[19M] Just got my CBCT scans. I have an overbite and very crooked teeth. I’m planning to get DJS along with rhinoplasty. 180cm, 65+-kg, 20-22% bf

[Asdec]

My surgeon told me that we’ll start with an MSE for a slight width increase, then I’ll have braces for about 1.5 years before the surgery. I’m hoping someone can help me understand the best surgery plan, point out what’s wrong, and suggest what questions I should ask my surgeon. We haven’t discussed the detailed plan yet.

How much advancement / impaction / rotation would be best for me?
Will I need a genio on top of DJS?

 

[Asdec]

Kind of unrelated, but do I have nct/pct? On the mirror, it looks like I have a slight pct, but in some pictures I take, it looks like a nct. Is it because of lens distortion?

 

[Asdec]

And btw how much I'm risking if I decide to do rhinoplasty after MSE, but before djs? Just want to fix my nose as fast as possible tbh

 

[ltn_looksminner]

@LEFORT17 help this brah

 

[Asdec]

@LEFORT17 help this brah

yea please, I'm not really knowledgeable, so hoping to get some feedback

 

[LEFORT17]

My surgeon told me that we’ll start with an MSE for a slight width increase, then I’ll have braces for about 1.5 years before the surgery. I’m hoping someone can help me understand the best surgery plan, point out what’s wrong, and suggest what questions I should ask my surgeon. We haven’t discussed the detailed plan yet.

How much advancement / impaction / rotation would be best for me?
Will I need a genio on top of DJS?


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surgery related depends on movements and how much ur bites gonna get decompensated with braces. your chin bone aint flat and its a jaw problem since u have a class 2 bite. do you have a gummy smile, if so, you can/should get impaction. thats just some basic information anyone here with decent knowledge about jaws can you give too. i dont know your sna/snb degree, which basically defines the position of your jaws in relation to your anatomy. im guessing your maxilla (upperjaw) is slightly recessed, since theres a bump on your nose, which could be genetics or is a sign of maxilla recession. Solution: double jaw surgery, dont get fouled with lower jaw only.

 

[Asdec]

surgery related depends on movements and how much ur bites gonna get decompensated with braces. your chin bone aint flat and its a jaw problem since u have a class 2 bite. do you have a gummy smile, if so, you can/should get impaction. thats just some basic information anyone here with decent knowledge about jaws can you give too. i dont know your sna/snb degree, which basically defines the position of your jaws in relation to your anatomy. im guessing your maxilla (upperjaw) is slightly recessed, since theres a bump on your nose, which could be genetics or is a sign of maxilla recession. Solution: double jaw surgery, dont get fouled with lower jaw only.

Thank you for the information. I do have a slightly gummy smile. One of the things I’m also concerned about is whether the MSE will give my face a “balloon” appearance. From what I understand, MSE expands the maxilla and can make the cheekbone area wider, and I’m not sure how much it will affect my facial width since my cheekbone area is already (I think) pretty wide.

 

[Asdec]

My surgeon told me that we’ll start with an MSE for a slight width increase, then I’ll have braces for about 1.5 years before the surgery. I’m hoping someone can help me understand the best surgery plan, point out what’s wrong, and suggest what questions I should ask my surgeon. We haven’t discussed the detailed plan yet.

How much advancement / impaction / rotation would be best for me?
Will I need a genio on top of DJS?


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bump