Hello: I am a 21 year old african american male. I grew up mouth breathing with a class 3 bite and crossbite. I had compensation ortho at 19, that tipped my wide lower jaw behind my narrow and recessed upper palate, and I feel it made my face longer. I have pics of my face and my side profile throughout the years if anyone wants to see to further help me with advice, but for now I am just going to show my skull. I am currently in the process of prepping for jaw surgery, and doing consults. SO far I have had two consults with two different Jaw surgeons.
The first, Reza Movahed, told me I had an very tiny airway and my midline is off (I do have noticeable facial asymmetry). He said I need 8 mm of advancement, but due to my protruding teeth, he couldn't advance me that much, so he would widen my jaw with surgery, advance it only a few, maybe 3-5 mm, and give me genio. He said I would not get a huge aesthetic improvement, and most of the improvement would be in the genio.
Surgeon two said my case wasn't extreme enough.
I understand I will need more than just jaw surgery for this, but the goals I'm going for are:
Reduce my incredibly steep gonial angle, its probably like 150 degrees.
Fix my nasolabial folds, that have shown up due to jaw recession, particularly in the maxilla
Improve my chubby cheeks - despite being skinny, when I smile I get this chubby cheek look I hate.
Add more volume to my midface - it looks extremely flat.
Get rid of my baby face look.
Improve the width of my face, and shorten it, so it's not so long and narrow.
Fix my eye area, which constantly looks tired.
Fix my asymmetry
Can someone give me advice on how to proceed with these goals in mind? I would like surgeon and procedure recommendations, preferably in the southern or north eastern US.
I will send pics personally in DM if anyone asks, but here are my skull scans, unfortunately these are the only pics I have that dont show my face, but if anyone needs more information, I can send you in the DM.
An example of something I would hope to acheive off jaw surgery alone is this case:
https://www.institutomaxilofacial.com/en/caso-clinico/edgar/