Best way to achieve a more projected mouth?

[mightbecooked123]

My maxilla and chin are not recessed but my mouth is under-projected and its probably a combo lack of soft tissue in the mouth + set back alveolar process
And this is of course the case in both the maxillary and mandibular portion
Kind of an opposite problem that asians and blacks usually where they are usually overprojected and require ASO
I need something in reverse basically to project it forwards

And I dont need any lefort as my paransal is good so a lefort would make me look more recessed
And I dont need BSSO as my jaw doesnt need any advancement

The only real option ive found so far is a corticonomy where they cut the teeth and set them more forwards.

After the process a bone graft is done to help concrete the expansion of the teeth.
This procedure might also help with my tooth crowding.

For reference I've estimated that I likely need about a 5mm expansion of my mouth forwards for it to be ideally projected.

Is there any alternatives or is this my best bet?

@NZb6Air @RealSurgerymax

 

[mightbecooked123]

@thecel

 

[Rigged]

My maxilla and chin are not recessed but my mouth is under-projected and its probably a combo lack of soft tissue in the mouth + set back alveolar process
And this is of course the case in both the maxillary and mandibular portion
Kind of an opposite problem that asians and blacks usually where they are usually overprojected and require ASO
I need something in reverse basically to project it forwards

View attachment 3342158View attachment 3342160

And I dont need any lefort as my paransal is good so a lefort would make me look more recessed
And I dont need BSSO as my jaw doesnt need any advancement

The only real option ive found so far is a corticonomy where they cut the teeth and set them more forwards.
View attachment 3342165

After the process a bone graft is done to help concrete the expansion of the teeth.
This procedure might also help with my tooth crowding.

For reference I've estimated that I likely need about a 5mm expansion of my mouth forwards for it to be ideally projected.

Is there any alternatives or is this my best bet?

@NZb6Air @RealSurgerymax

I know u didnt directly ask me but theres nothing better than SAO for ur case, it addresses the 5mm anterior projection and doesnt affect your paranasal or mandibular structure, but if u wanted u could make the procedure go smoother with piezoelectric osteotomie

 

[RealSurgerymax]

My maxilla and chin are not recessed but my mouth is under-projected and its probably a combo lack of soft tissue in the mouth + set back alveolar process
And this is of course the case in both the maxillary and mandibular portion
Kind of an opposite problem that asians and blacks usually where they are usually overprojected and require ASO
I need something in reverse basically to project it forwards

View attachment 3342158View attachment 3342160

And I dont need any lefort as my paransal is good so a lefort would make me look more recessed
And I dont need BSSO as my jaw doesnt need any advancement

The only real option ive found so far is a corticonomy where they cut the teeth and set them more forwards.
View attachment 3342165

After the process a bone graft is done to help concrete the expansion of the teeth.
This procedure might also help with my tooth crowding.

For reference I've estimated that I likely need about a 5mm expansion of my mouth forwards for it to be ideally projected.

Is there any alternatives or is this my best bet?

@NZb6Air @RealSurgerymax

Pic of you

 

[mightbecooked123]

Pic of you

Can I pm you it?

 

[RealSurgerymax]

Can I pm you it?

if youre ready for surgery soon

 

[mightbecooked123]

if youre ready for surgery soon

Ill be ready for corticonomy in the next few months if its the right solution

But if I need bimax or something else in your opinion it will obviously take longer if it costs more as I will need to save up more

 

[Mugwump]

bhai tag me it was my idea

 

[mightbecooked123]

bhai tag me it was my idea

@Mugwump better late than never ahh reply

 

[mightbecooked123]

I know u didnt directly ask me but theres nothing better than SAO for ur case, it addresses the 5mm anterior projection and doesnt affect your paranasal or mandibular structure, but if u wanted u could make the procedure go smoother with piezoelectric osteotomie

Did you mean to write ASO?

 

[Rigged]

Did you mean to write ASO?

No a segmental alveolar osteotomy, but since realsurgery replied here just get as much help from him as u can since he knows best on this forum about these things

 

[mightbecooked123]

No a segmental alveolar osteotomy, but since realsurgery replied here just get as much help from him as u can since he knows best on this forum about these things

He hasnt replied to dms so he could take a while I want to hear your idea

 

[mightbecooked123]

Is it the opposite of ASO and how would it even be done

 

[mightbecooked123]

Can PM face and ideal morph in dms as well

 

[Rigged]

He hasnt replied to dms so he could take a while I want to hear your idea

Well u said ur maxilla and mandibular base are both fine but u have an under projected alveolar structure

an SAO is probably the most direct way of fixing this, it only affects the local deficiency and doesnt reduce structures around it like the paranasal or mandibular advancement planes

For things after u could do a bioresorbable scaffold or autologous bone graft to stabilize the segment and make osseointegration go by smoother and then maybe a piezoelectric osteotomy, since it can remove relapse risk

 

[Rigged]

Is it the opposite of ASO and how would it even be done

Kinda an ASO reduces projection of the anterior alveolar segment but an SAO repositions a specific section of the alveolar process for the adjustment to be localized

 

[Rigged]

Can PM face and ideal morph in dms as well

I would wait for realsurgery, this is a field hes best at here

 

[mightbecooked123]

Well u said ur maxilla and mandibular base are both fine but u have an under projected alveolar structure
View attachment 3343480
View attachment 3343490
an SAO is probably the most direct way of fixing this, it only affects the local deficiency and doesnt reduce structures around it like the paranasal or mandibular advancement planes

