How Can I Restore The Fullness To My Face After Teeth Extractions for Orthodontics?

Q: Dr. Eppley, I am trying to find solutions to reconstruct my face after permanent teeth extracted for braces. I have attached some photographs. hope it helps. What I want to achieve is more fullness and proyection to my face, like I used to have before the extractions. If you can give me any suggestion I’ll appreciate it.

A: Thank you for sending your pictures. Knowing that you probably had your maxillary bicuspids extracted for orthodontics would indicate that you have some paranasal flattening and even some premaxillary deprojection as well as a more obtuse nasolabial angle. All of this would have resulted from pulling the anterior maxilla back into the extraction spaces. That could be improved by the placement of a combined premaxillary-paranasal implant, adding about 5 to 7ms anterior projection of the maxilla and the base of the nose, thus pulling this middle part of the face forward.

Dr. Barry Eppley

Indianapolis, Indiana