10 doctors weighed in:

I have got braces 2 months back and my face has become so weak and sunken than before. I am already underweight but my face was fine and fuller.Help?

10 doctors weighed in
Dr. Paul Brand
Dentistry
4 doctors agree

In brief: Extractions?

You didn't mention if you had any teeth extracted in conjunction with your braces - in a small % of pts with crowded teeth, it sometimes requires extraction to allow alignment of the rest, and this can have an effect on the face and facial contours.
If you didn't have teeth extracted, then it deserves a careful evaluation - ask your orthodontist if you should see your physician.

In brief: Extractions?

You didn't mention if you had any teeth extracted in conjunction with your braces - in a small % of pts with crowded teeth, it sometimes requires extraction to allow alignment of the rest, and this can have an effect on the face and facial contours.
If you didn't have teeth extracted, then it deserves a careful evaluation - ask your orthodontist if you should see your physician.
Dr. Paul Brand
Dr. Paul Brand
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4 comments
Dr. John Scuba
The extraction of two small upper bicuspid teeth (done in many cases to create room for the other teeth during orthodontics), results in approximately a quarter inch of space between other vital teeth supporting your facial tissues. The tooth space created is covered by nearly an inch of soft tissue--gums, muscle, gland, and fat, so a face becoming "sunken in" as a result of such extractions is just implausible--the extractions (and your orthodontist) will really have no affect on facial fullness. Look carefully at "before" photos and compare them with "now". Many patients expect "major" facial changes with braces (in features not remotely associated with the teeth--like chin, eyes, cheekbones, jawline, etc) that are usually not possible. What patients often see is either something present prior to care which will NOT likely be addressed versus what they see and "thought" was going to be addressed. Again, a good cosmetic evaluation is in order, along with a good discussion with your orthodontist, particularly for what is likely to be "helped" by braces versus what will not. Braces aren't a substitute for cosmetic surgery.
Dr. Scott Bobbitt
Agreed. The extraction of MULTIPLE teeth (usually on one side or arch) can cause collapse of the superficial structures, but the loss of the premolars will generally not alter the shape of the face. UNLESS the case is a pseudo-class II mistakenly treated as an extraction and retraction case--then the premaxilla can collapse causing a definite alteration of the lips and cheeks.
Dr. Perry Opin
Dentistry - Orthodontics
2 doctors agree

In brief: Sunken face

See your orthodontist.
He is in the best position to evaluate you concerns, and deal appropriately with them.

In brief: Sunken face

See your orthodontist.
He is in the best position to evaluate you concerns, and deal appropriately with them.
Dr. Perry Opin
Dr. Perry Opin
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Dr. Hilary Baskin
Dentistry - Orthodontics
1 doctor agrees

In brief: Disscus with doc

You have valid concerns, but it is best you address them with your orthodontist and understand what is going on.

In brief: Disscus with doc

You have valid concerns, but it is best you address them with your orthodontist and understand what is going on.
Dr. Hilary Baskin
Dr. Hilary Baskin
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Dr. Arnold Malerman
Dentistry - Orthodontics

In brief: Reevaluate

2 months is too short a time to expect major facial soft tissue drape change.
Not knowing your malocclusion or your treatment plan it's impossible to comment. See your MD to rule out systemic problem. If your braces treatment is supervised by a General Dentist, seek consultation with fully qualified Orthodontic Specialist. If already seeing Orthodontist, seek 2nd opinion.

In brief: Reevaluate

2 months is too short a time to expect major facial soft tissue drape change.
Not knowing your malocclusion or your treatment plan it's impossible to comment. See your MD to rule out systemic problem. If your braces treatment is supervised by a General Dentist, seek consultation with fully qualified Orthodontic Specialist. If already seeing Orthodontist, seek 2nd opinion.
Dr. Arnold Malerman
Dr. Arnold Malerman
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Dr. Sten Ericson
Dentistry

In brief: Lack of Use

I agree it does need further evaluation.
Many ortho patients do not chew or bite with as much force during orthodontic treatment. This may be due to soreness or the teeth not fitting together in a comfortable way. This can lead to minor muscle atrophy and not eating as much with some weight loss during treatment. If this is the case, it does get better.

In brief: Lack of Use

I agree it does need further evaluation.
Many ortho patients do not chew or bite with as much force during orthodontic treatment. This may be due to soreness or the teeth not fitting together in a comfortable way. This can lead to minor muscle atrophy and not eating as much with some weight loss during treatment. If this is the case, it does get better.
Dr. Sten Ericson
Dr. Sten Ericson
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Dr. John Scuba
Surgery - Oral & Maxillofacial

In brief: Face change n braces

Changes in a face becoming "weak and sunken" after two months of braces is very unlikely although further weight loss due to discomfort or change in diet is possible.
And perceptions that by just moving teeth braces can make dramatic changes (good or bad) in facial appearance (on remote deformitiy like cheekbones, chin, neckline, etc) are common. Have your face evaluated by a cosmetic surgeon.

In brief: Face change n braces

Changes in a face becoming "weak and sunken" after two months of braces is very unlikely although further weight loss due to discomfort or change in diet is possible.
And perceptions that by just moving teeth braces can make dramatic changes (good or bad) in facial appearance (on remote deformitiy like cheekbones, chin, neckline, etc) are common. Have your face evaluated by a cosmetic surgeon.
Dr. John Scuba
Dr. John Scuba
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