25M Why is my chin recessed? What surgeries prioritize(Video included)? Nasal Obstruction: Orthognathic vs. Rhinoplasty? Advice

[LTNDEPRESSEDLATINO]

Hey guys, I’m looking for some objective advice regarding my facial structure and breathing issues.

I’m 25, and I have a clear Class II malocclusion (recessed mandible). For the most part, I breathe through my nose, but I had allergic rhinitis as a child and a history of nasal trauma. (Hit nose in the coach at 6, bled out and healed by itself) I have a deviated septum, and whenever I engage in physical exercise, my nasal breathing becomes insufficient, forcing me to mouth-breathe to get enough air. I wonder why my hyoid and neck seems a little loose and with double chin. Does it look like a posture(functional) problem or structural? My right side profile is considerably more recessed than the left one (with ear-ring).

VIDEOS OF MY FACIAL STRUCTURE:








My main questions are:

Prioritization: Should I prioritize the orthognathic surgery (BSSO/maxillary advancement) first, or focus on a septorhinoplasty? I’ve heard that orthognathic surgery can alter the nasal base and the aesthetic of the nose, so I'm hesitant to do the nose job first.

Breathing: Has anyone here with a similar recessed profile seen a massive improvement in nasal breathing only after orthognathic surgery? Or is the septum surgery usually a mandatory prerequisite for someone who already breathes through the nose most of the time?

Functional vs. Aesthetic: I’m aiming for better facial projection and functional health (finally being able to breathe properly during exercise and fixing the recessed mandible).

I’m currently seeking professional medical advice for an ENT and a Maxillofacial surgeon, but I’d appreciate hearing about your experiences or if anyone has navigated this specific order of operations.

 

[user20266741]

Bro i cant see no video but if you have an overbite, do orthodontics if you have a recessed chin only just Get an implant

 

[LTNDEPRESSEDLATINO]

Bro i cant see no video but if you have an overbite, do orthodontics if you have a recessed chin only just Get an implant

 

[user20266741]

Yea i see the problem you have a slight overbite and lack of forward growth of the maxilla thats the problem right there

 

[LTNDEPRESSEDLATINO]

Yea i see the problem you have a slight overbite and lack of forward growth of the maxilla thats the problem right there

Why left side stronger than right profile? How bad is it, honestly? As i stated, when im doing heavy exercises, air is not enough through the nose. Need help.

 

[user20266741]

Why left side stronger than right profile? How bad is it, honestly? As i stated, when im doing heavy exercises, air is not enough through the nose. Need help.

Itskinda bad but your not that bad looking and its not «over» Anyways the biggest problem is maxilla if you really want to fix it youre gonna have to do surgery

 

[user20266741]

Why left side stronger than right profile? How bad is it, honestly? As i stated, when im doing heavy exercises, air is not enough through the nose. Need help.

If you want some minor surgery just Get some implants, if you want a major surgery do something like a double jaw surgery

 

[LTNDEPRESSEDLATINO]

If you want some minor surgery just Get some implants, if you want a major surgery do something like a double jaw surgery

Thanks. But if affects my breathing and life quality, wouldnt a orthognatic be better?

 

[user20266741]

Thanks. But if affects my breathing and life quality, wouldnt a orthognatic be better?

Yes you should probably consult a orthodontist

 

[geenk worg]

The chin by itself is not recessed, the jaws are mildly recessed

 

[LTNDEPRESSEDLATINO]

The chin by itself is not recessed, the jaws are mildly recessed

So whats the reason i lack harmony on side profile?

 

[kaydd]

your overbite is more skeletal than dental i assume
Your flat browridge permits you from large advancements, so i would stay away from a dj if i were you, unless you really need it for functionality

 

[yussimania]

your overbite is more skeletal than dental i assume
Your flat browridge permits you from large advancements, so i would stay away from a dj if i were you, unless you really need it for functionality

Not so much flat browridge - even if his browridge was projected it still would be a limiting factor

The limiting factor is the depth of the entire frontal bone. You can have a projected frontal bone with no browridge. It's arguably the most important factor in facial depth

 

[neverstresssss]

Like everyone else said its mainly a slight overbite and maxillary recession. However, your mandible is significantly further back than your nose. Because of this i'd say that your maxilla is also downward grown, causing that slanted backward look.

As for the breathing issues, they are just airway issues common with your facial structure. To test this you can compare breathing through your nose while you bite down normally and when you are jutting as much as possible. If you can breathe better while jutting the mandible is too far back normally, causing the issue. However, if it isn't, then it's probably because of a narrow palate.

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