What Causes "Braces Face" During Orthodontic Treatment? Can It Be Reversed? 

Outline

1. Introduction

"Braces Face" refers to facial changes some patients experience during orthodontic treatment

Main characteristics: Prominent cheekbones, sunken cheeks, flattened temples

Not everyone develops it, but understanding causes and solutions is important

2. What Causes Braces Face?

(1) Masticatory Muscle Atrophy

Reduced chewing due to tooth sensitivity leads to decreased use of masseter and temporalis muscles

Muscle atrophy makes cheekbones appear more prominent

(2) Facial Fat Loss

Dietary restrictions during treatment (soft foods only) may cause nutritional deficiencies

Weight loss or collagen reduction leads to decreased facial fat

(3) Age Factor

Natural collagen loss after age 25 makes facial hollowing more noticeable

Teenagers rarely develop braces face due to greater facial growth potential

(4) Jawbone and Tooth Movement Effects

Tooth retraction or extraction may alter facial support structure

3. Can Braces Face Be Reversed?

✅ Most cases are reversible (naturally or with intervention):

1-2 years post-treatment: Normal chewing helps muscle recovery

Masseter exercises: Chewing gum or harder foods (apples, nuts) rebuilds muscle

Nutrition: Increased protein intake maintains facial fat

⚠️ Some cases are harder to fully reverse:

Significant collagen loss in patients over 30

Severe skeletal deformities or excessive extractions

4. Prevention and Improvement Strategies

(1) Maintain Normal Chewing

Avoid long-term soft food diets

Use chewies (for clear aligner wearers)

(2) Choose Appropriate Treatment

Clear aligners minimize chewing impact

Avoid excessive anterior retraction

(3) Cosmetic Procedures (If Needed)

Fat grafting: For severe hollowing

Facial massage & RF treatments: Improves circulation and skin elasticity

5. Conclusion

Braces face is usually temporary and naturally reversible

Prevention is key - maintain normal chewing and nutrition

Consult your orthodontist about facial changes if concerned