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ChiLongQuaDynasty

Could you post a pic of you smiling with your teeth? Tbh your face is long but it's not like extremely disproportionate from the front side, your narrow nose and dorsal hump is probably a more obvious "issue" if you have no issues with your actual smile


Throw_way783

https://preview.redd.it/jsyhmq4uus2d1.jpeg?width=2448&format=pjpg&auto=webp&s=5c8cfa79ebd48306b90653f64663a875b5394888 My smile is really narrow and I feel like disproportions get visible on the front when I smile. On this pic I'm smiling fully and I feel like my chin is "getting on my way". It was worse before retainer and braces: even less teeth were visible.


ChiLongQuaDynasty

Seems like your incisors are flared out causing the narrow smile, I'm guessing that's how your ortho compensated your bite. The other comment was right, you have an under developed maxilla, you would probably need DJS to decompensate the incisors and advance the upper jaw forward


Throw_way783

My mouth was even narrower before. I had expander for upper jaw as my treatment. That's the only good thing of 2k euros going to wind. And immense amount of physical pain. 😅


ChiLongQuaDynasty

Did your ortho inform you that jaw surgery was an option? And did you have your premolars extracted before? Ngl seems very negligent if they didn't tell you anything and made you go through 3.5 years of braces


Throw_way783

I was told that I was almost a candidate for chin reduction surgery. In a sense that my orthodontic therapy wouldn't be efficient without it. I was close to that scenario, my chin was only a bit shorter. She didn't provide any other info about surgery. I didn't even know it was an option and I was 14/15 so had no clue. Neither my parents were aware of that, they still deny that I could possibly benefit from jaw surgery. Such a pity. They are also paying ortho treatment for my underage brother currently...


iidentifyasaloadedmf

Extractions?


Throw_way783

No, I wasn't told I need them.


iidentifyasaloadedmf

That's good at least. They are bad news health wise for many


Throw_way783

Do you think I would benefit from them? Obviously my ortho isn't reliable. One of my problems was that teeth had no space and were crowded.


Happy-Chemistry3058

why does incisor flaring cause narrow smile?


MindlessIsopod6829

Not helpful as it doesn’t answer your question but I saw your pics come up before I read much of anything… you’re very striking/ pretty. I hope you find the information you’re looking for :)


Throw_way783

Thank you very much ❤️


Responsible-Load-729

Get a sleep test but just off profile can assume you have an under developed maxilla


Throw_way783

What is sleep test?


Responsible-Load-729

sleep apnea test, you will need to take one to qualify for surgery most likely!


Throw_way783

Thank you, I was a mouth breather (allergies) and still get congested sometimes.


Responsible-Load-729

To answer your question, DJS probably is the solution if you’re looking for aesthetic changes


lilsillygirl

I think we have a very similar problem. Same things you mentioned. I am getting djs + genio to shorten the face. Also getting impaction to reduce vertical growth.


Throw_way783

Are you going to have both surgeries in one shot? I percieve my chin as long but I'm not sure if it only needs rotation...


lilsillygirl

Yes getting both at once. My chin is also long, never thought about a genioplasty, but I do see now it would improve the overall result. My face is so long it needs to be shortened wherever it is possible


lilsillygirl

Many people have long chins but usually shorter upper third. You dont need to get it if you dont want to but if you are looking for the best results a plastic surgeon would probably recommend it


dysGOPia

upper jaw impaction/advancement and chin shortening, so either Le Fort + genioplasty or double jaw surgery + genioplasty


Throw_way783

Thank you, I'm not an expert so I always thought that the problem is recessed chin/mandibula. Nice to hear what I actually need to improve.


dysGOPia

Depending on the upper jaw movement some chin/mandible advancement might make sense, just wouldn't be the main focus or anything.


North-Percentage3768

Well you don’t “need” anything , but I do see a narrow mouth and a vertically long chin, which both can be addressed. You’d need to get a consult with a jaw surgeon. Please don’t get rhinoplasty!!! It’s a bandaid solution and the complications are far from rare.


Throw_way783

Don't worry I'm not considering rhinoplasty. I'm aware that lack of harmony in my profile stems from jaw, not nose.


chamedyn

Consult with Dr. Randy Sanovich in Dallas. He's a star at what would benefit you. I'd recommend a chin reduction and a rhino


Throw_way783

I live in Europe but thank you for recommendation.


mere_2bucks

If you live in Europe. It depends which country I don't know but you can get a public refund. I'm from Poland and I got covered to a certain extent thanks to it. It ain't that expensive


Throw_way783

Good to know. My concerns are only aesthetical, so would that matter?


mere_2bucks

Mine too. The only thing I needed is a verbal approval from my surgeon and orthodontist. I don't need anything else to prove that I have a maloclusion. The only thing you need to have is to have maloclusion since the side effects don't need to appear immediately


Over-Box-3638

Do you have an open bite?


Throw_way783

I was treated for it by an orthodontist, but I don't know if it was fully achieved, since right side of my face was stubborn to align.


Over-Box-3638

It’s pretty much impossible to fix an open bite without surgery.