chance to nose and lip after bimax

[Deleted member 18582]

who experienced changes to nose and lip after their bimax? was it better or worse? how did they change?

 

[trumpwillwin]

lip changes are a fucking meme don't fall for it. weirdos on placebo and hopium.

nose definitely changes but its not always an aesthetic change.

sometimes you can get a bad case of goblin nose. so, yes, it is less projected but harmony dies.

eg;

focus on the nose.

 

[Deleted member 18582]

lip changes are a fucking meme don't fall for it. weirdos on placebo and hopium.

nose definitely changes but its not always an aesthetic change.

sometimes you can get a bad case of goblin nose. so, yes, it is less projected but harmony dies.

eg;

View attachment 2369447

focus on the nose.

ok so lip does not change?

also trumpwillwin, here it says

Changes in the nose after orthognathic surgery - Instituto Maxilofacial

Orthognathic surgery aims to improve occlusal relationship and facial symmetry; However, with the performance of these surgical procedures, secondary changes may occur in the nasal projection and the angular relationship of the nose with the face. It is important to keep in mind that the...

www.institutomaxilofacial.com

"In a recent study among 40 patients operated on orthognathic surgery, 37% said their nose was better after the operation, 58% did not notice changes in their nose and only two patients (5%) thought that their nose was worse than before your surgery."

Review of nasal changes with maxillary orthognathic surgery

This article reviews the literature on nasal changes with maxillary orthognathic surgery. Understanding such changes is vital for surgical planning and for obtaining appropriate informed consent, and there are medico-legal implications. During orthognathic ...

www.ncbi.nlm.nih.gov

"Widening of the alar base occurs following almost all maxillary osteotomies, especially with impaction and/or advancement(6) or segmental advancement and widening (7).It is the most consistently reported change in the literature (6, 7, 8, 9, 10). It has also been noted to occur with surgically assisted maxillary expansion (7, 11, 12). The most likely explanation for this is the elevation of the periosteum off the anterior surface of the maxilla, together with the muscles and ligaments stabilizing the alar region (13). A study using CBCT images preoperatively and 12 months postoperatively for a cohort of patients undergoing bimaxillary surgery (involving maxillary advancement and cinch suture) found no significant correlation between the horizontal or vertical movement of A-point or ANS and the widening of the alar base (9). This was supported by another study assessing 3D laser scans (10). Often in skeletal Class III cases, part of the deformity is maxillary hypoplasia and poor support to the alar bases resulting in a narrowed interalar distance, hence a mild widening of the alar base width is welcomed, Figure 2. On the other hand, if the interalar distance is already wide, as is often the case in patients of African-Caribbean ethnicity, avoidance of a further increase is important. Minimizing the amount of maxillary movement or avoidance of maxillary surgery if possible may help in this. Other nasal changes also occur with maxillary surgery and generally thought to be dependent on the direction and magnitude of the maxillary move. Maxillary advancement and superior repositioning tends to cause elevation and advancement of the nasal tip, as well as enlargement of the nasal base (6, 8). Rotation of the tip, exaggeration of the supratip break and softening of the dorsal hump may follow maxillary advancements (6). Nasal tip support is provided by various components; nasal septum, lower lateral cartilages, attachment of the medial crura foot plates to the septum, attachment of the upper lateral cartilages to the lower lateral cartilages, and the anterior nasal spine. Therefore dissection and modifications in this region may have an influence on the tip position. Maxillary advancement and impaction led to superior repositioning of the nasal tip in 85% of the cases, nasal tip advancement in 80%, rotation in 80%, and widening of the alar base in 95% (8). The most consistent association reported is the increased projection and rotation of the nasal tip (upturning) with maxillary advancement (7, 8). In under-projected, rotated short noses, this may result in excessive nostril show, Figure 3. Superior repositioning also causes elevation of the nasal tip. With inferior repositioning of the maxilla and the rarely performed posterior repositioning there is a loss of tip support. Studies assessing three-dimensional photogrammetric images pre and post-operatively (7, 14, 15) show maxillary advancement leads to significant increases in alar base, interalar and nostril widths, nasolabial angle (15), soft triangle, nasal tip, columella and upper lip projection (7, 14). Significant decreases in the nasofrontal angle and nostril height were also found 7, 14). During maxillary impaction it is important to trim the cartilage of the septum appropriately to prevent its lateral deflection, which may obstruct the nasal airway and/or cause asymmetrical deviation of the nose, Figure 4. On the other hand, if this is done overzealously in front of the anterior nasal spine, in the postoperative period when scarring is taking place, columellar retraction may occur, leaving the columella in a relatively ‘hanging’ position. Excessive reduction of the anterior nasal spine itself can also cause the same deformity, Figure 5. In predicting the change in the nasolabial angle it is helpful to consider it as being composed of two components; hence, the overall alteration will depend on the changes in the columella angle (i.e. upturning of the nasal tip) and the change in the inclination of the upper lip, Figure 6 (16). For instance, in maxillary advancement procedures the upper lip would be advanced leading to a reduction in the lower component but if there is considerable upturning of the nasal tip there would be an increase in the upper component and the overall resultant effect is most commonly an increase in the nasolabial angle (7, 15). There tends to be a decrease in the nasolabial angle following maxillary impaction, which can also be coupled with deepening and accentuation of the nasolabial groove. On the other hand, inferior and/ or posterior repositioning of the maxilla causes an increase in the nasolabial angle (6). Maxillary Le Fort I osteotomy has minimal direct effects on the nasal dorsum. These changes are often perceptual and relate to the tip position. Nasal tip droop often accentuates a prominent nasal dorsum. When the tip projects and rotates upwards, the hump becomes apparently less visible. Conversely when the dorsal nasal profile is low, advancement of the maxilla may result in further flattening of the dorsum."

