I
ILMFP
Iron
- Joined
- Apr 6, 2021
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Recently visited a maxillofacial surgeon based in London (where im based), main points from the consultation are:
1) He presents with a hypoplasia of the midface but only to the lateral area as the central mid face including the nose have had adequate projection. The nose however is quite short which needs to be taken into consideration when planning any procedures
2) Clinical examination reveals indeed a hypoplasia in the infraorbital and paranasal areas. There is also relatively short face and in occlusion of the upper lip is compressed by approximately 3 mm.
3) There is hardly any incisor exposure at rest, mildly when speaking but there is on the other hand almost complete incisor exposure when smiling.
4) He could benefit from a clockwise bimaxillary advancement of approximately 5 mm whereby the overall vertical position of the incisor point comes down approximately 3 mm. The molar area could remain at the same level as currently. When doing that movement, there may be a small backward rotation of the chin and there may therefore be need for a genioplasty advancement.
When i asked him about the maximum number of mm i could get, he recommended no more than 7mm-8mm
I am planning to fill up the nasolabial area with fillers for 1-2 years until i save up for bimax, tho im probably gonna have it done in Europe
Any opinions on the plan he gave me? Im also a bit concerned about the clockwise rotation, dont wanna make my face longer tbh
Here's the cephalogram i had:
And here's the front view if its of any help:
1) He presents with a hypoplasia of the midface but only to the lateral area as the central mid face including the nose have had adequate projection. The nose however is quite short which needs to be taken into consideration when planning any procedures
2) Clinical examination reveals indeed a hypoplasia in the infraorbital and paranasal areas. There is also relatively short face and in occlusion of the upper lip is compressed by approximately 3 mm.
3) There is hardly any incisor exposure at rest, mildly when speaking but there is on the other hand almost complete incisor exposure when smiling.
4) He could benefit from a clockwise bimaxillary advancement of approximately 5 mm whereby the overall vertical position of the incisor point comes down approximately 3 mm. The molar area could remain at the same level as currently. When doing that movement, there may be a small backward rotation of the chin and there may therefore be need for a genioplasty advancement.
When i asked him about the maximum number of mm i could get, he recommended no more than 7mm-8mm
I am planning to fill up the nasolabial area with fillers for 1-2 years until i save up for bimax, tho im probably gonna have it done in Europe
Any opinions on the plan he gave me? Im also a bit concerned about the clockwise rotation, dont wanna make my face longer tbh
Here's the cephalogram i had:
And here's the front view if its of any help: