Hello people,

I was born with left cleft palate and lip. Right now I am 25 and I am going through 2years of Invisalign treatment where my doctor removed my 2 premolars one from each side of my lower jaw and has retracted my lower tooth(pull back ) and advanced my upper tooth( pull up) little bit forward ( basically to correct my underbite). And after that I’m planning to get bone grafting(I have missing bone so no base for nose) then rhinoplasty and then lip revision for normal lips.

Also I need solution for nasal voice, I sound nasally? What could I do for that.

What I think:-

- 2 years on Invisalign is waist of time and money, my parents didn’t want me to go for hard surgery(maxilla advancement) so I went for this aligners bullshit.
-you can never change bone structure with orthodontics Invisalign/aligners.
- getting extracted 2 premolars from lower jaw for retraction was not good idea either because my lower jaw and teeth were perfect, I only had under bite.
- ok so now I have pulled back my lower tooth and I have advanced my upper tooth little bit forward which has corrected my bite little bit maybe but has caused my side profile look bad, lower jaw projection seems to be short now, which looks like recessed mandible. And I already have recessed maxilla because of Cleft lip and palate.
- changing aligners every 2 weeks, feeling pain every day, every week, can’t eat much and limited to food options- not worth it.
- YOU CAN ONLY LOOK GOOD when you have forward structure and forward growth, forward maxilla and forward mandible.
- aligners aligned my bite, but gave me more recessed look.

I need advice and suggestions from you people:-

- What surgeries should I opt now, I need real solutions not alternatives or copes.
- what can I do for my face structure? My lips, nose ?
- what can I do for my lip scar ? I want to eliminate it, I want clear normal skin there.
-what can I do for my smile ? My lips cover my whole tooth when I smile? Solution ?
- what can I do for my breathing? I can’t breathe properly through my left nose.
- what can I do for my nasal voice ? I think that happens because I have short soft palate( back part of palate) and I cannot speak a lot of words correctly because my hard palate is uneven( factors missing bone and stitches that left my surface uneven and plain)
-short soft palate means there is more air space at the back of my throat.
- if I advance my maxilla I would sound more nasally, which I don’t want at all, I’m already depressed and sad with present situation. Anxiety, stress, burden everyday every night just multiplies.
- would extending my soft palate will correct my nasal voice ? I want to eliminate that nasal sound.
-Also I want to look better, perfect nose, perfect lips, perfect smile and perfect voice. I’m not expecting or demanding model perfection- just expecting average performance nose, lips, smile and voice that don’t bother my life.

Real life experiences and trauma:

-No company wants to hire me as an employee. Saying it from my personal experience. Went through a lot of interviews. Applied almost 5k jobs in last 2 years. 50 interviews. ZERO offers . All rejections (Good jobs like banking, Big4s, corporate offices- not talking about poor wage jobs like Tim Hortons or uber eats)
- People ignore me, as if you’re not standing there, invisible to them.
-Growing up with zero social connections, Anxiety, stress, can’t make eye contact, wear mask at work places because people look at my lips and nose.
- Doesn’t matter how nice you are to the people or to the society. They are not to me and never will be. Harsh reality.

I hope whoever is reading this can advise and understand me. AND I will do whatever it takes.

I got 0.75ml of lip filler one week ago through a cannula method. I’ve had lip filler in the past and never had a problem, but this was very invasive and painful and after the procedure was done I flagged to my injector that I could feel two big lumps pressing against my teeth. She massaged it and said this was normal and would start to integrate better after two weeks.

I know it hasn’t been two weeks, but this is not right. It’s impacting my speech and making me nauseous as it is pressing against my teeth at all times. I sent her a message about this and I will be going in on Monday to have her take a look.

Are there any injectors who can give me insight as to why this would have happened, or what went wrong? I want to have knowledge going into the appointment so I’m not told everything is fine. I’m concerned about even having her fix this at this point, not really sure what to do.

If you want good, safe, natural-looking veneers but can't afford US prices, don't default to the usual "dental tourism" destinations. Based on digging into ceramist reputations, training pipelines, and actual case reviews, here's the breakdown:

Go here:

• Brazil: Home to one of the most respected dental education systems and ceramist traditions globally (the "Brazilian School of Aesthetic Restorations" is literally taught worldwide). Brazil is also an extremely diverse country with a culture that places heavy emphasis on beauty and physical aesthetics, and that cultural focus carries directly into cosmetic dentistry, where looking great is a national standard, not a luxury. Brazilian ceramists rank alongside Japanese and Italian techs as top global talent. About $450 to $460/tooth.
• Saudi Arabia: Dentistry here is government controlled, which means quality standards are centrally enforced through mandatory national licensing rather than left to individual clinics. Saudi authorities also regularly send specialists abroad for training, and some dentists hold US/Canada credentials or board certification. About $150 to $250/tooth on the lower end.
• Romania: Full EU member state since 2007, meaning dentistry operates under binding EU regulation, including EU medical device rules and health data protections adopted into national law. Highest dental graduate output per capita in the EU, plus access to top European ceramic labs. Worth noting: like a few other EU states, Romania still has some documented gaps in fully implementing certain health data rules, so it's regulated but not flawless. About $380/tooth.

I highly recommend NOT traveling to these, even if they're more convenient or closer for you:

• Turkey: Well documented "Turkey teeth" problem. 86% of surveyed dissatisfied patients report failed or failing treatment, and 72% report poor execution. High volume tourist clinics often mean oversized, fake looking results.
• Mexico: Wide price range ($130 to $700/tooth) and decent general dental work, but lacks a globally recognized name brand ceramist tradition. Easy to get a veneer, harder to get a truly natural one.
• Costa Rica: Great for high volume functional work (implants, full mouth reconstruction), less known for fine cosmetic artistry.
• Colombia: Marketing leans hard into dramatic "smile design" transformations, which often reads as noticeable or artificial rather than blended.

Yes, these four are geographically closer or easier to book for a lot of people (especially in the US), but proximity doesn't offset the aesthetic risk. If natural results are the priority, the extra flight time to Brazil, Saudi Arabia, or Romania is worth it.

Price doesn't equal risk here. Brazil, Saudi Arabia, and Romania hit similar budget price points (about $400 to $500/tooth) as the other four, but come with stronger institutional backing: EU regulation (Romania), centralized government quality enforcement plus abroad trained specialists (Saudi Arabia), and a culture wide aesthetic standard baked into dental training (Brazil). Worth the extra travel research if looking natural is your top priority. veery.co