A small tip with orthognathic surgery

[yussimania]

The framework for your plan in my opinion should revolve around your incisors, then you can adjust with rotation and advancement in relation to other bony landmarks

Recently I became very Incisorpilled - it's the reason why your profile looks a certain way

Break it up into 2:

• Visible skeletal recession
• Soft tissue folds, curves, lips and protrusion

Most people forget about the 2nd one, while yes it's hard to predict soft tissue don't let that fool you into ignoring the optimal incisal positions within the bone, it's pretty reliable to see how the angle of the incisor changes your soft tissue - of course skin thickness is a factor in this but you will see first hand when you do the orthodontic treatment yourself and you can adjust accordingly

A competent surgeon and ortho duo will work on this for you but not everyone has the blessing of Raffaini and Cocconi, so it's best you understand some basic level of aesthetic orthodontics so that you may dictate to your orthodontist and surgeon the way you want your profile to look once you've done your decomp and take into account how advancement and rotation will affect your profile in relation to various important landmarks

There are so many possibilities with different skeletal growth patterns as well as target rotations so I'm not gonna bother going over them

The orthodontist you choose is equally as important as the surgeon, it would be good if we as a forum could map out blackpilled orthodontists like how we do for surgeons

 

[yussimania]

A little case study with this random ceph we can see here

The upper lip area has a curve - associated with what some would call tension nose due to a prominent nose and a large nasolabial angle, sure you could shave down the ANS but I don't believe that's the sole right method

What we could do is bring the incisal edge closer to the ANS via orthodontically proclining it while maintaining a healthy position

Or what we could do is do CCW rotation to buck out the incisors while the ANS tips back

Or what we could also do is advancement using Subspinal cut to keep the ANS position but just sliding the incisor forward without any sort of rotation

This is what I mean by planning around the incisor, see how we have 3 different approaches to achieve the same thing - of course this is in isolation so keep that in mind