I am 21, male. Currently I am in treatment because of my dysgnathia. My diagnosis is - maxillary retrognathia, narrow upper palate, laterognathia (1mm). My occlusion is far from ideal, but not an under- or overbite. I have a severe edge-to-edge-bite and a onesided crossbite, and some frontal tooth crowding in the maxillary palate.
Getting SARPE soon, then later in the year double jaw surgery. It will probably involve a CCW rotation of the maxilla and maybe some advancement of both jaws sagitally.
I have a bad faceshape IMO - my facial thirds are unbalanced, because my lower third is dysproportionately longer than the other two. The space between nose and upper lip (philtrum) is too long, it is /not/ mandibular or chin excess. I, however, do not possess a gummy smile. Possibly because of the maxillary retrognathia? My philtrum is around 22-25mm long (male median is 16mm+-/2.56mm) - too long, and I have almost no visible upper lip. It's more like a concave, inverted upper lip. My midface is ok. So it's not classic unattractive long midface case.
I have often read that shortening the midface (beginning of the nose to glabellum) is impossible except with maybe a LeFort III, with likely disastrous results. But can you shorten the lower third to harmonize the facial ratios? I have read of maxillary impaction, but the probably I see here is that I do not have a gummy smile. Also, would an impaction for that particular reason not result in excess soft tissue or will the face adapt to it?
Will a CCW rotation of the maxilla result in a similar effect (shortening), because I've read that in some forums, but I can't imagine how that should happen.
When I morph myself with a good portion of face height in the lower third (philtrum) removed, probably around 8mm, my face looks way more balanced, even attractive. Is this possible with double jaw surgery involving impaction and some removal of excess philtral skin? Should I ask my surgeon about this?
Best wishes and thanks for your thoughts!
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