Long Face

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#1 Post by **Hope** » Tue Nov 10, 2009 12:39 pm

Has anyone had jaw surgery for a long face without a gummy smile?

thank you!

#2 Post by **projo198** » Tue Nov 10, 2009 1:28 pm

Hope wrote:Has anyone had jaw surgery for a long face without a gummy smile?

thank you!

Specifics might be better... Underbite? What kind of smile??

#3 Post by **HokieTay** » Tue Nov 10, 2009 2:08 pm

Hope wrote:Has anyone had jaw surgery for a long face without a gummy smile?

thank you!

I did. I had a long face, gummy smile, overbite, and openbite. Thus I had BSSO and Le Fort I.

#4 Post by **HokieTay** » Tue Nov 10, 2009 2:12 pm

Oh just noticed you said WITHOUT. Anyhow, maybe you wouldn't need upper and lower if you don't have a gummy smile.

#5 Post by **GrizzlyB** » Tue Nov 10, 2009 2:53 pm

I have a long face with no gummy smile. I will have a Lefort 1 (upper jaw surgery) this Monday to correct an open bite and a very slight underbite. (My underbite isn't big enough to warrant surgery on both jaws.) I expect this to shorten my face somewhat.

#6 Post by **Hope** » Tue Nov 10, 2009 3:24 pm

I dont really have an overbite or underbite
Its just my face looks very long though

#7 Post by **ReoSity** » Tue Nov 10, 2009 5:47 pm

Do you have any aesthetic or functional issues?

#8 Post by **Hope** » Tue Nov 10, 2009 7:47 pm

it is purely aesthetic
my face looks terribly long and have been told this for my whole life

#9 Post by **OhioM** » Wed Nov 11, 2009 6:14 am

Hope,

Have you seen a surgeon for a consult?

#10 Post by **Hope** » Wed Nov 11, 2009 9:00 am

I have been on one consult and the Dr said he could do a genioplasty.
But I know my maxilla is too long
I do have another consult in Dec.
I hope someone can help me out because I cant go thru my whole life having to look at my face like this
Do you have a similar problem?

#11 Post by **Davide** » Wed Nov 11, 2009 9:43 am

I think that if you get your maxilla impacted, something will need to be done with the lower jaw too, otherwise you'll end up with some kind of malocclusion. Also bringing your maxilla up will cause the upper lip to partially or entirely cover your teeth when you smile. Basically your smile will look more like a smirk. But I think that can be corrected with a lip lift.
Also since the whole procedure will be done exclusively for cosmetic purposes, I doubt that your insurance will pay a single penny.
Davide

#12 Post by **Hope** » Wed Nov 11, 2009 9:48 am

thanks Davide!
the dr did mention that if I had my upper jaw moved up then it would look very bad since my teeth wouldnt show when I smiled
he said to just reduce my chin but he said that chins can only be reduced 2 or 3 cm
i dont know if this is enough to make me look decent

#13 Post by **OhioM** » Wed Nov 11, 2009 10:17 am

Hope wrote:I have been on one consult and the Dr said he could do a genioplasty.
But I know my maxilla is too long
I do have another consult in Dec.
I hope someone can help me out because I cant go thru my whole life having to look at my face like this
Do you have a similar problem?

What did the doc say about the measurements of your face? If your maxilla is too long you would have lip incompetence (do you?) or gummy smile, right? I would ask more specific questions if possible.

I have a long face/gummy smile/lip incompetence.....getting Lefort 1 done hopefully soon!

#14 Post by **Davide** » Wed Nov 11, 2009 10:18 am

I think you meant to say 2-3 mm. 1 cm is equal to 10 mm. 3 cm is more than an inch, and that's A LOT of movement.

#15 Post by **Hope** » Wed Nov 11, 2009 2:51 pm

yes, I meant mm

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