head size, projection and shape

I am 19 year old girl currently. When I visited a cosmetic orthodontist a year ago, he told me that I had a very small head and such a big mouth (maxillary protrusion) and that with the removal of the pre-molars (bicuspids), it could be pushed back. Well I' not only removed the pre-molars since but also the wisdom teeth (8 teeth total) and while wearing elastic rubberbands around the gaps for a few months, the maxillary profile gradually went back and so my midface isn't this gradual slope anymore but rather more linear and flat, more "caucasian" you could say and my features are fitting my face better.

Maxilla concerns: Though flatter, the maxillary bone itself, however, is anterior to the rest of my face, it is anterior to my forehead by a few milimeters producing a stereotypically ethnic look I'm not fond of.

head size concern: My head is too small and so from profile view, there is too much width from the nose to the ear. Pushing back the mid-face/maxilla more with maxillofacial surgery won't solve this; it'll help a tiny bit is all. My forehead is rounded and recedes a bit.  It seems to solve all this, the skull would have to be reconstructed entirely!!!

My question is, is this possible? especially for someone my age....and is it done purely for cosmetic reasons ever? I have no real health problems.

I did notice though that since a few months ago (septemper) the back of my head is very different; I notice especially when I lay down to sleep. It seems the occipital became flatter and the parietal is bulging out more. This makes me think I'm not done growing and that there's hope and I can be reconstructed.

I just cannot accept myself as I look right now, at all. I live very close to los angeles and I know of the UCLA medical center there and so if I anyone here can recommend someone or give me advice, that would be great.

[Howard Rosenberg, MD]

It is unlikely that cosmetic alteration of the skull shape would be undertaken in an adult.  This is not surgery that I perform.  However, getting advise from the craniofacial team at UCLA would be an excellent step.