Will MARPE make me look worse?

[khrylle]

I'm 26 and I have been considering MARPE not only for aesthetic reasons but also for health reasons. I have consulted two orthodontists and both recommended MARPE. They told me that my lower jaw is wide and my upper jaw is narrow. I also have a crossbite and airway issues. Would MARPE be worth it in my case? Besides MARPE, if you have any suggestions that could improve my looks, I'd appreciate hearing them.

Serious answers only, please

 

[StyIix]

I'm 26 and I have been considering MARPE not only for aesthetic reasons but also for health reasons. I have consulted two orthodontists and both recommended MARPE. They told me that my lower jaw is wide and my upper jaw is narrow. I also have a crossbite and airway issues. Would MARPE be worth it in my case? Besides MARPE, if you have any suggestions that could improve my looks, I'd appreciate hearing them.

Serious answers only, please

Faces looks narrow and palate also

 

[khrylle]

Any thoughts?

 

[zemult]

Probably won't amount to much aesthetically but I'd do it just for the functionality benefit

 

[Firstname.Lastname]

Generally it doesn't do much aesthetically, most the photos claiming it does are combo of cope and lower body fat.

You might want to get buccal fat removal, you got fairly full face, early joweling and heaviness in that area so they are probably abnormally large.

 

[khrylle]

Generally it doesn't do much aesthetically, most the photos claiming it does are combo of cope and lower body fat.

You might want to get buccal fat removal, you got fairly full face, early joweling and heaviness in that area so they are probably abnormally large.

Actually, the reason for the early joweling is my massive weight loss. I think I have loose skin all over my entire face. I lost over 220 pounds, bf is currently around 18% (trying to cut down to around 10-12%)

So wouldn't a facelift make much more sense than buccal fat removal? Or would I need to get both of them done?

 

[vermicel]

I lost over 220 pounds

 

[Maxilla Slayer]

Yes Marpe is worth in your case

 

[khrylle]

Update:
Suture is completely fused, sinuses are large, so only 2 screws can be placed due to large sinuses. Ortho recommended zygomatic corticotomies + 2 screw MARPE combination, gave me 70% success rate (not sure if that's too optimistic though, what do you think the odds are?). Not charging for the expander, only for braces. Device is being prepared, will be placed soon.

Good luck to me lol

 

[geenk worg]

Update:
Suture is completely fused, sinuses are large, so only 2 screws can be placed due to large sinuses. Ortho recommended zygomatic corticotomies + 2 screw MARPE combination, gave me 70% success rate (not sure if that's too optimistic though, what do you think the odds are?). Not charging for the expander, only for braces. Device is being prepared, will be placed soon.

Good luck to me lol

What do you mean by 2 screw marpe?

 

[monecel]

maxilla/mouth look narrow so it should have a positive result

 

[khrylle]

What do you mean by 2 screw marpe?

I'm not sure what the exact name of the device is. Maybe marpe, brölex idk. In my case, my sinuses are extremely large, meaning there isn't enough safe bone mass to place all 4. There's only room for 2 screws. Zygomatic corticotomies are added to compensate for the reduced anchorage.

 

[tyler1234]

I'm not sure what the exact name of the device is. Maybe marpe, brölex idk. In my case, my sinuses are extremely large, meaning there isn't enough safe bone mass to place all 4. There's only room for 2 screws. Zygomatic corticotomies are added to compensate for the reduced anchorage.

Show ur palate

 

[khrylle]

Show ur palate

 

[geenk worg]

I'm not sure what the exact name of the device is. Maybe marpe, brölex idk. In my case, my sinuses are extremely large, meaning there isn't enough safe bone mass to place all 4. There's only room for 2 screws. Zygomatic corticotomies are added to compensate for the reduced anchorage.

No midline corticotomy/osteotomy?

 

[khrylle]

No midline corticotomy/osteotomy?

Nope, no midline corticotomy/osteotomy. The ortho only mentioned zygomatic corticotomies to release the lateral resistance. The idea is that weakening the sides will allow the 2 screws to generate enough force to actually pop the fused midpalatal suture on its own. He estimated about a 70% success rate for this.

 

[geenk worg]

I think you're gonna end up with a very anterior expansion because of the lack of anchorage. Ideally it should be looking like this:

While what most patients get is this:

Which doesn't look nearly as good and doesn't expand the airway as much. Makes a very unnatural looking smile. and i didn't even start talking about the increased asymmetry that MARPE/SARPE/FME patients are almost guaranteed to get

 

[khrylle]

I think you're gonna end up with a very anterior expansion because of the lack of anchorage. Ideally it should be looking like this:
View attachment 4864611
While what most patients get is this:
View attachment 4864619

Which doesn't look nearly as good and doesn't expand the airway as much. Makes a very unnatural looking smile. and i didn't even start talking about the increased asymmetry that MARPE/SARPE/FME patients are almost guaranteed to get

Wouldn't the zygomatic corticotomies be useful to compensate for the lack of anchorage and reduce the anterior tipping/V-shape risk? Not ideal but it's the best option given my anatomy.

 

[geenk worg]

Wouldn't the zygomatic corticotomies be useful to compensate for the lack of anchorage and reduce the anterior tipping/V-shape risk? Not ideal but it's the best option given my anatomy.

I'd go with a segmental lefort. More successful, predictable, less risk for asymmetry and better aesthetics.

 

[tyler1234]

I'd go with a segmental lefort. More successful, predictable, less risk for asymmetry and better aesthetics.

Not true

 

[ScientiaAeterna]

I think you're gonna end up with a very anterior expansion because of the lack of anchorage. Ideally it should be looking like this:
View attachment 4864611
While what most patients get is this:
View attachment 4864619

Which doesn't look nearly as good and doesn't expand the airway as much. Makes a very unnatural looking smile. and i didn't even start talking about the increased asymmetry that MARPE/SARPE/FME patients are almost guaranteed to get

how to avoid the lack of anchorage, what ortho should do? Le me know so I can judge the work she's doing
Thanks

 

[geenk worg]

how to avoid the lack of anchorage, what ortho should do? Le me know so I can judge the work she's doing
Thanks

What type of expander you have, how does it look like inside your mouth?