During my younger years, I had a slight underbite where my teeth would align perfectly on top of each other, but my upper jaw didn't have enough space for my canines to grow out. I received braces and expanders to address this, but now my top four teeth slant slightly outward. As a result, I feel like I have a recessed maxilla, which gives my face and cheeks a flat appearance when I'm at rest. I'm considering various treatment options such as cheek implants, filler injections, or as a last resort, jaw surgery. What would be the ideal treatment in this situation?
Based on the side profile view you provided, it seems that the base of your nose is slightly behind the facial plane, resulting in a retruded maxilla appearance. The point where your nasal base meets your lip appears recessed and forms an acute angle. One effective solution to improve this is a maxillary augmentation with an implant, which can open up the angle and enhance the overall appearance of your midface. The incision is typically made through the base of the nostril and is well concealed. During a rhinoplasty, this augmentation can often be performed simultaneously. I recommend addressing the main issue before considering fillers or cheek implants. Once the primary problem is corrected, the face can be reassessed, and additional recommendations can be provided.
Before proceeding with any medical or surgical treatment, it is crucial to understand the diagnosis or the "problem" at hand. Without a clear diagnosis, treatment may be incomplete, temporary, misdirected, or even accentuate the problem. I suggest considering a formal evaluation with cephalometric analysis by a maxillofacial or craniofacial specialist. Once a relationship is understood and any desired adjustments or improvements are identified, you can explore treatment options accordingly.
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