 

[trumpwillwin]

So basically a 63% of nothing/dissatisfaction which was kind of my point

lip changes are a complete meme, but nose changes can also be a bit of a joke.

don't get greedy. focus on the jaw which is the fulcrum of a bimax. lips, nose, brows etc.. are irrelevant

 

[Deleted member 18582]

So basically a 63% of nothing/dissatisfaction which was kind of my point

lip changes are a complete meme, but nose changes can also be a bit of a joke.

don't get greedy. focus on the jaw which is the fulcrum of a bimax. lips, nose, brows etc.. are irrelevant

i have a really good feeling in my case my bimax will soften my dorsal hump and widen my narrow nose, as well as roll out my nonexistent upper lip!

 

[trumpwillwin]

i have a really good feeling in my case my bimax will soften my dorsal hump and widen my narrow nose, as well as roll out my nonexistent upper lip!

as someone who has went through bimax. I am telling you, you will see no changes to your lips.

dorsal hump will soften but not always in a guaranteed ascension fashion. also loser widening is a myth depending on if the surgeon stitches your alar.

this is coming from someone experienced but more importantly, highly intelligible.

 

[CuriousGuy]

It's a shame lips don't change. Wider lips would be lifefuel. There really aren't good surgeries to get wider lips unfortunately, except commissuroplasty which leave some scarring ... and it seems no one is doing that except Eppley in any case.

 

[longjohnmong]

highly intelligible

able to be easily understood?

 

[trumpwillwin]

able to be easily understood?

yeah basically

 

[anticel]

it doesnt roll out the upper lip sadly. but it also doesnt ruin it as some people claim.

about the nose: it made my birdcel goofy ass looking nose look really good.

 

[Eren]

as someone who has went through bimax. I am telling you, you will see no changes to your lips.

dorsal hump will soften but not always in a guaranteed ascension fashion. also loser widening is a myth depending on if the surgeon stitches your alar.

this is coming from someone experienced but more importantly, highly intelligible.

why are you banned
good thing for lips as my lips are very good already

 

[Deleted member 18582]

as someone who has went through bimax. I am telling you, you will see no changes to your lips.

dorsal hump will soften but not always in a guaranteed ascension fashion. also loser widening is a myth depending on if the surgeon stitches your alar.

this is coming from someone experienced but more importantly, highly intelligible.

how were you aware of all these things but not whtehr you had rotation

The fuck