Improving the facial balance in an adult using slow arch development techniques

Fig. 1 Pretreatment facial and anterior intra-oral photographs (note deep dental overbite).

Fig. 2 The Homeoblock appliance.

Fig. 3: The pretreatment face, the post-treatment face at six months and nine months, and finally, a morphometric evaluation of the change.

Fig. 4: Morphometric evaluation of the final results: finite element analysis showed increased facial volume with a directional change of almost 4 mm, indicated by the red to orange colour.

Fig. 5: Superimposing the red post-treatment face over the blue pretreatment face, we can graphically illustrate the volumetric changes that occurred during our treatment. There was an increase in volume in the frontal, supra orbital, inferior orbital, zygomatic, nasal base, upper lip, nasolabial depression, and marionette and pre-jowl areas.

Fig. 6: Morphological facial changes in the lips, zygoma and jowl area after the placement of 1 ml Restylane and 1.3 cc Radiesse. Note the deeper red to orange colour in the areas where the injections were placed.

Figs. 7a & b: Before and after facial photographs.