In our monthly Post Your Face column, Dr. Robert Freund answers readers' cosmetic surgery questions, and shows them how they'd look if they underwent the enhancement. To post your own face, visit

Plastic Surgery Before and After

The patient before and after the suggested cosmetic surgery procedures. Photos courtesy of Dr. Robert M. Freund

The Patient's Question: I like the way I look in profile and 3/4 view, but when I look straight on, it is apparent that my face is unaligned. I was told by an oral surgeon that I could undergo a procedure that would realign my jaw, but I would have to get braces again. I feel like my jaw is unaligned and as a result my face tried to compensate by pulling to a side (the left), which resulted in my jaw line being more rounded on the right side of my face and to sort of hit lower on my face, and less pronounced on the left side of my face. My chin and my nose seem to sort of pull to the left side of my face as well, giving me a deviated septum look that occurred naturally. I also feel like my chin is too long when viewed from the front. And I am also a little annoyed with the small bump in my nose, the fact that the bridge of my nose sort of curves to the left. Also I feel like my upper lip is almost non-existent, and that I would like it to match up to my lower lip.

Dr. Freund's Answer: I agree with your concerns regarding the chin. From the photos, it is apparent that your chin is long and pointed to the left. These distortions can be the result of:

1. An irregular bite. Teeth that don't come together properly.

2. Irregular bone growth of the jaw, whereby bone grows in an asymmetric fashion.

3. Problems of the TemperoMandibular Joint (TMJ)- this is the hinge joint that allows the jaw to open and close.

4. Asymmetrical soft tissue of the face. Overlying the bones is fat, muscle and skin. There are several problems that result in a growth of excess tissue or a loss of tissue – in each case the asymmetry would look similar to yours.

Quite often, the problem can be the result of several of these problems occurring at once. In any case, after a thorough exam by a plastic surgeon trained in orthognathic surgery, most treatments involve a combination of dental work (including braces), as well as, surgery to correct the jaw asymmetry and excessive length of your jaw. For any doctor taking on a case like yours, there should be a team of doctors that work in concert. Most teams will have an orthodontist and a plastic surgeon working together. Don't jump to have this surgery unless you research your physicians and be certain that this is the type of procedure that they perform routinely.

I have altered your photo through computer animation to demonstrate the kind of improvement you could expect from such a surgery. In the after photo, I only manipulated the lower jaw and chin. It is quite apparent that such a change creates a beautiful balance to the rest of your face.

Although your problem is specific and unique, for any other facial concerns regarding skin care or plastic surgery, please refer to my new book, "A More Beautiful You – Reverse Aging through Skincare, Plastic Surgery and Lifestyle Solutions."

Respectfully submitted,

Robert M. Freund, MD, FACS.

The health or medical information in this article is for informational purposes only and is not intended to be used as a substitute for professional medical advice, diagnosis or treatment. Please consult your doctor or a qualified healthcare provider with any questions.

Read about common cosmetic surgery and procedures on AOL Health.

Also check out 10 signs plastic surgery isn't for you.