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How do I fix a STEEP long jaw/gonial angle? Can I get a horizontal jaw angle? What would you do? (photos)

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cyberbeauty23Apr 15, 2017
My maxillofacial surgeon wants to do a maxillary impaction & move both the upper and lower jaw forward, plus perform a sliding genioplasty. My question is, however, will my steep jaw angle be fixed after jaw surgery? My face is LONG due to the downward lower jaw. Apparently I am NOT a candidate for CCW rotation or a vertical ramus osteotomy. BUT Is it possible to perform a 5-piece mandibular osteotomy with a bilateral stepwise body osteotomy & BSSO? I provided my xray + example photos of my wish

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From board-certified doctors and trusted medical professionals
Dr. Gerald Wittenberg, MSc, DMD (retired)
Certified Oral & Maxillofacial Surgeon
Answered on Apr 17, 2017
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Gerald Wittenberg, MSc, DMD (retired)

There are a couple  of options. ideally you  orthodontics and lower jaw advancement surgery. Howeve we also do masking treatment with jawline augmentation and a proper genioplasty to create a jawline which can look great ( see website). 

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Gerald Wittenberg, MSc, DMD (retired)

Yes, it can be revised but the specifics of the surgical plan and  the analysis of your present situation will give you the details on added risk etc. Generally, it can be done and the risks primarily relate to the original ones eg lower jaw nerve issue, infection, etc. Scarring adds an ...

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Gerald Wittenberg, MSc, DMD (retired)

That is a good observation on your part. There are growth patterns which have adequate ramal/jaw angles development associated with a recessive mandible. But more commonly the lower jaw is deficient on both projection and width. However when we advance the mandible some of us do augment the...

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