You might lose definition if there is anterior impaction, since you are reducing the amount of bone you have. Maybe ask him to omit the impaction and do the CCWr via posterior downgrafting only.
That would be good. He said the lower part of the jaw will appear wider, however the more frontal part can appear narrower and also the facial height decreases which he said he wants to counteract with vertical genio movement.
Have a look at my scans maybe you can see if they are just relatively prominent due to my recession/deformation or if my cheekbones are solid enough.
No
He said he does not like to only to posterior downgrafting cuz larger movements of that can fuck with your masseters. Thats why he likes to split the rotation into two parts, to reduce the stress on the masseter displacement.
I don't know he only told me he uses techniques to prevent the nose from widening or turning up too much.
Yea I will mention that if the planning progresses. As I said he wants to split the rotation into a posterior and an anterior part because that supposedly can fuck with your masseter muscle.
This is obvious, he is cutting away bone.
Can't tell
Ask him why he's opting to impact you when you don't have gummy smile
He probably wants to avoid relapse this way, too much tension on the muscles can sometimes lead to relapse. You should ask him if that's the case.
Ask him to specify which method he is using, I'm guessing he will use a alar cinch to prevent your nose from widening but from my limited knowledge it isn't very useful.
Brutal! Is it over?
He said he can only do a detailed surgery plan when I am done with decompensation (I had camouflage orthodontics)
I can't tell whether it's over or not, like @SOS-Sonic pointed out when you are removing bone you are removing soft tissue support that previously existed, I don't know why he's opting for impaction if there's no gummy smile. I am no expert, you need to discuss this with Ramieri and state that you are very aesthetic fixated and ask about the pros and cons of CCW through anterior impaction and CCW through posterior downgraft for your case.
Will you fly out once you're done with decompensating your camouflage orthodontics so Ramieri can scan and assess your face properly?
Okay I will talk with him about it. I will write him an email. Sadly he said no real plan until decompensation
Yea I measured my facial thirds and just from looking at my face I think it's evenly balance. I might benefit from a bit more mandible height but other than that I don't want any changes..
I will do another scan here in Germany and send him the data.
what type of jew nose must you have omg
? Why do you think that. I have a dorsal hump but nothing out of the ordinary
idk looks so weird on the scan
you mean my downward growth? Are you knowledgable on surgery/bimax?
no I'm talking about the nose area bro
how can you tell so much about nose just by looking at some bone
idk it just looked jewish
Ok well I can assure you irl it does not