For things after u could do a bioresorbable scaffold or autologous bone graft to stabilize the segment and make osseointegration go by smoother and then maybe a piezoelectric osteotomy, since it can remove relapse risk

Very nice high IQ answer this seems pretty legit and exactly what I need your right in that its just the alveolar process the needs adjusting due to the flat mouth everything else is fine

Do you know how much this procedure would cost? And where would it be done realistically

I would wait for realsurgery, this is a field hes best at here

Yeah im just seeing my options atm so might as well ask you as you seem pretty high iq in the meantime yk

 

[Rigged]

Very nice high IQ answer this seems pretty legit and exactly what I need your right in that its just the alveolar process the needs adjusting due to the flat mouth everything else is fine

Do you know how much this procedure would cost? And where would it be done realistically

Yeah im just seeing my options atm so might as well ask you as you seem pretty high iq in the meantime yk

Purely depends on who you do it with the
SAO 5-15k
Piezo 1-2k
Anesthesia 1-3k
Facility 2-5k
CBCT 500-1.5k
Ortho 3-7k
Follow ups 500-1k
Grafts 1-3k
Meds 100-300

LA is probably the best for SAO, finding a “blackpilled” doctor that will get u what u want will probably be the hardest thing tho

 

[mightbecooked123]

Purely depends on who you do it with the
SAO 5-15k
Piezo 1-2k
Anesthesia 1-3k
Facility 2-5k
CBCT 500-1.5k
Ortho 3-7k
Follow ups 500-1k
Grafts 1-3k
Meds 100-300

LA is probably the best for SAO, finding a “blackpilled” doctor that will get u what u want will probably be the hardest thing tho

Is it best in LA worldwide or just in the states I leave in europe for reference

 

[Rigged]

Is it best in LA worldwide or just in the states I leave in europe for reference

LA worldwide is the bets for quality, but its also very expensive the best price:quality is turkey

 

[mightbecooked123]

LA worldwide is the bets for quality, but its also very expensive the best price:quality is turkey

Thank you very much for the reponse ill go ahead and give you a follow as you seem like on of the very rare high iq users left on here.

 

[zemult]

do you have any falios related to the less projected mouth?

 

[mightbecooked123]

do you have any falios related to the less projected mouth?

No its just the set back alveolar process like I explained

Its a very common falio for my phenotype

 

[BimaxLaser]

Put a pic in dm

 

[zemult]

No its just the set back alveolar process like I explained

Its a very common falio for my phenotype

Sounds schizo but I guess I'll take your word that it's a significant falio

 

[mightbecooked123]

Sounds schizo but I guess I'll take your word that it's a significant falio

Its not a massive falio it just makes your mouth look flatter and less projected from the front as your front and 3/4 looks 2d without that projection

But its still one that needs addressing as it is a falio

It will also mess up lips assesments ofc

 

[zemult]

Its not a massive falio it just makes your mouth look flatter and less projected from the front as your front and 3/4 looks 2d without that projection

But its still one that needs addressing as it is a falio

It will also mess up lips assesments ofc

Sounds even more schizo the more you describe it.

Do you have any example pictures of someone with the same falio

 

[mightbecooked123]

Sounds even more schizo the more you describe it.

Do you have any example pictures of someone with the same falio

Yes

this guy also has a set back alveolar process but his lips are full and intact so its not as bad mine

 

[zemult]

YesView attachment 3345857 this guy also has a set back alveolar process but his lips are full and intact so its not as bad mine

I think I see what you mean now. Have you already hardmaxxed your front? Something like this seems like a +0.2PSL improvement if even that ngl.

 

[mightbecooked123]

I think I see what you mean now. Have you already hardmaxxed your front? Something like this seems like a +0.2PSL improvement if even that ngl.

No but its still a falio that needs to be addressed Im thinking about delaying it atm for a year or so as @Rigged said its best done in LA and im also planning to visit eppley for chin reduction so Ill probably do those two towards the end. ATM im just trying to explore my options so that I can plan and find the best procedure with as much time as possible.

 

[zemult]

No but its still a falio that needs to be addressed Im thinking about delaying it atm for a year or so as @Rigged said its best done in LA and im also planning to visit eppley for chin reduction so Ill probably do those two towards the end. ATM im just trying to explore my options so that I can plan and find the best procedure with as much time as possible.

You must be a high averageness Chad with little falios if this falio is near the top of your list.

 

[mightbecooked123]

You must be a high averageness Chad with little falios if this falio is near the top of your list.

No not even close to chad but I think it will fit the budget, and it is one of the few side profile falios that I have that cant be fixed from implants or rhino. Which I already need to the front anyways

 

[zemult]

No not even close to chad but I think it will fit the budget, and it is one of the few side profile falios that I have that cant be fixed from implants or rhino. Which I already need to the front anyways

If I were you I'd be focused on the front profile solely first because that matters the most (unless your side is deformed and/or significantly recessed).

Realistically you'd be getting like +0.1PSL improvement, and even that is a stretch.

But if the falio has been bothering you mentally for a long time now, I understand.

 

[mightbecooked123]

@MarioTheGoat why tf are you laughing nigga

 

[MarioTheGoat]

@MarioTheGoat why tf are you laughing nigga

The Oscar video

 

[blackpill179]

if youre ready for surgery soon

How soon before a desired surgery date should someone reach out to you and is email the best way?