whitepill_is_true
Iron
- Joined
- Dec 27, 2024
- Posts
- 12
- Reputation
- 5
I first posted here in january after my first consultation with a maxfac surgeon. He looked in my mouth for 5 minutes and decided I would get an 11mm BSSO. He told me later changes could be made and that we would meet up one more time for ceph photos to finalise treatment plans. After going home and doing some research I believe a Lefort 1 is also required/ would bring great improvement. But my knowledge is only rudimentary so I hope someone here has an answer to the following questions. Additionally, my surgery is provided by insurance and im afraid my surgeon is only focused on function, not aesthetics, and is underadvancing me. It would gut me if I do this shit and I still look like a fucking inbred recessed hillbilly.
1: Based on the pictures below, is only my mandible receded or my maxilla aswell? I have deep smile lines and large buccal corridors. In my side profile pictures my face seems flat, like everything below my eyes is recessed, including my infraorbital support, cheekbones and entire midface. I have a class II malocclusion.
2: Would I benefit from widening of the upper palate? I measured an IMW of 36 mm but I could be off and only my first 6 teeth are visible when smiling. I believe this indicates a narrow upper palate. But it is unfortately too late for MARPE as I just turned 18. Is a segmental LEFORT still possible?
3: Would a CCW rotation and advanced of the maxilla add cheekbone visibility and undereye support? I am severely lacking in those areas and I look like i've been awake for three days even after proper sleep.
4: How do I go about voicing my concerns to my surgeon if he still disagrees on a LEFORT after I ask him about it?
PS: for those who read and respond, ty you guys are the real chads
here are my pictures:
1: Based on the pictures below, is only my mandible receded or my maxilla aswell? I have deep smile lines and large buccal corridors. In my side profile pictures my face seems flat, like everything below my eyes is recessed, including my infraorbital support, cheekbones and entire midface. I have a class II malocclusion.
2: Would I benefit from widening of the upper palate? I measured an IMW of 36 mm but I could be off and only my first 6 teeth are visible when smiling. I believe this indicates a narrow upper palate. But it is unfortately too late for MARPE as I just turned 18. Is a segmental LEFORT still possible?
3: Would a CCW rotation and advanced of the maxilla add cheekbone visibility and undereye support? I am severely lacking in those areas and I look like i've been awake for three days even after proper sleep.
4: How do I go about voicing my concerns to my surgeon if he still disagrees on a LEFORT after I ask him about it?
PS: for those who read and respond, ty you guys are the real chads
here are my pictures:
