How Childhood Breathing Shapes Your Face Forever: The Structural Impact of Mouth vs Nasal Breathing
Zack Kramer
Breath Coach
Our last post examined how genetically inherited wider noses make it easier to nasal breathe while exercising. But there's a bigger question—one that has nothing to do with winning a genetic lottery.
The Real Question: What Can I Change?
The real question is: What can you change to breathe more air through your nose? What's actually within your power to improve?
Unfortunately, the answer might seem frustrating. It has everything to do with how you were raised—specifically, how your face and nose developed during childhood and adolescence.
Here's what most people don't realize: Much of your ability to nasal breathe great volumes of air doesn't come from your genes. It comes from developmental patterns that are determined by your breathing habits during critical growth periods.
The Story of How Development Shapes Breathing
Let me tell you an exemplary story of someone who breathes poorly through their nose as an adult—and how it all started before they can even remember.
The Beginning: A Simple Cold
When they were about 3 years old, they got the common cold. Their nose became stuffy, making breathing through it difficult. Unfortunately, instead of treating this as a temporary inconvenience, they acclimated to mouth breathing during this time.
Here's the critical mistake: After they beat the cold, they simply kept breathing through their mouth.
A habit was formed. What started as a temporary workaround became a permanent breathing pattern.
The Cascade Effect: How One Habit Changes Everything
This is where it gets interesting—and where many parents have no idea what's happening.
Stage 1: The Chin Recedes
With their mouth constantly open for breathing, their chin hung down. Over time, it simply began to sink back towards their neck.
Why this matters:
- The chin position affects the entire facial structure
- A receding chin becomes a permanent structural change
- This creates airway issues that persist into adulthood
Stage 2: The Tongue Loses Its Position
Here's the part many people don't understand: With the mouth open for breathing, the child's tongue no longer pressed against the roof of their mouth.
Why tongue position matters:
- Your tongue is meant to rest against the roof of your mouth
- It should maintain gentle, consistent pressure
- This pressure guides proper facial bone development
Stage 3: The Palate Elevates
Without the lateral pressure of the tongue pressing up, the roof of the mouth began to arch high into the nasal cavities.
The structural problem:
- A high, narrow palate means less space in your nasal cavities
- One or both nasal cavities grew crowded
- They began to close up as the palate structure changed
- This becomes a permanent structural limitation
The Permanent Changes
These changes became permanent, constricting airways in two critical ways:
1. Collapsed Throat Airway
- The receding chin easily sinks into the throat
- This collapses the airway
- Creates snoring, sleep apnea, and breathing difficulties
- Reduces jaw stability and support
2. Narrowed Nasal Cavities
- Much smaller than they were ever meant to be
- Permanently reduced airflow capacity
- Creates chronic mouth breathing patterns
- Makes nasal breathing difficult or impossible
Visual Evidence: The Difference Between Patterns
These structural differences are profound and visible. Check out these resources:
Normal Jaw/ Nasal Growth (Nose Breather)
This shows proper development:
- Wide, open nasal passages
- Well-positioned chin
- Normal palate height
- Adequate tongue space
- Open airways throughout
Poor Jaw/ Nasal Growth (Mouth Breather)
This shows the damage from mouth breathing:
- Narrow, constricted nasal passages
- Receding chin
- High, narrow palate
- Reduced tongue space
- Collapsed airways
These videos make the differences shockingly clear. One pattern creates wide, open airways. The other creates lifelong breathing limitations.
What Parents Can Do Right Now
If you're a parent, here's what you need to know and what you can do today to prevent these issues in your children.
1. Continue Learning as Much as You Can
This is just the beginning. Understanding breathing's role in facial development is relatively new knowledge, and it's continuously evolving.
Resources to explore:
- Research orofacial myology
- Study tongue posture and its role in development
- Learn about myofunctional therapy
- Understand the connection between breathing and development
The more you know, the more you can help your child.
2. Talk About Nasal Breathing with Your Kids
Make it a normal, positive conversation—not a reprimand.
Conversations to have:
- "Our nose is designed to breathe—let's use it!"
- "Nose breathing helps our body work better"
- "When we breathe through our nose, we feel better"
- "Our mouth is for eating; our nose is for breathing"
Frame it positively. Create awareness without shame.
