What surgeries do I need, from frontal view?

[idk]

And, what procedures could help to reduce the anterior facial height and sclera show?

I did not have sclera show until bad orthodontics and my face colapsed.  Now I am not sure what to do in order to fix the elongated face.   I have no a terrible gum exposure yet still I have: lip incompetence at rest, sclera show at rest, extremely elongated face, no infraorbital support at all, and steep occlusal plane. Chin retruded.

Any suggestion will be appreciated.

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[ditterbo]

Can someone tell me what is this scleral show OP and others talk about in cases like his?  Like the whites on the sides aren't natural?? I thought scleral show issues came from the whites appearing under the iris or an excessive 'sag' to the sides, which appear non existent or very mild in OP's case IMO.

[PloskoPlus]

You have no scleral show.

[idk]

You have no scleral show.

I was squinting at that pic. Usually I have sclera show at rest. Very mild, yet still before I had zero sclera show at all, now my eyes looks colapsed. 

Still... any sugestions about what could help in order to decrease the anterior facial height?

[Lazlo]

yeah your situation is similar to mine. I think jaw surgery would f**k you up actually but a  lefort 3 might help. Your eyes are fine. I'd go for the lefort 3 with Sinn.

[idk]

Can someone tell me what is this scleral show OP and others talk about in cases like his?  Like the whites on the sides aren't natural?? I thought scleral show issues came from the whites appearing under the iris or an excessive 'sag' to the sides, which appear non existent or very mild in OP's case IMO.

I am making a conscious muscular effort to keep my eye area looks not that off in that photo. I did not take the photo for showing here.  You can cleary appreciate that the midface is absolutely colapsed and with zero infraorbital support.  If I keep relaxed my eyes display mild sclera exposure and upper eyelid exposure too

[idk]

yeah your situation is similar to mine. I think jaw surgery would f**k you up actually but a  lefort 3 might help. Your eyes are fine. I'd go for the lefort 3 with Sinn.

would you mind elaborating a bit on why jaw surgery could f**k you even more?
lefort III seems scary as hell but...will look into for before afters

[idk]

Also do you think I need anterior impaction of the maxilla?

[PloskoPlus]

I was squinting at that pic. Usually I have sclera show at rest. Very mild, yet still before I had zero sclera show at all, now my eyes looks colapsed. 

So why not post photos that show your problems if you want help?

[UKMaxfac]

So why not post photos that show your problems if you want help?

because he's a narcissist douchebag from lookism

[Bowie]

Zygomatic osteotomy, or implants that go on the zygomatic arch will widen your face and make the mid face appear shorter.

[Milli_Meters]

You mean the ZSO?

[Bowie]

You mean the ZSO?

Sorry yep

[Bowie]

Not sure if this is the same or not

http://documentslide.com/documents/intraoral-zygomatic-osteotomy-for-correction-of-malar-deficiency.html

I can't download it.

[Milli_Meters]

That projection is too damn low.

I have heard zso is being performed with higher mobilization. I am vesting a lot of hope in this.