Do I need maxillary mandibular advancement? (photos)

Question

I've attatched a photo of my xrays. My oral surgeon is suggesting a genioplasty, but if my maxilla is also retruded, then I would like to go with a maxilla mandibular advancement even if it is only a few milimeters. If you could look at my photo and tell me what you think, that would be very helpful. Thank you!

Earl Stephenson, Jr., MD, DDS, MBA · Answer

This is a bit difficult without a complete skeletal analysis based on your ceph (x-ray) and physical exam.  From what I can see on your x-ray your maxilla and mandible appear fine.  I would not recommend maxillary and mandibular advancements in lieu of a genioplasty.  Please seek several consultations from board certified oral surgeons or plastic surgeons.

Majid Jamali, DMD · Answer

Clinical evaluation is needed. From what I see genioplasty should be fine. Again, I can not see your midface without evaluation.

Barry L. Eppley, MD, DMD · Answer

While a maxillomandibular advancement can be done in anyone the key question is the benefit versus the risks of the surgery. It is a big surgery with some risks if the goal is just a few millimeters of upper and lower jaw advancement in someone whose bite is otherwise normal. One would not normally do such  big surgery for a moderate aesthetic facial benefit. They are other simpler and less risky methods to achieve these aesthetic goals.

Donald Nunn, MD (retired) · Answer

Maxillomandibular advancement is not a small procedure.  I would have to evaluate you in person to make a recommendation but your radiograph does not reveal significant maxillary/mandibular deficiency.   Good luck. Donald R. Nunn MD, DDS  Atlanta Plastic Surgeon.

Do I need maxillary mandibular advancement? (photos)

Answers (4)

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