CCW rotation of the mandible and maxilla

[Ziov]

Is CCW rotation of the mandible and maxilla possible after 18yo with orthodontics like for example does a MARPE improve it or ive read some things about facemask? Or is bimax the only way.

Ive got good bonemass but its downward grown a bit giving me a unideal gonial angle + subpar submental fat / hyoid muscles.
My frontal harmony is pretty good though so idk if i should fix it. Face can look a little long and jaw too obtuse though.

Recessed infras.

Could do with a little more forward growth on the zygomas like 1-2mm.

Nose isnt crooked but has a very slight bump.

I think my palatal width could also be a little bit better as i still have slight dark corners in my mouth. (Ive had a teeth anchored palatal expander when i was 15).
My palate might also be unevenly expanded.

Might have slight mandibular assymetry.

Have slight nct + scleral show.

 

[VampyrMaxx]

ccw rotation bimax is the only way.

Osteotomies and implants. Palate expander allows for horizontal palate growth along the midpalattal suture, it wont really influence your other planes

 

[Ziov]

ccw rotation bimax is the only way.

Osteotomies and implants. Palate expander allows for horizontal palate growth along the midpalattal suture, it wont really influence your other planes

Ive also heard of facemask. Its a sort of headgear where they surgically anchor it into your maxilla through the pallate to pull it forward.

 

[VampyrMaxx]

Ive also heard of facemask. Its a sort of headgear where they surgically anchor it into your maxilla through the pallate to pull it forward.

Lol haven't seen any results and its been 10 years

Mike Mew is done

 

[Ziov]

Lol haven't seen any results and its been 10 years

Mike Mew is done

The FMA Protraction Device: Midfacial Advancement and Airway Orthodontics Explained

Discover how the FMA protraction device combines maxillary expansion and facial protraction to advance the midface, improve airway health, and expand treatment options for adults seeking non-surgical alternatives.

www.getexpanded.org

How about this?

 

[miloeatscookies]

Without surgery, the best you can do with appliances is no-very minimal change lol, after the sutures close you cant rlly move the maxilla in any direction

 

[Ziov]

Without surgery, the best you can do with appliances is no-very minimal change lol, after the sutures close you cant rlly move the maxilla in any direction

Yeah but they open the sutures surgically for this

 

[VampyrMaxx]

The FMA Protraction Device: Midfacial Advancement and Airway Orthodontics Explained

Discover how the FMA protraction device combines maxillary expansion and facial protraction to advance the midface, improve airway health, and expand treatment options for adults seeking non-surgical alternatives.

www.getexpanded.org

How about this?

idk but prob not

 

[Ziov]

idk but prob not

Damn sucks. Well ig i got a bimax to plan might make it trimax if it harmonises better.

 

[VampyrMaxx]

Damn sucks. Well ig i got a bimax to plan might make it trimax if it harmonises better.

Im planning for DJS too

 

[Ziov]

Im planning for DJS too

Thats great man hope you ascend like crazy.