My surgery is in 1 Month: my surgeon wants to advace my lower jaw by 6mm (optional with genioplasty). I said i want more, so bimax+CCW rotation is the 2nd option. Whats the best option for me? My philtrum is already prominent and i dont show my gum while smiling.. Pure aestheics for me. > What do you think is the best option for a good jawline? > Will the bimax + CCW rotation destroy my facial harmony from the front? (cheeckbones are falling behind etc) > should i do a genioplasty too?
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Answers (1)
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I have performed over 4000 of your type of necessary procedures, (orthognathic surgery).I would have to see you in person but I would probably recommend maxillary advancement with mild mandibular setback
The need for genioplasty after those procedures would have to be assessed at that time and...
The downgrading of your maxilla will of course lengthen your face exactly by the number of mm downgrafted. It is simple math. Likewise a lenghrhenig Genioplasty will do the same and will lengthen the lower 1/3 of your face from the lip commissure downward and it will stretch your skin as you asked.
Thank you for sharing the photos. You have a case of bimaxillary deficiency (more dentoalveolar rather than skeletal base) . And you are absolutely right in that you will require comprehensive treatment to achieve dramatic improvement. This is likely to be a combination of presurgical...