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Big contributor of the aging face is the loss of bone volume which results in the sagging of soft tissues.

Of course loss of collagen is the other obvious factor. Gibbs is/was semi-retired but still treating patients, actually some of my readers are flying out to see him currently going through the same treatment as me.

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I finally got the bicuspid implants in December of 2015 so it was a long road, but can’t put a price tag on having a smile that you are happy about.

Yes my hunches were correct, regaining the 4 bicuspid definitely adds something to your smile that doesn’t always translate to orthodontists simply looking at pictures of teeth alignment.

Big reason why its protected is because I want to keep these photos private & off the internet.

I almost look younger than I did 4 years ago, and I’m 27 now.

Yes expanding the lower jaw or mandible in Adults is not easy, but certainly some expansion is possible as below pictures show.

This is results of 3 years of treatment to reverse the damage of extraction orthodontics, where I spend good half of that time in acrylic palate expanders.Also notice the flanges on the front of the appliance and the wires, those were adjusted by the doctor every month to provide forward expansion.There were few appointments where Dr thought we had enough expansion but I urged him to continue on, I was very aggressive in pushing for as much expansion as I could possibly get. not great, I didn’t know much about Mewing back then. The biggest positive benefit are as follows Yes I knew much less about this physical restructuring work back then (4 years ago), I just knew I had to do something about my small palate because it was driving me crazy, that no amount of positive thinking could fix.What makes up our face is the bone underneath it, and when you take out teeth, there is loss of volume not just in the mouth but in the mid face & airway.My lips & mid face definitely became narrower after extraction, and after reversing it, it became more full and healthier looking again.Upper Arch Once we expanded as much as possible, I got into self-ligating bracket braces with coil springs to further create anterior expansion until we achieved 7 mm space for the bicuspids.

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