Can wearing braces change your face shape?

Oct 15, 2025 Source: Cainiu Health

Dr. Liu Chao

Introduction

In general, whether wearing braces can change facial shape depends on specific factors such as the type of dental malocclusion, skeletal development, and treatment approach. If there are abnormalities in teeth or facial structure, it is recommended to consult an orthodontist promptly. A comprehensive oral examination and facial skeletal assessment should be conducted before starting orthodontic treatment to fully understand the condition of teeth and bones.

In general, whether wearing braces can change facial shape depends on specific factors such as the type of dental malocclusion, skeletal development, and treatment method. If there are abnormalities in tooth alignment or facial appearance, it is recommended to consult an orthodontist promptly. The detailed analysis is as follows:

If the malocclusion is due to dental (tooth-related) issues—such as crowded or protruding teeth—and skeletal development is normal, conventional orthodontic treatments like traditional metal braces or clear aligners can usually alter facial appearance to some extent. By adjusting tooth positions, these treatments can improve conditions such as protruding lips caused by forwardly positioned teeth and disproportionate facial proportions, resulting in a softer profile and more balanced overall facial contours. However, they have limited impact on the underlying facial framework supported by the bones.

If malocclusion is accompanied by significant skeletal abnormalities—such as severe underbite, overbite, or in adults whose skeletal growth is already complete—wearing braces alone may not substantially change facial shape. In these cases, dental problems are closely related to structural skeletal issues, and simply repositioning the teeth cannot correct facial deformities caused by bone structure. Comprehensive correction may require orthognathic surgery in combination with orthodontics, with braces serving as a supportive component of the overall treatment plan.

Prior to getting braces, a comprehensive oral examination and facial skeletal assessment are necessary to fully understand your dental and skeletal condition. It's important to communicate clearly with your doctor about your expectations for facial improvement. During treatment, maintain excellent oral hygiene to prevent food debris accumulation and related dental problems, and attend regular follow-up appointments so your orthodontist can adjust the force and positioning of the braces. If you experience increasing facial discomfort or severe tooth pain during treatment, contact your doctor immediately to ensure safe and effective progress.

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Is wearing a retainer more painful than wearing braces?

The material and shape of the retainer are designed to fit as closely as possible to the teeth after orthodontic treatment, in order to maintain their position and alignment. Compared to braces, retainers are typically thinner and lighter, causing minimal pressure or discomfort in the mouth. It is important to maintain good oral hygiene, clean the retainer regularly, and avoid eating overly hard or sticky foods to prevent damage to the retainer or compromise the orthodontic results.

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How are braces fixed onto the teeth?

Brackets are fixed onto the teeth through a series of professional steps, including tooth preparation, acid etching, application of bonding agent, bracket placement, light curing, adjustment, and finishing. During the entire bonding process, it is essential to ensure professional and accurate execution. Additionally, patients should also maintain good oral hygiene and dietary habits while wearing braces to avoid causing unnecessary damage to the brackets.

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How long is a brace usually worn?

Braces are a common orthodontic device that gradually guide teeth into proper alignment by applying continuous and moderate force, thereby improving problems such as crooked teeth and malocclusion. Braces typically need to be worn for 3 to 6 years, although the exact duration may vary depending on individual circumstances. It is recommended to visit a正规 hospital and undergo treatment under the guidance of a qualified dental professional.

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What are the effects of wearing braces on facial shape?

The effects of wearing braces on facial shape include more balanced facial contours, a more natural-looking face, improved lip appearance, changes in the shape of the cheekbones, and alterations in facial length. If any discomfort occurs, it is recommended to seek medical attention promptly. Before undergoing orthodontic treatment with braces, it is advisable to consult a professional dentist to understand your individual condition and develop an appropriate treatment plan.