BOTCHED BIMAX (pics included)

[FutureSlayer]

JUST IMAGINE the money, effort and time to end up looking like a fucking chimpmunk

Case 2: retromaxillism, narrow maxilla,
mandibular retroalveolism
Clinical characteristics
Frontal view showing narrow facies with poor
gonial angle contour (Fig. 2A)
Concave profile
Flat midface: maxilla and malar
??Edentulous?? facial expression
The chin prominent but in normal position
Lack of dental support to the upper and lower lip
Prominence of nasolabial folds and crease
Narrow alar base
Class I molar and canine relation
Crowding in the maxillary and mandibular
dental arches
Incongruent curves of Spee
Protrusive maxillary incisors

Treatment plan
The treatment plan is a combined surgical and
orthodontic approach. The two-stage surgical
approach (Figs. 2B?D) is
1. Anterior mandibular alveolar segment distrac-
tion osteogenesis [4,5] and surgically assisted
rapid palatal expansion (see Fig. 2B).
2. Orthodontic alignment of two dental arches,
including full decompensation of the existing
skeletal anomalies. Now it becomes clear that
this case is a class III case (retro-/micromaxil-
lism). The occlusion before the second surgical
procedure shows class III molar relation and
a negative overjet. The opened space behind
the canines will be managed by dental implants
at the end of the treatment.
3. Bimaxillary surgery: 13 mm of maxillary
advancement at the LeFort I level, mild mandib-
ular set back through BSSO [6], and clockwise
rotation of both jaws. In addition, vertical chin
augmentation and, again, mandibular segmen-
tal osteotomy for widening of the mandible
(see Fig. 2D).
Outcome
The outcome shows improved facial aesthetics with
good lip support, balanced skeletal relation, and
widened maxilla and mandible (Fig. 2E). From
the frontal view, the face has harmonized, with
normal mandibular width and gonial angles. The
occlusion shows a normal overbite and overjet.
The creation of a gap behind the canines allows
class II molar relation. The bone and gingiva gener-
ated there through distraction is excellent and ready
for dental implants.

 

[materialistic]

I guess mandibular setback was uneeded in this case?

 

[LowTrust]

put money towards a good surgeon don't cheap out on retarded indian ones

 

[Deleted member 19477]

He looks better than before imo. Probably fixable with cheek fat pad removal + zygo and temple implants

 

[Reckless Turtle]

It's an improvement, and he may still be swollen in the afters.

 

[Chinlet Ascension]

He looks better than before imo. Probably fixable with cheek fat pad removal + zygo and temple implants

I think the after looks better, and has more potential. Infraorbital rim implants would help a lot.

The before image looks a little more masculine, though. I'm not quite sure why.

 

[Deleted member 22841]

Shit eye area, nose, and facial asymmetry. Bimax ain't gunna save him JFL.

 

[Deleted member 19477]

View attachment 1993953
Shit eye area, nose, and facial asymmetry. Bimax ain't gunna save him JFL.

His skull is too narrow (that's his big issue), so low IPD. Nose and symetry are ok. Under eye area can be fixed w implants

 

[FutureSlayer]

His skull is too narrow (that's his big issue), so low IPD. Nose and symetry are ok. Under eye area can be fixed w implants

I think getting zygo implants would suit him

 

[Deleted member 22841]

His skull is too narrow (that's his big issue), so low IPD. Nose and symetry are ok. Under eye area can be fixed w implants

His nose is literally hooked towards more one side? Eye width size looks different and one side is slight more higher then the other

Wait it could just be the photo tho cuz his nose looks different in the first one

 

[Deleted member 19477]

His nose is literally hooked towards more one side? Eye width size looks different and one side is slight more higher then the other

Yes, but it is very discrete

 

[Deleted member 22841]

Yes, but it is very discrete

Still a looksmin, but aye most normies won't really notice it properly only autists like me and others here.

 

[Deleted member 19477]

Still a looksmin, but aye most normies won't really notice it properly only autists like me and others here.

Everyone has those minor assymetries, even models

 

[Deleted member 23778]

When you think jaw is your problem

 

[Deleted member 23695]

He looks better than before imo. Probably fixable with cheek fat pad removal + zygo and temple implants

He looked FAR more harmonious before, and actually had some appeal. Now he just looks like shit.
@FutureSlayer did they not perform CCW rotation on him? Why the chimp lip?

 

[FutureSlayer]

He looked FAR more harmonious before, and actually had some appeal. Now he just looks like shit.
@FutureSlayer did they not perform CCW rotation on him? Why the chimp lip?

they actually performed CW

 

[Deleted member 23695]

they actually performed CW

So that's why he had chimp lip. Isn't CCW necessary to prevent chimp lip in bimax? Why did they do that?

 

[longjohnmong]

Wasn't necessarily botched. Just a weird case where he looked better with shitty recessed maxilla because of harmony. Ugly mouth shape hidden by lack of tissue support. Also looks like rhinoplasty and even though it was subtle and not botched, he still looks better with the bigger nose. Just shitty luck. Like who would have guessed reducing the appearance sunken paranasal area wouldn't be an improvement?

 

[makeme183]

Wasn't necessarily botched. Just a weird case where he looked better with shitty recessed maxilla because of harmony.

he didn't even need bimax , just some implants/fillers to accentuate his gonions
he looks 10 years older in the after pic
crazy harmony pill

 

[Deleted member 22841]

Everyone has those minor assymetries, even models

It's not minor greycel

 

[longjohnmong]

I think the rhino fucked him. Hold your finger over his lower third and he still looks way better in the before. And maybe even better undereye support made him look worse?

