21 years old, genio...
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[Solved] 21 years old, genioplasty and rhinoplasty candidate

13 Posts
7 Users
Posts: 22
Topic starter

I'll share my case with you. I recently turned 21, and have been practicing mewing for about 3 years (2 of them not so really applied). The results were more than satisfying, as my speech became more fluent and also my breath improved drastically. In other hand, I'm almost convinced that tropic treatments won't do much more for my appearance, that's why I've recently attended to a plastic surgeon which said a genioplasty and rhinoplasty would be more suitable to my case rather than orthognatic surgery (or jaw surgery).


Below is the taken radiography:



I'd risk saying my maxilla is recessed (probably due to poor bone development or using braces), that's why my jaw and specially my chin are weak. About the protuberant nose, I assume there's no approach to it besides the surgical. Furthermore, Mike Mew once stated that the very advancement of the mental bone is capable of expanding the airways, thus contributing to proper oral posture.

So, second opinions are welcome. Also, can anyone confirm my though on my recessed maxilla?

Posted : 17/04/2021 5:34 pm
Posts: 22
Topic starter

I've forgot to ask: Is a 5mm advancement of the chin noticeable? The doctor said it's the maximum before it becomes unnatural.

Posted : 17/04/2021 5:39 pm
Posts: 1737
Posted by: @serbian

Also, can anyone confirm my though on my recessed maxilla?

2956 pic

Your SNA measures about 77 degrees. Steiner cephalometric analysis says normal is 82 degrees +/- 2 degrees. So, yes, you are retruded below the lower limit of normal by that metric. It looks like you still have your wisdom teeth, but they mostly haven't erupted. Is that right? I don't know much about it, but if you decided on jaw surgery, that might complicate the process.

Posted : 17/04/2021 8:04 pm
Posts: 41

@serbian yes, my understanding is a straight line down from nose to chin is perfect, so it looks like a recessed maxilla based on that (really the whole jaw looks recessed). Seems like if you move that forward, it would balance out your nose. When the jaw is more forward, the nose looks less prominent generally. 

Posted : 18/04/2021 10:27 am
Posts: 323

@vplatt agree that most people who have a double jaw surgery for fixing their underbite mention that they don't like it because their nose appears to be bigger.

Posted : 18/04/2021 3:22 pm
vplatt and vplatt reacted
Posts: 22
Topic starter

Thanks for all the answers. Despite the recessed jaw, it doesn't seem however my bite is wrong. Hence, there's no way jaw surgery could improve anything in my lower face. Or I am wrong? I'm only acquainted with bringing the maxilla back with double jaw surgery, never the opposite. So I think genioplasty is indeed the best option. Could someone give me an advice?


Posted : 25/04/2021 12:14 pm
Posts: 41

@serbian I'm new-ish at this but I thought part of the point of many of these appliances is to move the jaw forward? like the maxilla moves forward and mandible follows.. and what about MSE? is your palate narrow also?

Posted : 26/04/2021 1:23 pm
Posts: 22
Topic starter
Posted by: @vplatt

@serbian I'm new-ish at this but I thought part of the point of many of these appliances is to move the jaw forward? like the maxilla moves forward and mandible follows.. and what about MSE? is your palate narrow also?

Yes, the point is exactly that. But if you look my X ray, there's NO gap between upper and lower teeth to make the forward movement possible. The only way would be surgically pushing maxilla forward, but this could be overkill for me.

I've not considered using MSE yet. My palate is a bit narrow, but my real problem is the forward growth. Do you think a MSE appliance would help with my lower jaw going forward a few millimetres? 

Posted : 26/04/2021 2:32 pm
Posts: 41

@serbian I'm not really sure. Have you been able to consult with functional orthodontists for opinions (rather than only surgeons)?

Posted : 27/04/2021 10:05 am
Posts: 22
Topic starter

@vplatt sorry, I didn't see your post.

About the MSE+FM, last week I went to see a orthodontist that could install it. For my surprise, they are extremely cheap where I live. The orthodontist warned me that the treatment might cause a bad occlusion, but he said he could fix it later with conventional braces. So, I'm not sure if I should do it, as my jaw is already recessed. Most people here have class III bad occlusion, or recessed maxilla only.

I thought it would be convenient to start a new topic on it: https://wholebodybreathing.com/community/community/main-forum/will-msefm-help-with-a-recessed-mandible/

Thanks again!!

Posted : 13/05/2021 12:05 pm
vplatt and vplatt reacted
Posts: 14
  • @serbian Hi, you said MSE is cheap where you live, can I ask where this is? I’m looking to get it done and am trying to compare prices. Thanks 
Posted : 22/06/2021 1:24 pm
Posts: 1

I would be very happy for you if you could get your nasal bones fixed and feel great. I am also interested in how the surgery will go and what changes you will feel in your nose. People who suffer from this kind of discomfort during speech underestimate the correct nasal breathing. Because the air is not flowing properly, a person may suffer from nasal nastiness and headaches. So if any of you have noticed this kind of defect, Andrew Jacono can help you. I am in the process of recovering from surgery, but I already feel improvement.

Posted : 06/10/2022 2:03 am
Posts: 1

@arthurblack thank you. I'm the OP of this thread, I've forgotten my original account password and it seems there's no way to recover. I got a jaw surgery done in November last year, but it didn't go very well, so I have another one booked to April this year. This is the planning made by my surgeon (a very reputated one):


I had to wear braces and get my wisdom teeth removed like pointed by @apollo (it was the worst part in my opinion), but I'm very excited to see the final result. I'll update the thread once my journey is done, and if you have any questions please let me know, I'll visit this thread from time to time.

Posted : 20/02/2023 9:01 pm
Apollo reacted
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