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Hi all, looking for some advice from knowledgeable folks.
The gist of the situation:
Is there anything at this point that can help me in terms of both functional and aesthetic gains?
Is MSE worth it in my case? Is it something that can impact things significantly?
Many thanks for any advice.
I’m glad I did it. Looks like you’d benefit to me. If your suture successfully split, you’d get a wider smile and more tongue space, with the risk of exacerbating asymmetries. Cheekbone and midface support changes are subtle.
It also appears that your lower posterior teeth are lingually inclined (i.e. tilt in toward the tongue to meet your narrow upper arch). So you'd be able to expand your uppers far and still reestablish occlusion by uprighting the lowers. This is often the factor limiting expansion potential.
If it's impacting your nasal breathing and speech as you say, consider myofunctional therapy after expansion. They might advise a functional frenectomy to improve tongue mobility.