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

 

[LMTeo]

Here's the update after the online call I did with the new ortho, these are the notes I took :

Palatal Expansion & Facial Development Plan

Daily routine

• Turn expander 1 small turn per day (1/16th).
• Tongue exercise: press tongue to the back of the palate (thumb support optional).
• Stretch the tongue tie regularly.
• Maintain parallel expansion → avoids visible nose width increase.

Expansion phase

• Duration: about 3–4 weeks.
• Begin facemask use as soon as a gap appears.

Facemask phase

• Total duration: variable (≈ 6 months – 18 months).
• Start with forward pulling, then add upward traction after adaptation (based on comfort).

Post-expansion routine (for the facemask to continue its job)

• Option 1: 20 days closing / 20 days opening cycles to keep sutures open.
• Option 2: 3 opening / 3 closing repetitions (alternate approach).

Additional support

• Physiotherapy for tongue can help if needed, but consistent mewing is already highly effective.
  
  
  If you have any opinion on this it would be welcomed

 

[HorseMan7]

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.

Plus, if your zygos are already wide that might hurt your looks. Not everyone with a narrow upper arch needs their whole face laterally expanded.

 

[LMTeo]

Plus, if your zygos are already wide that might hurt your looks. Not everyone with a narrow upper arch needs their whole face laterally expanded.

I agree but I also have a good lower third width (as we can see in the pictures on the thread) so I think it could balance it pretty well.
If someone could morph my middle third to be more projected laterally and forwardly it would be insane.

 

[HarmonyHunter]

It will help with your airways so better blood circulation you would probably look less bloated. Better smile. Idk about your lips tbh fat grafts might help

 

[LMTeo]

Also forgot to mention the new ortho also gave an estimation of around 7mm for the expansion but I could stop turning whenever I would feel like it is enough for me. The parallel expansion planned would avoid the nose widening too much she says and would make cheekbones pop a bit more but not TOO MUCH.

 

[LMTeo]

It will help with your airways so better blood circulation you would probably look less bloated. Better smile. Idk about your lips tbh fat grafts might help

yeah I will wait to see the after results to jump into other potential procedures since this will already change my face

 

[HarmonyHunter]

Also forgot to mention the new ortho also gave an estimation of around 7mm for the expansion but I could stop turning whenever I would feel like it is enough for me. The parallel expansion planned would avoid the nose widening too much she says and would make cheekbones pop a bit more but not TOO MUCH.

Well theyre the expert if they think they will pop more sure. I see bery few results after marpe where its actually made cheeckbones protrude more

 

[HarmonyHunter]

yeah I will wait to see the after results to jump into other potential procedures since this will already change my face

Fix your lips i havent seen your eyes but if you eyes are decent youll easily be hmtn-lhtn

 

[LMTeo]

Well theyre the expert if they think they will pop more sure. I see bery few results after marpe where its actually made cheeckbones protrude more

Well some results still look off imo because of either a bad facial base so too much enhancement or also inflammation occuring during the expansion. However if well done it could only be positive I think, I'd need to switch my mindset to think health>looks in this case, but both are still the priority

 

[LMTeo]

Fix your lips i havent seen your eyes but if you eyes are decent youll easily be hmtn-lhtn

Hard to do because of the natural position of my maxilla so this is a real problem that could be fixed by the protraction with facemask and ccw rotation

 

[HarmonyHunter]

Hard to do because of the natural position of my maxilla so this is a real problem that could be fixed by the protraction with facemask and ccw rotation

but your top to bottom lip ratio is still crap
I dont get what your point is here with a facemask and ccw rotation

 

[LMTeo]

but your top to bottom lip ratio is still crap
I dont get what your point is here with a facemask and ccw rotation

more maxilla protraction = more upper lip support

 

[HarmonyHunter]

more maxilla protraction = more upper lip support

I see the pictures show your a little recessed but i dont think it will be that dramatic of a change. Find out yourself

 

[LMTeo]

I see the pictures show your a little recessed but i dont think it will be that dramatic of a change. Find out yourself

yeah I'll probably just see when doing the expansion, I do think it could be a big change depending on the protraction done with the facemask, even more if 3mm+

 

[LMTeo]

@key @VampyrMaxx @MaksBobi you guys make good ass morphs, please morph the after expansion + facemask & ccw rotation lol.

 

[MaksBobi]

@key @VampyrMaxx @MaksBobi you guys make good ass morphs, please morph the after expansion + facemask & ccw rotation lol.

i just morph everything
like i dont have knowledge abt surgeries so i can just make u and side profile or front full morph

 

[LMTeo]

i just morph everything
like i dont have knowledge abt surgeries so i can just make u and side profile or front full morph

enjoy yourself man, the main things considering the expansion would be more cheekbones and more forward growth anyways so that would fit

 

[lurking truecel]

If you do this right, but ideally with an fme you could get either ascend brutally well. Or bogdanoff. Very nice jaw btw

 

[LMTeo]

If you do this right, but ideally with an fme you could get either ascend brutally well. Or bogdanoff. Very nice jaw btw

haha thanks, I would be wearing a custom marpe and expansion would be more parallel than v-shaped so it is pretty similar to the effects of an fme

 

[lurking truecel]

haha thanks, I would be wearing a custom marpe and expansion would be more parallel than v-shaped so it is pretty similar to the effects of an fme

Hope you get that slight protraction some people get, there have been cases with fme where the maxilla came forward with 4 mm. You really have a base to get perfect result. Maybe the zygos could be too wide. But yea if you lucky the lips get a lot better. Uppdate when you get result in dm or here. Gonna be interesting, you are good case

 

[LMTeo]

Hope you get that slight protraction some people get, there have been cases with fme where the maxilla came forward with 4 mm. You really have a base to get perfect result. Maybe the zygos could be too wide. But yea if you lucky the lips get a lot better. Uppdate when you get result in dm or here. Gonna be interesting, you are good case

As said in the updates I would be using facemask so protraction could actually be insane. Glad to hear I could have good results, kinda reassuring when seeing online results of other people.

 

[MaksBobi]

enjoy yourself man, the main things considering the expansion would be more cheekbones and more forward growth anyways so that would fit

bit uncanny but the best i could do

 

[LMTeo]

View attachment 4226068
bit uncanny but the best i could do

this morph needs nose implants ASAP lmao

 

[MaksBobi]

this morph needs nose implants ASAP lmao

here u have front

 

[VampyrMaxx]

personality transplant

 

[MaksBobi]

personality transplant

View attachment 4226120

good morph
i have to learn how to make side profile morphs

 

[VampyrMaxx]

good morph
i have to learn how to make side profile morphs

lol im the opposite, im bad at front profile and 3/4 morphs

 

[MaksBobi]

lol im the opposite, im bad at front profile and 3/4 morphs

hahah

 

[LMTeo]

here u have front

damn this looks good, nice bro

 

[LMTeo]

personality transplant

View attachment 4226120

holy shit

 

[LMTeo]

thanks for the morphs guys

 

[CertifiedGoy]

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

Amazing for breathing but bad for aesthetics imo