Facial Bone Structure: Seeking Help for Facial Shape Concerns - Orthopedics

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Regarding the skull shape of the face?


I felt that my face looked strange for a while, so I started pressing on it.
At first, I was pushing on my jawbone, but later I felt it got worse...
and it became increasingly severe! I began pressing on my cheekbones, and even pushed, pressed, and massaged them, but now I feel that one side of my cheekbone is more prominent...
What should I do? The current shape of my bones looks very unattractive! I hope to return to how I looked initially.
Please, doctor, give me some advice or provide information regarding the skull.
Which specialist should I see? Thank you, doctor.

A-Qing, 10~19 year old female. Ask Date: 2005/11/24

Dr. Shi Qiming reply Orthopedics


Hello: I recommend that you visit a plastic surgeon.
Thank you!

Reply Date: 2005/11/24

More Info


When it comes to concerns about facial shape and bone structure, it's essential to approach the situation with a clear understanding of the anatomy involved and the potential implications of any self-manipulation or cosmetic procedures. The facial skeleton is composed of several bones, including the maxilla (upper jaw), mandible (lower jaw), zygomatic bones (cheekbones), and others that contribute to the overall shape and symmetry of the face.
From your description, it seems that you have been applying pressure to your facial bones in an attempt to alter their shape. Unfortunately, this can lead to unintended consequences, such as exacerbating asymmetry or causing discomfort. The bones of the face are not malleable like soft tissue; they are rigid structures that require careful consideration when it comes to modification.

If you feel that your facial structure has changed or that you are experiencing discomfort, the first step is to consult with a qualified medical professional. Given your concerns about facial bone structure, you should seek out a specialist in either oral and maxillofacial surgery or plastic surgery with a focus on craniofacial procedures. These specialists have the expertise to assess your facial anatomy accurately and provide recommendations based on your specific situation.

In terms of treatment options, it is crucial to understand that any surgical intervention carries risks, including infection, scarring, and complications related to anesthesia. Therefore, a thorough evaluation is necessary before considering any procedures. The surgeon may recommend imaging studies, such as X-rays or CT scans, to assess the underlying bone structure and determine if there are any abnormalities that need to be addressed.

If your concerns are primarily aesthetic and you are looking for non-surgical options, there are several approaches you might consider. For instance, dermal fillers can be used to enhance or contour specific areas of the face, providing a temporary solution to asymmetry or volume loss. However, these treatments are not permanent and require ongoing maintenance.

Additionally, if you are experiencing discomfort or a feeling of tightness in your facial muscles or joints, it may be beneficial to consult with a dentist or an oral and maxillofacial specialist who can evaluate your temporomandibular joint (TMJ) function. Issues with the TMJ can sometimes manifest as facial asymmetry or discomfort, and addressing these concerns may alleviate some of the symptoms you are experiencing.

In summary, it is essential to refrain from self-manipulation of your facial bones and to seek professional guidance. A qualified specialist can provide a comprehensive evaluation and discuss potential treatment options tailored to your needs. Remember, the goal is to achieve a balanced and harmonious facial appearance while ensuring your health and safety throughout the process.

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