UTF-8&hl=en&tbm=isch&source=og&sa=N&tab=wi&ei=bq7xUaauF4fRsgbBp4GgDQ&biw=1454&bih=704&sei=cK7xUe6iPI7NsgaBm4HYAw)
http://www.ramirezmd.com/implants/matriximplants.html (http://www.ramirezmd.com/implants/matriximplants.html)
http://www.drdhir.com/images/jaw_img1.jpg (http://www.drdhir.com/images/jaw_img1.jpg)
http://www.exploreplasticsurgery.com/wp-content/uploads/2012/08/Custom-Chin-and-Jaw-Angle-Implants-Dr-Barry-Eppley-Indianapolis.jpg (http://www.exploreplasticsurgery.com/wp-content/uploads/2012/08/Custom-Chin-and-Jaw-Angle-Implants-Dr-Barry-Eppley-Indianapolis.jpg)
FYI - Jaw implants are much more tricky to do than chin implants
2) No, too soft. Only for filling prejowl and even then it's pretty rubbish
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Yoghurt is good as a facewash as it's mildly acidic, like skin. And is fatty, which cleans and moisturises. Cream is also good. Men often need a bit of exfoliation though, too. Eg. Clarisonic, AHAs, physical exfoliants
Natural products for pores I don't know, I just go for the chemicals :o (except parabens which I try to avoid).
Pore strips are only good if you can close the pores afterwards, otherwise they will fill right back up
Tea tree oil is very strong. It dissolves plastic petri dishes so I wouldn't put it anywhere near my face unless it was diluted and I had a significant acne problem. It's not recommended for neat use on the skin.
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I absolutely hate my round face and small chin but am always told how cute/young/feminine it looks. But I still don't like it because I'd rather be beautiful than cute. At the end of the day what you think of your face is so much more important and affects how you feel much more than what others think. Parents are a particular nightmare as they will never criticise their child and are totally blind to your flaws. And bfs/gfs/husbands/wives are just as bad!
Why don't you post a picture of your face then we can give you an honest appraisal of whether you need surgery or not. You know people here won't be biased like your friends/relations.
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Why don't you post a picture of your face then we can give you an honest appraisal of whether you need surgery or not. You know people here won't be biased like your friends/relations.
I have in the private forum. I think people are less likely to say you need surgery if you're already reasonably attractive, even if your jaw position is pretty bad
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Are we talking about pores and clear skin? If yes, two things that really help minimize pore size and keep them clear- oil cleansing and using salicylic acid toner, this really helps keep them in line in my experience. Definitely primers can help minimize to a degree pore size, but it is mostly genetic.