CCW Impaction or just weak lower third? CBCT SCAN

[Snicket]

His recession isn't mild. But his chin is big so it camouflages it

Medically speaking, I'd say it's mild. Anything above 10 mm is generally considered a large movement.

This is moderate (5 mm) and clearly worse than OP:

In OP's shoes, I would just get a genioplasty. He'd get 80% of the side profile improvement of jaw surgery anyway.
Cheaper, not as invasive and less sunk time.

But I understand why he wants jaw surgery. His side profile will improve.

If you've got time and money, I don't judge OP for wanting to max out his stats.

 

[Acne Victim]

Medically speaking, I'd say it's mild. Anything above 7 mm is generally considered a large movement.

This is moderate (5 mm) and clearly worse than OP:
View attachment 3541089

In OP's shoes, I would just get a genioplasty. He'd get 80% of the side profile improvement of jaw surgery anyway.
Cheaper, less invasive and reduced sunk time.

But I understand why he wants jaw surgery. His side profile will improve.

Check PMs

 

[Snicket]

Check PMs

nothing

 

[Acne Victim]

Medically speaking, I'd say it's mild. Anything above 10 mm is generally considered a large movement.

This is moderate (5 mm) and clearly worse than OP:
View attachment 3541089

In OP's shoes, I would just get a genioplasty. He'd get 80% of the side profile improvement of jaw surgery anyway.
Cheaper, not as invasive and less sunk time.

But I understand why he wants jaw surgery. His side profile will improve.

If you've got time and money, I don't judge OP for wanting to max out his stats.

Anyway he is not a genio candidate whatsoever, I would be surprised if a serious maxfac recommended him that

 

[Snicket]

Anyone he is not a genio candidate whatsoever, I would be surprised if a serious maxfac recommended him that

It would be less invasive and get 80% of the result. The guy I used in my example ended up opting for a 5mm genio and was advised that jaw surgery was not worth it.

 

[sipomado]

my CBCT scans looks good, I mean gonial angle wise, but I don't know if getting CCW with down grafting would solve my quite short face issue or would it make it worse?
Scheduled for a DJS + Genio end of July, but still just thinking of what I should really get done, before even any preplanning 3D imaging happens.

From the front, my face appears slightly elongated considering I have a short face, but from my side my face appears short? Do I simply get forward linear movement and no impaction at all, to make my lower third appear stronger? Even though I believe CCW would be best in my case with downward grafting.

IMPORTANT TO NOTE: I had overbite as a kid, then had braces to fix my bite, and now I'm wearing invisalign with elastics as per my surgeon's advice in order to push my lower teeth back so he can have more space for forward movement once he's doing the procedure.

just get genio tbh bimax now worth enough

 

[Lefor3Laser]

Medically speaking, I'd say it's mild. Anything above 10 mm is generally considered a large movement.

This is moderate (5 mm) and clearly worse than OP:
View attachment 3541089

In OP's shoes, I would just get a genioplasty. He'd get 80% of the side profile improvement of jaw surgery anyway.
Cheaper, not as invasive and less sunk time.

But I understand why he wants jaw surgery. His side profile will improve.

If you've got time and money, I don't judge OP for wanting to max out his stats.

Yeah but sadly doesn't work for everyone since most people tend to deep mentolabial that can be only fixed with bimax (also my case).

 

[CoeurSurIlo]

Yeah but sadly doesn't work for everyone since most people tend to deep mentolabial that can be only fixed with bimax (also my case).

Yep this is one of the main reasons why I absolute do want a bimax.

Another reason is simply opting for Bimax and and not just genio is because I believe genio will make me have a giga chin. My dad / grandfather both have really strong protruding chins, and I believe mine greatly compensates for my jaw recession.

It would be less invasive and get 80% of the result. The guy I used in my example ended up opting for a 5mm genio and was advised that jaw surgery was not worth it.

It wouldn't be as harmonious + it wouldn't fix my annoying little breathing problem

 

[Snicket]

Yeah but sadly doesn't work for everyone since most people tend to deep mentolabial that can be only fixed with bimax (also my case).

Fair enough.

In fairness to OP, after thinking about it, in his shoes, I probably would do bimax just for the additional rotational and advancement benefits of moving the jaws as well

If you’re young and have time and money, there’s nothing wrong with wanting to max out your stats.

 

[Snicket]

Yep this is one of the main reasons why I absolute do want a bimax.

Another reason is simply opting for Bimax and and not just genio is because I believe genio will make me have a giga chin. My dad / grandfather both have really strong protruding chins, and I believe mine greatly compensates for my jaw recession.

Your chin is slightly short, making the mentolabial fold worse.

You’d probably have some vertical lengthening of the chin as well for this reason.

It wouldn't be as harmonious + it wouldn't fix my annoying little breathing problem

it’s true that the harmony wouldn’t be as good as moving the jaws in combination with genio.

If you have a functional problem as well then it goes without saying that jaw surgery is a better option. Fair enough.

I get where you’re coming from and would probably do the same thing as you.

Why make compromises if you have the money and time to get the optimal outcome?

 

[CoeurSurIlo]

Your chin is slightly short, making the mentolabial fold worse.

You’d probably have some vertical lengthening of the chin as well for this reason.


it’s true that the harmony wouldn’t be as good as moving the jaws in combination with genio.

If you have a functional problem as well then it goes without saying that jaw surgery is a better option. Fair enough.

I get where you’re coming from and would probably do the same thing as you.

Why make compromises if you have the money and time to get the optimal outcome?

Yes exactly, I don't want to take shortcuts. And about the chin, my surgeon already mentioned that some vertical lengthening will be necessary yea

 

[Snicket]

Yes exactly, I don't want to take shortcuts. And about the chin, my surgeon already mentioned that some vertical lengthening will be necessary yea

Good luck on your journey. It’s good to have civil conversations with people on here. A lot of people mistake criticism for some kind of insult. No. This forum is meant to be a place where we can have constructive conversations about things like this.

Hope surgery goes well. All the best