CBCT scan , Best movement for a blackpilled trimax result with Ramieri?

[CookedCope]

Had a 3D scan done for surgical planning (attached). It was taken with a bite block, so the jaw looks open.

Main issues I see:

• High mandibular plane angle
• Obtuse gonial angle

Ramieri’s data center or whatever was down during the consult so we couldn’t run any simulations — now I’m stuck doing this over email. What’s the most blackpilled way to phrase “give me the best possible outcome” without sounding like a clueless normie?

Looking for feedback from people who’ve studied/undergone CCW or trimax. Serious input appreciated , need to get the max out of this surgery.

Plan was Implate+Trimax but my occlusion kinda good ngl , wonder if Jaw angle implants+genio might give decent enough ROI too?

 

[muragoat]

Implate+Trimax will fix it.
just let him know you want a radical change and he will plan it.

 

[lurking truecel]

I would skip implate and just go with trimax. You got a good wide chin. Its just needs to come forward. Dont overotate, high angle isnt that much of a problem and can look better from front either way

 

[CookedCope]

I would skip implate and just go with trimax. You got a good wide chin. Its just needs to come forward. Dont overotate, high angle isnt that much of a problem and can look better from front either way

He offered something like this. Maybe I can ask for a bit more forward movement from the maxilla.

 

[CookedCope]

I would skip implate and just go with trimax. You got a good wide chin. Its just needs to come forward. Dont overotate, high angle isnt that much of a problem and can look better from front either way

Also I dont think implate is for the chin but to gonials. I have <0.8 Zygos to Gonials if im calculating correctly (on bone). Maybe in real life it looks bigger due to masseter hypertrophy

 

[LEFORT17]

He offered something like this. Maybe I can ask for a bit more forward movement from the maxilla.

nah you dont need more on the upper jaw. plan looks good, occlusion plane almost flat maybe 2-4 degrees which is completly fine. go for it lil bro

 

[CookedCope]

nah you dont need more on the upper jaw. plan looks good, occlusion plane almost flat maybe 2-4 degrees which is completly fine. go for it lil bro

Tnx big dawg , any opinion on implate?

 

[LEFORT17]

Tnx big dawg , any opinion on implate?

nahh i dont see a reason why you need it