Skip to content

Is forward growth possible after 18? Separating Fact from Fiction

3 min read

While major skeletal growth concludes in the late teens and early twenties, subtle facial changes, including jawbone remodeling, continue throughout life. This brings a critical question to light for many individuals: is forward growth possible after 18 in any meaningful way? This article separates the myths from the biological reality of adult facial development.

Quick Summary

Significant facial bone growth is not possible for adults, as most growth plates fuse after puberty. Subtle changes in facial appearance can result from soft tissue adjustments, dental corrections, and improved posture, but dramatic skeletal reshaping requires surgical intervention, not unproven exercises.

Key Points

  • Skeletal Limits: Major facial bone growth ceases in the late teens and early twenties, as growth plates fuse, making significant forward growth naturally impossible for adults.

  • Debunking Mewing: There is no scientific evidence that "mewing" can alter adult bone structure, and it may carry risks of jaw pain or dental issues.

  • Focus on Soft Tissues: Changes in facial appearance after 18 are primarily due to soft tissue factors like fat pad shifts, skin elasticity, and muscle tone, not bone growth.

  • Posture is Key: Poor posture, particularly forward head posture, can create the illusion of a recessed jawline; correcting it can improve your profile without changing bone.

  • Orthodontic Solutions: For bite-related issues, orthodontics like braces or aligners can improve facial balance, and for severe cases, orthognathic surgery is a viable option for significant structural changes.

In This Article

Understanding the Limits of Post-Puberty Growth

The Science of Skeletal Maturity

Facial growth is driven by the development of the maxilla (upper jaw) and mandible (lower jaw), a process that largely concludes with the fusion of growth plates during puberty. While individual timelines vary slightly, most females reach this point by 16-18 and males by 18-21. Once these plates have hardened into bone, significant, natural lengthening or widening of the facial skeleton is no longer possible. This is why interventions like corrective jaw surgery are typically timed for adulthood, after all natural growth has ceased.

Deconstructing the 'Mewing' Myth

In recent years, the practice of "mewing"—involving specific tongue posture exercises—has gained widespread online attention, with proponents claiming it can induce forward facial growth in adults. However, mainstream medical and orthodontic communities offer a different perspective. There is no reliable scientific evidence to support the claim that mewing can alter the underlying bone structure of an adult's face. At best, it might strengthen some tongue and throat muscles, but it cannot fundamentally change skeletal anatomy. Furthermore, improper mewing can potentially lead to jaw pain, teeth shifting, or other dental issues.

Factors That Influence Adult Facial Aesthetics

Soft Tissue and Fat Pad Changes

Even if the bones aren't growing, the face is constantly changing. As we age, changes to soft tissues are a major contributor to shifts in appearance. Loss of collagen and elasticity can cause skin to sag, while the natural repositioning of facial fat pads can flatten cheeks and create prominent tear troughs. These processes, rather than bone recession, are often responsible for what many perceive as a backward-growing face. Healthy lifestyle choices, including proper nutrition and skincare, can help mitigate these effects.

The Role of Posture

Poor posture, particularly "forward head posture," or "tech neck," can create the illusion of a recessed jawline. When the head juts forward, it places backward pressure on the lower jaw, making the chin appear weaker or less defined. Correcting this posture through conscious effort, neck exercises, and ergonomic adjustments can significantly improve a person's profile, though it won't change the underlying bone structure.

The Power of Orthodontics

For those with alignment issues, orthodontics can be a powerful tool for aesthetic and functional improvement. Braces or clear aligners, even in adulthood, can correct misaligned teeth and address bite issues like overbites or underbites. In some cases, adjusting the dental alignment can lead to a more balanced facial profile, especially when combined with other techniques. This is a legitimate, proven method overseen by professionals, unlike many unverified online trends.

Comparison of Treatment Options for Jaw Alignment

Feature Non-Surgical Orthodontics Surgical (Orthognathic) Intervention
Best For Mild to moderate dental alignment and bite issues; cosmetic improvements. Severe skeletal discrepancies; functional problems like sleep apnea.
Effect on Bone Minimal to no change in underlying bone size or position. Direct and significant reshaping and repositioning of facial bones.
Typical Duration 1-3 years for treatment. Often includes a year or more of orthodontics, plus recovery from surgery.
Risks Minor risks, including tooth sensitivity or temporary soreness. Major surgery risks, including nerve damage, infection, and prolonged recovery.
Recovery Minimal downtime. Significant recovery period with diet and activity restrictions.
Cost Generally lower cost than surgery. Higher cost, often requiring insurance approval.

The Surgical Solution

For individuals with genuine skeletal discrepancies, orthognathic surgery (corrective jaw surgery) is the only truly effective method for achieving significant forward facial development. This procedure, performed by an oral and maxillofacial surgeon, involves repositioning the jawbones to correct severe misalignments. It is a serious undertaking with real results, suitable for those whose recessed jaw causes functional problems beyond cosmetics, such as breathing or chewing difficulties. For those considering surgical options, consulting a qualified professional is the crucial first step. You can find an oral and maxillofacial surgeon through professional associations to explore legitimate treatment options.

Conclusion: A Realistic Approach to Facial Enhancement

In summary, the notion of achieving significant, natural forward facial growth after the age of 18 is not supported by science. While subtle changes occur due to aging and lifestyle, and some improvement can be seen with orthodontic and postural corrections, dramatic skeletal transformation is reserved for surgical intervention. A healthy aging mindset focuses on optimizing overall wellness rather than chasing unproven, dramatic physical changes. Prioritizing proper posture, consistent dental care, and a healthy lifestyle is the most sustainable and realistic path to looking and feeling your best at any age.

Frequently Asked Questions

No, diet and exercise cannot cause changes to the underlying bone structure after puberty. While a healthy diet and lifestyle support overall health, they will not induce facial bone growth. Exercises can strengthen facial muscles, but this does not equal skeletal remodeling.

True facial 'growth' involves the enlargement of bones and concludes after puberty. 'Remodeling' refers to the subtle, ongoing changes in bone shape and density that happen throughout life. This is a much slower process and does not result in the kind of significant structural changes seen during childhood or adolescence.

For adults, a recessed appearance is often caused by a combination of genetics, poor posture (like forward head posture), or dental misalignment. Changes in soft tissue due to aging, such as a loss of fat pads or skin elasticity, can also contribute to this perception.

Yes. Improving your posture, maintaining a healthy weight, and addressing dental alignment through professional orthodontics can all improve the appearance of your jawline. While these do not cause 'forward growth,' they can create a more defined and balanced facial profile.

Corrective jaw surgery is considered when a patient has a significant skeletal misalignment that causes functional problems, such as breathing issues, chewing difficulties, or severe aesthetic concerns. It is the only reliable way to achieve substantial forward movement of the jawbones after growth has stopped.

The best course of action is to consult a professional, such as an oral and maxillofacial surgeon or an orthodontist. They can provide a proper diagnosis and discuss treatment options tailored to your specific needs, using proven medical science.

No, facial massage tools are not scientifically proven to cause forward facial bone growth. These tools can help with muscle relaxation, circulation, and lymphatic drainage, which may give a temporary aesthetic boost but will not alter skeletal structure.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
  6. 6
  7. 7

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.