Could MARPE really ascend me or descend me? (pics and CBCT)

[LMTeo]

I've been considering MARPE not only for aesthetics purposes but also health purposes (difficulty breathing).
Can't even mew properly or breath effectively by the nose (compressed airways and 32.5mm palate).

Went to see an orthodontist 1h away from my home and here's the whole treatment they would consider :
- MARPE distraction (mini-screw expander) with microperforations under local anesthesia (min. 7mm expansion);
• orthodontic treatment with aligners;
• possible orthognathic surgery for maxillary advancement, mandibular advancement, or both;
• MFT (myofunctional therapy for tongue and breathing retraining), essential to restore tongue and respiratory functions and ensure long-term orthodontic treatment stability;
• retention and follow-up.

However I am concerned with how it would look since they are mainly focused on functional expansion and not so much aesthetic, they said they would expand mainly in the anterior palate and not so much in the posterior.

My cheekbones being somewhat good atm (even more in my 3/4 profile, good ogee curve already), Im afraid this would be "too much" afterwards.

Serious answers only please

 

[LMTeo]

bump

 

[LMTeo]

bump again

 

[monk231]

nah marpe is cope , do something for your lips and a genio i think

 

[LMTeo]

nah marpe is cope , do something for your lips and a genio i think

I litterally cant mew and breathe, read bro

 

[blondepersonreal]

I've been considering MARPE not only for aesthetics purposes but also health purposes (difficulty breathing).
Can't even mew properly or breath effectively by the nose (compressed airways and 32.5mm palate).

Went to see an orthodontist 1h away from my home and here's the whole treatment they would consider :
- MARPE distraction (mini-screw expander) with microperforations under local anesthesia (min. 7mm expansion);
• orthodontic treatment with aligners;
• possible orthognathic surgery for maxillary advancement, mandibular advancement, or both;
• MFT (myofunctional therapy for tongue and breathing retraining), essential to restore tongue and respiratory functions and ensure long-term orthodontic treatment stability;
• retention and follow-up.

However I am concerned with how it would look since they are mainly focused on functional expansion and not so much aesthetic, they said they would expand mainly in the anterior palate and not so much in the posterior.

My cheekbones being somewhat good atm (even more in my 3/4 profile, good ogee curve already), Im afraid this would be "too much" afterwards.

Serious answers only please

I dont think marpe gives that crazy aesthetic benefits in the first place. Yes your cheekbones will get wider but it’d be relatively subtle and definitely not enough to descend you. The only thing id worry about with marpe is your nose getting wider which happens a lot.

 

[zaebalsya]

Whats ur imw upper and lower palate?

 

[Soychadcell]

I've been considering MARPE not only for aesthetics purposes but also health purposes (difficulty breathing).
Can't even mew properly or breath effectively by the nose (compressed airways and 32.5mm palate).

Went to see an orthodontist 1h away from my home and here's the whole treatment they would consider :
- MARPE distraction (mini-screw expander) with microperforations under local anesthesia (min. 7mm expansion);
• orthodontic treatment with aligners;
• possible orthognathic surgery for maxillary advancement, mandibular advancement, or both;
• MFT (myofunctional therapy for tongue and breathing retraining), essential to restore tongue and respiratory functions and ensure long-term orthodontic treatment stability;
• retention and follow-up.

However I am concerned with how it would look since they are mainly focused on functional expansion and not so much aesthetic, they said they would expand mainly in the anterior palate and not so much in the posterior.

My cheekbones being somewhat good atm (even more in my 3/4 profile, good ogee curve already), Im afraid this would be "too much" afterwards.

Serious answers only please

Marpe has only slight aesthetic effects, get it if your airways need it or could benefit from it. The aesthetic effects could be good but you currently already have a dominant mid third wich would be only made wider. Not really bad, but the benefits you’d get are minor

 

[LMTeo]

I dont think marpe gives that crazy aesthetic benefits in the first place. Yes your cheekbones will get wider but it’d be relatively subtle and definitely not enough to descend you. The only thing id worry about with marpe is your nose getting wider which happens a lot.

I'd fs look out for that when expanding, lucky thing my nose is on the slimmer range atm

 

[LMTeo]

Whats ur imw upper and lower palate?

around 32.5 for both, got braces as a teen so pretty aligned + good bite

 

[LMTeo]

Marpe has only slight aesthetic effects, get it if your airways need it or could benefit from it. The aesthetic effects could be good but you currently already have a dominant mid third wich would be only made wider. Not really bad, but the benefits you’d get are minor

kinda agreed, main factor that could ascend me would be forward growth and ccw rotation of the maxilla I think. (through facemask hopefully) I still think I would also benefit from some more zygos prominence, fwhr is too low atm, dunno about bizygomatic/bigonial ratio though

 

[LMTeo]

update : booked an online call with a well-known ortho in a few days in another country. Will keep the thread updated on the potential treatment.

 

[moltisantichincel]

if your having breathing issues that are caused by a narrow maxilla I would just do it bo fuck it. and maybe you'll get 0.0001 psl from it. it also really depends on how much your expanding

 

[LMTeo]

if your having breathing issues that are caused by a narrow maxilla I would just do it bo fuck it. and maybe you'll get 0.0001 psl from it. it also really depends on how much your expanding

true, the breathing gains would be an insane benefit. I will fs talk to the aesthetic side to my ortho