About to get Trimax (BSSO + Le Fort I) – Covered by Insurance (Sleep Apnea) – Need Input on Movement in mm + Key Considerations

[az349cn]

So I’m scheduled for a Trimax surgery (Le Fort I + BSSO + likely Genioplasty), and the procedure is fully covered by health insurance due to documented obstructive sleep apnea. CPAP failed, so this is the next step. Now that it’s approved, I’m shifting full focus to aesthetic optimization.


Looking for high-IQ takes and feedback from people who’ve gone through it or understand facial harmony well.
Main questions:

1. How many mm forward for maxilla and mandible would be ideal from a Looksmaxxingperspective?
   • I know aesthetics > textbook occlusion in this game.
   • I have a recessed lower third and midface – probably need aggressive advancement.
2. Anything I should specifically tell the surgeonor watch out for?
   • Things like alar base cinch, V-Y closure, fixation method, avoiding clockwise rotation, etc.
   • Want to avoid “denture look” or excessive elongation.
3. Is genioplastyusually a must if doing both jaws?
   • Menton projection and vertical height aren’t ideal right now.

Context:
– done growing
– Diagnosed apnea (AHI confirmed)
– Good skin, decent orbital area, but lacking projection
– Goal is PSL-tier bone structure, strong lateral/45° game, and ideally lower third dominance


If you’re experienced with Trimax or facial structure aesthetics, drop your opinion on:
– Optimal forward movement ranges (mm)
– What you would personally do if in my position
– Common pitfalls people regret post-op


Will update with scans if needed.
Trying to get this right the first time – this is a once-in-a-lifetime opportunity.

 

[baygad]

AI flow kinda crazy

 

[ducksoover]

1. you won't find anymore good input on this forum anymore, it's full of tiktokcels, ryy jaw surgery forums instead.

2.its very difficult to say how many mms would be needed. What most people don't realise, the actual result is never fully expected. Nobody knows what you're going to look like. A lot of surgeries are just a shot in the dark.

3. your ears are massive bruv