Before doing bimax

[lurking truecel]

You should atleast do 3 consults minimum. Its a big ass surgery so you better get several opionions on your case specifically. You should allways consult from a health perspective and talk about risks in your specfic case, what they see challenging.

Then ofc you should get aesthetic movements and know exactly what they are refering to about the movements so you accurately can compare the plans in the broad against the other surgeons you consulted. If they differ hugely something is off, i am meaning 2-3+ mm diffrences. Then you should understand why.

You should also present the estimated plan to several orthos and see what they think about it. You should also have a crystal clear understanding about the decomp in your case and why its necessary both in term of looks and health.

Also with any surgery even if money is short now or whatever, you should never cheap out or choose dependning on your budget. Then you might aswell skip surgery all together. Because shit happens

Also specific things thats important to habe extra focus on during consult:

-bone grafting

-position of the genio cuts

-position of bsso cuts (further back is more risk, front less risk)

-tmj health ( makes ccw and big movements unstable if bad)

-wisdom teeth removal or not ? ( should be done 6 month before)

-soft tissue thickness (can affect swelling and movements options)

-hardware placement ( important to consider, more when you actually get the plan)

Aesthetics

- lip competence

- too much chin forward(makes you look older, risk of mentolabial folds if low)

- ccw step off

- nose deviation if right or left side ways leforte

- ideal overbite for your anatomy, affects how lips look. If lower lip is full now big genios and bssos should be with caution

- risk of chimp lip

- how does it harmonize with upper face

-Forhead slant etc

- considering the plan on how you comfortably have your head

Thats all i can think of now

 

[subhumanchinkcel]

bookmarked for the future

 

[subhumanchinkcel]

Then ofc you should get aesthetic movements and know exactly what they are refering to about the movements so you accurately can compare the plans in the broad against the other surgeons you consulted. If they differ hugely something is off, i am meaning 2-3+ mm diffrences. Then you should understand why.

regarding this part, bit of a grey take but where would be best to learn about every movement of surgery? Online articles?

 

[lurking truecel]

regarding this part, bit of a grey take but where would be best to learn about every movement of surgery? Online articles?

I mean to start you could think of what you can do when you have detached the lower and upper jaw, so you can hold the the occlusion in your hand with a piece of maxilla and mandible body. Then you understand that you can either move left or right, up and down, or rotating it, or forward and backwards(thats how a 3d piece can move). Then if you want specifics you should go to the articles. But the basics should be intuitive. But then there will allways be some things that you will be needing to trust surgeon on and the overall execution has like 1-2 mm error(bigger movents bigger error, smaller movements smaller error). So its never that accurate as the plan is or whatever. Thats why you allways should know the rough estimates and how the diffrent possibilities would play out and what to do. Ortho and surgeon should be here to guide

 

[gnwitch]

heavy on the multiple consults.
i went to 4 surgeons to consult for mine

I got tjr + genio + 3 piece lefort 1
3 didnt offer tjr, the most movement out of the 3 were willing to make was like 12mm pog with like 18months decomp with 2 bottom extractions (bc my previous ortho fucked me when i was naive and did camouflage on me with 2 upper extractions.. may he burn in hell..)

the last surgeon offered tjr so i didnt have to decomp at all and got 20mm pog
everything covered by my insurance, my condyles were kind of cooked so thats why the other surgeons were hesitant to do big movements, prob would have relapsed anyways..

the surgery turned out amazing, genuinely ascended me to heaven and back, im so so so happy i did multiple consults and ultimately chose him. If i just went to one surgeon and blindly trusted him i would still be in decomp right now..

i probably have seen like every r/jawsurgery post ever and i can say my result is like top 3 out of literally everyone there. i dont post pics online so dont ask for it though lol

 

[tyler1234]

Back to shit posting I see

 

[gnwitch]

Back to shit posting I see

this is good advice idk what ur on about

 

[lurking truecel]

this is good advice idk what ur on about

i didnt say how he could be chad so its bad advice

 

[tyler1234]

i didnt say how he could be chad so its bad advice

What did u do whilst u were banned stare at a wall🫪

 

[lurking truecel]

What did u do whilst u were banned stare at a wall🫪

Rhino revision what did you do ?

 

[zemult]

All this for a chance a ltb looks at you a second time fucking over