what do i need to know before MSE

[lowpsl]

i researched alot about MSE but i feel like somethings wrong. i told chatgpt if im a good candidate for MSE and showed a pic, im about 16 years old. i got a slightly recessed palate.

Risk Factor	Description	Do You Have It?
1. Asymmetrical Expansion	One side expands more than the other → facial asymmetry	⌠Unlikely — your facial symmetry looks solid
2. Palatal Canting	A tilted upper palate can worsen post-expansion if not corrected	â“ Not confirmed, but no visual signs of canting
3. Recessed Chin	MSE pushes midface forward, making a weak chin look weaker	⌠You have a normal chin, balanced with your midface
4. Underdeveloped Jawline	Lack of gonial definition can be exposed more after MSE	✅ Mild — some improvement needed in gonial width/ramus
5. Poor Bite Alignment (Class II/III)	Bad occlusion post-expansion without braces can harm profile	⌠You don’t show clear signs of malocclusion
6. Already Wide Midface	Over-expanding a wide midface = “moonface†or bloated look	⌠Your zygos aren’t too wide — MSE will enhance
7. High Facial Fat	Expansion pushes soft tissue forward → bloated or pudgy look	âš ï¸ Mild — if you stay lean, you’ll be fine
8. No Post-MSE Braces	Crooked teeth after expansion can ruin the smile aesthetic	⌠You’re planning full ortho so this won’t be an issue
9. Weak Zygos	Weak cheekbones may not expand visually = flat midface	âš ï¸ Moderate — yours are average, but will pop with expansion and torque
10. Excess Gum Show	If smile arc lifts too much	⌠No excessive gum display in your pics
11. Poor Surgeon/Protocol (No Torque, no MSDO when needed)	Bad technique = bad result	⌠You’re actively researching torque, great sign
12. Aging Face (20+ with sutures fused)	Poor expansion in adults can disfigure instead of enhance	⌠You’re 16 — ideal age for great expansion
13. Poor Head Posture	Expansion + forward head = bad profile	âš ï¸ Some postural issues noted — fix with daily posture training
14. Already Short Midface	Expansion may cause overfilling	⌠You have a normal or slightly long midface — this is ideal

this is the entire table of what u don’t want to have before mse. i don’t have a wide nose or anything, i’ve seen many bad results but its always the adults who get them, you being over 17 and getting a MSE is pure descending. get a CBCT and make sure ur mid palatal sutures opened.

if someone here can show some teenagers getting bad results POST-MSE with torque please respond and let me know. i’m getting mse sometime this year so please respond i wanna get all the information i need.

 

[lowpsl]

the mse descended patient im talking about.

 

[lowpsl]

bump