3. Tell Them to Close Their Mouths When You See Open-Mouth Breathing
Be direct. When you see mouth breathing:
- Calmly say: "Close your mouth and breathe through your nose"
- Remind them: "Let's remember to nose breathe"
- Make it routine: Like reminding them to wash their hands
Consistent, gentle reminders create new habits. Don't let it slide.
4. Close Their Mouths While They Sleep If Needed
Sleep is when many children (and adults) revert to mouth breathing. This is when structural changes happen most frequently.
Options for addressing sleep mouth breathing:
- Mouth taping: Use specialized tapes that don't cover the mouth, just gently close it
- Positional aids: Pillows or positioning that encourage proper breathing
- Allergy management: Ensure sinus issues aren't forcing mouth breathing
- Humidity: Dry air can make nasal breathing difficult
Important Safety Note: If mouth taping, NEVER cover the nose or use anything that could restrict breathing. Use products specifically designed for this purpose, and monitor initially.
5. Seek Professional Help if You Suspect Issues
If you notice poor growth patterns have already begun, see your closest Myofunctional Therapist. These specialists understand the relationship between:
- Breathing patterns
- Facial muscle function
- Tongue positioning
- Structural development
In the Knoxville Area: Visit the team at Tennessee Orofacial Myology.
These professionals can:
- Assess your child's developmental patterns
- Identify issues early
- Prescribe exercises and interventions
- Guide proper breathing and posture habits
- Work to reverse or minimize damage
What This Means for Adults
If you're reading this as an adult thinking "Well, I'm already developed—is there anything I can do?"
The answer is yes, but it's more limited.
Structural Changes Are More Permanent, But...
While childhood developmental changes are challenging to reverse, you can:
- Improve breathing patterns: Learn proper nasal breathing techniques
- Strengthen respiratory muscles: Build capacity within your current structure
- Improve tongue posture: Better positioning can help
- Address any correctable issues: Some structural problems can be improved
- Train your system: Maximize what you have through practice
Adult interventions through myofunctional therapy can still provide benefits, even if structural change is limited.
For Parents: Early Intervention Is Everything
The earlier you intervene, the better the outcomes:
- Ages 3-7: Early intervention can prevent or reverse issues
- Ages 8-12: Still very receptive to change
- Ages 13-18: Growth is finishing, but improvements are still possible
- Adulthood: Limited structural change, but breathing pattern improvements are significant
Don't wait. If you see signs of mouth breathing in your child, address it immediately.
Signs to Watch For in Children
Early Warning Signs:
- Mouth breathing during rest
- Mouth breathing during sleep
- Snoring in young children
- High, narrow palate
- Receding chin
- Crowded teeth
- Forward head posture
- Dark circles under eyes
- Dry mouth in the morning
- Frequent sinus issues
If you see these signs, don't dismiss them. They indicate potential structural issues that will only worsen without intervention.
The Bottom Line
Your ability to nasal breathe as an adult is largely determined by:
- Genetics (which you can't change)
- Childhood development (which is already done if you're an adult)
- Current breathing patterns and training (which you CAN change)
For parents: You have an incredible opportunity to give your children advantages in breathing, facial development, and health by:
- Ensuring nasal breathing habits
- Correcting mouth breathing early
- Seeking professional help when needed
- Making breathing awareness part of normal conversation
The structural impacts of early mouth breathing are severe and permanent. But with awareness, intervention, and consistent practice, you can guide your children's development toward healthier outcomes.
Don't assume breathing will just "fix itself." As this story shows, a three-year-old with a cold can create breathing patterns that last a lifetime—and shape facial structure permanently.
Be proactive. Be consistent. And if you're in the Knoxville area, consider reaching out to the team at Tennessee Orofacial Myology. They understand these connections and can guide you toward healthier outcomes for your child.
Your child's face, airways, and breathing capacity are being shaped right now. Make sure they're being shaped for optimal function, not lifetime limitation.
Optimize breathing development at any age.
For Athletes: Whether you're dealing with structural limitations from childhood or maximizing current capacity, personalized breath coaching can help. Book a consultation to assess your breathing mechanics and develop a plan to optimize what you have.
For Strength & Conditioning Coaches: Learn to identify breathing pattern issues and structural limitations in your athletes—and how to work around them. Explore professional development in breath coaching to add this critical assessment skill to your toolkit.
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