Apparently, my cheekbones project relatively far forward for a man, with the point of maximum projection being several mm ahead of my lower eyelid, which is "absolutely not typical" for someone with malar hypoplasia. But they (severely) lack lateral projection, being barely visible from the side. Of course, since my lower midface is relatively narrow and hypoplastic, the net results of this is severe melolabial folds and a rather strange cheekline; it's sort of a Y-shape, roughly diagonal at the top until the base of the nose, then weaker and vertical between there and the chin (probably because the maxilla is recessed).
But the two things that bother me the most are that my right cheekbone is even narrower than the left, which makes it grossly asymmetrical, and that even at the widest point, my cheekbones are narrower than the top of my jaw (my cheek and jaw lines never cross).
Now, I know there's plenty of relatively simple procedures to improve cheekbone appearance, like implants and bone grafts, but I don't want to think about anything like that until I have a reasonable idea of what effect my orthognathic surgery is already going to have on them.
What effects can I expect a Lefort I and possible SARPE to have on my cheekbones? Two effects I definitely want to avoid are "chubby" cheeks and hollow cheeks. From my (limited) understanding, a lefort I doesn't directly modify the cheekbones or any part of the malar complex, and neither does SARPE, so I'm struggling to see how either could possibly have a positive effect on cheek appearance. If anything, I'd imagine a wider palate would just make my face appear even flatter from the side.
Yet on the other hand, I've read many positive claims that one or other of these surgeries makes your cheeks appear more chiseled than before, and I've heard several people complain that SARPE left them with hollow cheeks (I thought that was only meant to happen with extractions?).
Is there anyone here who can give me some definitive answers?
I know this is a lot of questions, but I'm not seeing my ortho and surgeon until december 10th, and I'm getting more and more anxious about this whole thing.
For the record, I'm a class I with 5mm overjet, 2mm negative overbite, mild crowding, moderate vertical maxillary excess, mild maxillary hypoplasia and malar hypoplasia.
I doubt there's anyone here with my exact diagnosis, but hoping someone with some of my symptoms has been through this type of surgery before.
