orthognathics

[seeking perfection]

hi .... first of all i'm new here i like your forum and i like to be a part of it ,,,
and now let's cut of to the chase :
I'm 21 year old female ,,, I've had breathing difficulties since i was a kid , my sleep apnea caused me to reach my adulthood with narrow arches , as i grew up with this sleep apnea i developed crowding , an open bite with a class 2 occlusion , excessive gingival display and mostly annoying a long face appearance ,,,
my profile and my entire face is convex and looks long and narrow ,,, my chin is receded ,,, my cheeks seems to some kind drooping down !!
my question is what is the least invasive treatment options should i have to have 1- a perfect smile
2- a more rounded facial appearance
so far i've thought about having orthodontic bands with extraction of premolars to correct the overbite and the crowding ,,, but I'm wondering ,,, as i have VME ( vertical maxillary excess ) and my teeth show too much under mu lip line ( if you know what i mean ) ,,, is it possible with orthodontic means only to move my teeth apically and fix this ??
and as mentioned earlier my chin is receded , will the correction of the class 2 occlusion solve this problem or should i get an implant ?
and as i have narrow arches that caused my face to be narrow ,, could i by means of palatal expansion in adults enlarge my arches ? and if i did will it make my face look any how rounder ??
and if palatal expansion did not improve my face , is there any thing out there that will make my face look round ?? I've heard that zygomaticus implants help treat the long face syndrome ,,, but i'm trying out to have a surgery-free treatment as I'm terrified of surgeries ,,, so is there any other non-invasive option to make my face round ??
and above of all of that i need a nose surgery to treat sleep apnea ,,, should i do it before or after orthodontic issues ??

thankfully I'm beautiful , but i wanna fix those problems i have to reach the optimum of what god has created in me ,,, can you please help

[Bullfighter]

hi .... first of all i'm new here i like your forum and i like to be a part of it ,,,
and now let's cut of to the chase :
I'm 21 year old female ,,, I've had breathing difficulties since i was a kid , my sleep apnea caused me to reach my adulthood with narrow arches , as i grew up with this sleep apnea i developed crowding , an open bite with a class 2 occlusion , excessive gingival display and mostly annoying a long face appearance ,,,
my profile and my entire face is convex and looks long and narrow ,,, my chin is receded ,,, my cheeks seems to some kind drooping down !!
my question is what is the least invasive treatment options should i have to have 1- a perfect smile
2- a more rounded facial appearance
so far i've thought about having orthodontic bands with extraction of premolars to correct the overbite and the crowding ,,, but I'm wondering ,,, as i have VME ( vertical maxillary excess ) and my teeth show too much under mu lip line ( if you know what i mean ) ,,, is it possible with orthodontic means only to move my teeth apically and fix this ??
and as mentioned earlier my chin is receded , will the correction of the class 2 occlusion solve this problem or should i get an implant ?
and as i have narrow arches that caused my face to be narrow ,, could i by means of palatal expansion in adults enlarge my arches ? and if i did will it make my face look any how rounder ??
and if palatal expansion did not improve my face , is there any thing out there that will make my face look round ?? I've heard that zygomaticus implants help treat the long face syndrome ,,, but i'm trying out to have a surgery-free treatment as I'm terrified of surgeries ,,, so is there any other non-invasive option to make my face round ??
and above of all of that i need a nose surgery to treat sleep apnea ,,, should i do it before or after orthodontic issues ??

thankfully I'm beautiful , but i wanna fix those problems i have to reach the optimum of what god has created in me ,,, can you please help

It's impossible to diagnose over the Internet, with no pics, and not being a surgeon, so take all this with a grain of salt...

I doubt orthodontics alone is going to address most of what you describe -- facial shape, etc. Probably the best course is to schedule a consultation with a maxillofacial surgeon and an orthodontist. If your bite requires some sort of jaw surgery to correct, then you have several surgical options open to you -- some of which may improve the more cosmetic things you describe.

With regard to your nose, some types of rhinoplasty can be done at the same time as jaw surgery -- it tends to be an easier recovery than jaw surgery, and you'll be under anesthesia already.

I would recommend not being "terrified" of surgery, but take it seriously because there are risks and side effects, and it takes a long time to fully recover (and not everyone recovers full sensation in their face).

[RMF7825]

Seeking perfection, I agree with other poster that pics would help to give more informed suggestions. Generally however people with long face syndrome which sounds like what you are describing, have upper jaw surgery with the jaw being brought up (intruded) and forward to improve lip seal and convex appearance of face. Some patients also have lower jaw surgery to improve airway (this may correct sleep apnea). Finally, geniplasty can be done if you need further chin projection. Just one final thing I'd add, none of us is perfect and although surgery can improve your appearance, breathing, chewing, speaking etc. it won't make you perfect. Hope it was ok to say that.