<s>[INST] Hi, I am a 36 year old woman, who had an upper wisdom tooth extracted 4 months ago. The upper left one was supposed to be removed some weeks ago, but I cancellede, due to the facial changes I have experienced, since the extraction. The right side of my face seems to be hanging a bit longer down than the left one. It looks like my cheekbone has diminished (become flat) and I´ve gotten wrinkles on the side if my mouth and under my eye (everything only on the right side). I look like I have two different faces; a young one and an old one. This has made me deeply depressed and is causing me social problems. I don´t have a nerve damage. Why is this happening and what can I do about it? Thankyou. [/INST] Hi, you said that upper wisdom tooth was extracted 4 months ago and you get facial changes, you had not mentioned that it was an difficult extraction. How much time it took to get it removed and does dentist need to cut the bone along with it.?? as such after exytraction there are nil chances of flattening of face because that area is covered by the coronoid process of mandible and lot of muscle and fat tissues. Only chance it if he has to remove the chunk of bone along with the tooth. you can go for extraction of other side as every case is different. explain your dentist about your previous experience. he will take care of you. Thanks, Dr. Vishal Jain </s>