Acromegaly_Chad
Offical Surgery Consultant
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- Apr 16, 2020
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It's time to add another bimax case study to the list and enlargen the public blackpill knowledge about surgical aesthetic requirements. We will analyse the infamous case of Tyrion and what exactly went wrong in his case.
In this before we can see:
- not all red lines are parallel as they ideally should, only the upper two (a genioplasty could fix the lower one)
- his nose to philtrum angle is around 95° which is in the acceptable range between 85° - 95° for ideal aesthetic looks.
- yellow marked: his flat cheek line (contraindication for bimax, these people are prone to look like chimps, it can be somewhat compensated with tear through fillers for example) and his recessed, deep set nasal base (also a contraindication for bimax).
- Also in yellow: a relatively steep jawline, which is a possible hint for a steep occlusional plane and an indicator for CCW, and therefore contraindicator for linear or CW advancements.
None of this was considered in the surgical plan, as we will see. This is the after:
- The mid red line is now off, this is why his maxilla looks chimp alike
- the yellow marked nasal base is still recessive and doesn't compensate the large advancement of the maxillary alveolar arch
- his occlusional plane remained steep, which is unnatural with such forward growth
- his nose to philtrum angle is at an almost perfect 90° but looks dysharmonious due to the recessive basal base
Let's have a look at what should have been done instead:
- a rhinoplasty, that adds height and mass to the nose, especially the angle of his nasal ridge (dorsum nasi) should have been changed so that the 3 red lines are perfectly parallel
- his ramus should have been vertically lengthened and his jawline made less steep, as marked with yellow lines.
- furthermore his chin should have been slightly shortened vertically, to allow the 3 red lines to perfectly match
- it's interesting, that the yellow marked and still recessive nasal base doesn't appear to be that much of an issue now - not everything has to be perfect.
The final conclusion is what I've been saying for quite a while now: the aesthetic component of a bimax surgery has to consider soft tissue heavily, maybe even as much as the scelettal situation. And we need to take a holistic approach, consider the nose, nasal base, different ratios, angles and parallel lines, as well as markers for natural looking forward growth (flat jawline, no steep occlusional plane) and how this has to be considered in a surgical plan.
These lines, angles and ratios should serve you as a guide when analyzing and morphing your own side profile. It works like magic.
Tagging some bimaxcels: @lasthope @ht-normie-ascending @spain @NewJawSzn @subhuman incel @Pumanator @one job away
In this before we can see:
- not all red lines are parallel as they ideally should, only the upper two (a genioplasty could fix the lower one)
- his nose to philtrum angle is around 95° which is in the acceptable range between 85° - 95° for ideal aesthetic looks.
- yellow marked: his flat cheek line (contraindication for bimax, these people are prone to look like chimps, it can be somewhat compensated with tear through fillers for example) and his recessed, deep set nasal base (also a contraindication for bimax).
- Also in yellow: a relatively steep jawline, which is a possible hint for a steep occlusional plane and an indicator for CCW, and therefore contraindicator for linear or CW advancements.
None of this was considered in the surgical plan, as we will see. This is the after:
- The mid red line is now off, this is why his maxilla looks chimp alike
- the yellow marked nasal base is still recessive and doesn't compensate the large advancement of the maxillary alveolar arch
- his occlusional plane remained steep, which is unnatural with such forward growth
- his nose to philtrum angle is at an almost perfect 90° but looks dysharmonious due to the recessive basal base
Let's have a look at what should have been done instead:
- a rhinoplasty, that adds height and mass to the nose, especially the angle of his nasal ridge (dorsum nasi) should have been changed so that the 3 red lines are perfectly parallel
- his ramus should have been vertically lengthened and his jawline made less steep, as marked with yellow lines.
- furthermore his chin should have been slightly shortened vertically, to allow the 3 red lines to perfectly match
- it's interesting, that the yellow marked and still recessive nasal base doesn't appear to be that much of an issue now - not everything has to be perfect.
The final conclusion is what I've been saying for quite a while now: the aesthetic component of a bimax surgery has to consider soft tissue heavily, maybe even as much as the scelettal situation. And we need to take a holistic approach, consider the nose, nasal base, different ratios, angles and parallel lines, as well as markers for natural looking forward growth (flat jawline, no steep occlusional plane) and how this has to be considered in a surgical plan.
These lines, angles and ratios should serve you as a guide when analyzing and morphing your own side profile. It works like magic.
Tagging some bimaxcels: @lasthope @ht-normie-ascending @spain @NewJawSzn @subhuman incel @Pumanator @one job away
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