 

[coolguy1]

3. Bimaxillary surgery: 13 mm of maxillary
advancement at the LeFort I level, mild mandib-
ular set back through BSSO [6], and clockwise
rotation of both jaws. In addition, vertical chin
augmentation and, again, mandibular segmen-
tal osteotomy for widening of the mandible
(see Fig. 2D).
Outcome

Wtf even is this surgery plan jfl no wonder he got botched. 13mm lf1 with cw (chimpmaxxing) and mandibular setback (jfl).

 

[reptiles]

JUST IMAGINE the money, effort and time to end up looking like a fucking chimpmunk

Case 2: retromaxillism, narrow maxilla,
mandibular retroalveolism
Clinical characteristics
Frontal view showing narrow facies with poor
gonial angle contour (Fig. 2A)
Concave profile
Flat midface: maxilla and malar
??Edentulous?? facial expression
The chin prominent but in normal position
Lack of dental support to the upper and lower lip
Prominence of nasolabial folds and crease
Narrow alar base
Class I molar and canine relation
Crowding in the maxillary and mandibular
dental arches
Incongruent curves of Spee
Protrusive maxillary incisors

Treatment plan
The treatment plan is a combined surgical and
orthodontic approach. The two-stage surgical
approach (Figs. 2B?D) is
1. Anterior mandibular alveolar segment distrac-
tion osteogenesis [4,5] and surgically assisted
rapid palatal expansion (see Fig. 2B).
2. Orthodontic alignment of two dental arches,
including full decompensation of the existing
skeletal anomalies. Now it becomes clear that
this case is a class III case (retro-/micromaxil-
lism). The occlusion before the second surgical
procedure shows class III molar relation and
a negative overjet. The opened space behind
the canines will be managed by dental implants
at the end of the treatment.
3. Bimaxillary surgery: 13 mm of maxillary
advancement at the LeFort I level, mild mandib-
ular set back through BSSO [6], and clockwise
rotation of both jaws. In addition, vertical chin
augmentation and, again, mandibular segmen-
tal osteotomy for widening of the mandible
(see Fig. 2D).
Outcome
The outcome shows improved facial aesthetics with
good lip support, balanced skeletal relation, and
widened maxilla and mandible (Fig. 2E). From
the frontal view, the face has harmonized, with
normal mandibular width and gonial angles. The
occlusion shows a normal overbite and overjet.
The creation of a gap behind the canines allows
class II molar relation. The bone and gingiva gener-
ated there through distraction is excellent and ready
for dental implants.

People here must be retarded he looks infinitely better in the after relative to before he just needs custom infra orbital and cheek bone implants this is why I say to this day low body fat plus high cheek bones basically makes you a male model

 

[Deleted member 3679]

He looks way better after! The only issue now is he had no cheekbones to begin with so needs implants to catch that area up. He also looks like his right eye is lower than his left.

 

[Deleted member 16501]

It's not botched as the guy was ugly and unhealthy looking before, now he just looks ugly.

This is why bimax isn't worth it for downlward grown long midface guys, if they're not badly recessed.

Just get orbital implants, widen zygos/jaw and get chin projection, and call it a day.

 

[noprogressno]

JUST IMAGINE the money, effort and time to end up looking like a fucking chimpmunk

Case 2: retromaxillism, narrow maxilla,
mandibular retroalveolism
Clinical characteristics
Frontal view showing narrow facies with poor
gonial angle contour (Fig. 2A)
Concave profile
Flat midface: maxilla and malar
??Edentulous?? facial expression
The chin prominent but in normal position
Lack of dental support to the upper and lower lip
Prominence of nasolabial folds and crease
Narrow alar base
Class I molar and canine relation
Crowding in the maxillary and mandibular
dental arches
Incongruent curves of Spee
Protrusive maxillary incisors

Treatment plan
The treatment plan is a combined surgical and
orthodontic approach. The two-stage surgical
approach (Figs. 2B?D) is
1. Anterior mandibular alveolar segment distrac-
tion osteogenesis [4,5] and surgically assisted
rapid palatal expansion (see Fig. 2B).
2. Orthodontic alignment of two dental arches,
including full decompensation of the existing
skeletal anomalies. Now it becomes clear that
this case is a class III case (retro-/micromaxil-
lism). The occlusion before the second surgical
procedure shows class III molar relation and
a negative overjet. The opened space behind
the canines will be managed by dental implants
at the end of the treatment.
3. Bimaxillary surgery: 13 mm of maxillary
advancement at the LeFort I level, mild mandib-
ular set back through BSSO [6], and clockwise
rotation of both jaws. In addition, vertical chin
augmentation and, again, mandibular segmen-
tal osteotomy for widening of the mandible
(see Fig. 2D).
Outcome
The outcome shows improved facial aesthetics with
good lip support, balanced skeletal relation, and
widened maxilla and mandible (Fig. 2E). From
the frontal view, the face has harmonized, with
normal mandibular width and gonial angles. The
occlusion shows a normal overbite and overjet.
The creation of a gap behind the canines allows
class II molar relation. The bone and gingiva gener-
ated there through distraction is excellent and ready
for dental implants.

He looks botched but for this kind of profile there is nothing to do. His middle third is just too narrow, any kind of advancement is of course going to make the sides of his face look flat(or like a chipmunk in his case). Even lefort 3 would still make him look botched because there is no way to expand that area of the face, afaik such surgery doesn't exist yet. He has to get cheek implants to balance the look now.

 

[Deleted member 19064]

in my opinion the mandibular setback hurt him even though it's subtle. Also the discrepancy between the upper maxilla and lower is far too great and his eyes now look like they have even worse support because of the new relative forward position of the lower segment advancement.