How Can I Restore My Facial Shape After Having My Wisdom Teeth Removed?

Q: Dr. Eppley, At this point I don’t know where to turn too. I removed four healthy wisdom teeth. Ever since then I’ve developed a range of health issues. However, I noticed a lot of facial changes such as a loss of forward growth, loss of cheekbones, less defined angle of jaw, less defined jaw, narrow midface and jaw. I’m wondering if I could potentially show you an image of my face before removal and you try your best to recreate that image. No surgery or implant is too invasive nor too expensive. The phone of me in the red is before extraction. Please let me know. Thanks

A:Removal of wisdom (3rd molar) teeth would certainly be a rare predicate for developing any health issues including facial shape changes. Regardless of the origin the pertinent question is what could be done for your facial restoration. This is a dimensional question of which you have already provided that answer by you description of ‘ loss of forward growth, loss of cheekbones, less defined angle of jaw, less defined jaw, narrow midface and jaw.’ This speaks to augmentation of the cheeks/midface and jawline to some degree. The discussion then turns to whether it should be done by standard or custom implants and what surface areas need to be covered. Ironically I just did a young male patient yesterday with similar subtle augmentation needs where no augmented area was larger than 2 to 3mms in thickness. (see attached) I am not saying this is exactly what you need but it is just a concept of subtle larger surface area midface and jawline augmentation effects. What you are describing is more of a global effect a rather than an isolated ‘spot’ issue.