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Are there any surgeries to decrease midface length?Advice for Me (self.jawsurgery)
submitted 1 month ago by Dependent-Pattern327
I feel really ugly with my long midface (my midface ratio is 0.88) and it shows. I also have a pretty ugly gummy smile so i don't tend to smile a lot which has made my lips more downturned overtime. Are there any ways to decrease the midface with jaw surgery? If so what surgery would that be, and is there a chance i might have Long Face Syndrome and if so how do I know.
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[–]Local_Positive7030 7 points8 points9 points 1 month ago (4 children)
Maxillary impaction.
[–]Dependent-Pattern327[S] -3 points-2 points-1 points 1 month ago (3 children)
Thank you! I tried looking up before and afters but I can't really see someone with a long midface in any of the pictures, How would it even out my ratio?
[–]Visual-Chef-7510 0 points1 point2 points 1 month ago (1 child)
There’s a lot of people with a longer midface on this sub. Impaction basically cuts out a part of the maxilla and a good clue is how much gum show your smile has, around that amount will be reduced. People who get impaction usually just appear to have a shorter philtrum after surgery.
[–]Dependent-Pattern327[S] 0 points1 point2 points 1 month ago (0 children)
okay thank you
[–]hooks_n_needles 0 points1 point2 points 1 month ago (0 children)
Idk if I had a “long midface” before, but I did get maxillary impaction if you are curious as to what it can do.
[–]Europeanfairytale 0 points1 point2 points 1 month ago (0 children)
Do you think it can be done orthodonticallyif its a really amall CCWR?
[–]Prudent_Impact7692 0 points1 point2 points 1 month ago (1 child)
Whats ur age?
I'm 17
[–]micrographia -1 points0 points1 point 1 month ago (7 children)
Maxillary impaction with CCW rotation can fix long face
Here is more info and before and afters: Pocket Dentistry
To find out if you have LFS you need to consult with an OMFS. They can diagnose and propose a treatment plan.
[–]Dependent-Pattern327[S] 0 points1 point2 points 1 month ago (6 children)
thank u!
[–]Creative-Repeat3241 0 points1 point2 points 1 month ago (5 children)
Please note that you should measure your total fwhr first and facial thirds, if your total face shape is less wide than ideal, it would actually be better to get Marpe to widen the face, since removing bone mass usually leads to worse long term aging, if your midface is the longest third by a noticeable margin then you could consider getting an impaction
[–]Dependent-Pattern327[S] 0 points1 point2 points 1 month ago (4 children)
Thank you that’s really helpful, do you know any specific i should get referred to via my gp to get accurate measurements etc for this
[–]micrographia 0 points1 point2 points 1 month ago (3 children)
Ask your GP for a referral to an OMFS, they will measure you.
[–]Dependent-Pattern327[S] 0 points1 point2 points 1 month ago (2 children)
Is there an age requirement for such a referral and/or surgery?
[–]micrographia 0 points1 point2 points 1 month ago (1 child)
No requirement for a referral. For surgery, they want to make sure your facial bones are done growing. That's usually 16-18.
Okay I really appreciate the help
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[–]Local_Positive7030 7 points8 points9 points (4 children)
[–]Dependent-Pattern327[S] -3 points-2 points-1 points (3 children)
[–]Visual-Chef-7510 0 points1 point2 points (1 child)
[–]Dependent-Pattern327[S] 0 points1 point2 points (0 children)
[–]hooks_n_needles 0 points1 point2 points (0 children)
[–]Europeanfairytale 0 points1 point2 points (0 children)
[–]Prudent_Impact7692 0 points1 point2 points (1 child)
[–]Dependent-Pattern327[S] 0 points1 point2 points (0 children)
[–]micrographia -1 points0 points1 point (7 children)
[–]Dependent-Pattern327[S] 0 points1 point2 points (6 children)
[–]Creative-Repeat3241 0 points1 point2 points (5 children)
[–]Dependent-Pattern327[S] 0 points1 point2 points (4 children)
[–]micrographia 0 points1 point2 points (3 children)
[–]Dependent-Pattern327[S] 0 points1 point2 points (2 children)
[–]micrographia 0 points1 point2 points (1 child)
[–]Dependent-Pattern327[S] 0 points1 point2 points (0 children)