confused AF ?

E

extractorno

Iron
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Mar 18, 2026
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Hey everyone,

I’m 25, Class II Division 2, and my concern is purely aesthetic—my bite works fine and I have no functional issues.

Here’s where I’m stuck:

  • Two orthodontists recommended removing two lower premolars
  • One ortho said I could prep for BSSO in 6–8 months with no extractions
  • Most surgeons suggest just genioplasty since my bite is already functional
  • The ortho who suggested extractions refused to prep me for BSSO, saying I don’t need jaw surgery
I also have a strict no-extractions policy.

Main questions:

  1. Is BSSO without extractions realistic for aesthetic improvement?
  2. Is BSSO + genio worth it, or should I just go for genioplasty alone?
  3. If I start braces for decomp, am I basically committing to surgery?
I’ll be uploading my lateral ceph and OPG for context.

Would really appreciate any advice or experiences—especially from people who’ve been in a similar situation. 🙏
WhatsApp Image 2026 03 13 at 020130
Randy
 
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