Criteria for ascending hard via jaw surgery

[SurgeonsAreScammers]

View attachment IMG_1074.jpeg

Is my skull good?

 

[ltn_looksminner]

I mean you had class 3 i think you do benefit from bimax, your teeth are peoclined aswell, thats why your underbite isnt worse. You could prob get it covered via insurance. Leforte 1 alone would be enough i think but both has its benefits

My proclination gives me a slight dogmaxx , i hate that shit

 

[SurgeonsAreScammers]

Can I ascend?

 

[lurking truecel]

View attachment 4514344

Is my skull good?

Looks good

 

[SurgeonsAreScammers]

Looks good

Ayyyy!

 

[Foreverbrad]

I seem to fit all criteria. When you know 10mm is one of the gradations on the scale in this image, all these movements seem very small indeed.

What are you even supposed to do about ogre chin if you can’t get a setback Genio?

 

[lurking truecel]

View attachment 4517714View attachment 4517721

I seem to fit all criteria. When you know 10mm is one of the gradations on the scale in this image, all these movements seem very small indeed.

What are you even supposed to do about ogre chin if you can’t get a setback Genio?

Let the chin be basically, correct assymetry at most

 

[SurgeonsAreScammers]

View attachment 4517714View attachment 4517721

I seem to fit all criteria. When you know 10mm is one of the gradations on the scale in this image, all these movements seem very small indeed.

What are you even supposed to do about ogre chin if you can’t get a setback Genio?

No such thing as an “ogre chin”. Chin should never ever be reduced it’s one of the most important bones for looks arguably number 1

 

[Gladiat0r]

how

Am I cooked if I get jaw implants? My jaw is narrow and it looks like I already have outward gonions.

did you trimax and full facial implant with burak go

 

[Davud.isbarxanli.04]

Consult with surgeons and try to get it paid by insurance.

Is it risky I try to get insurance covered jaw surgery for my deep overbite in warsaw tryna get better side and front,my deep bite is similar to gustavo and that ginger guy you showed

 

[Davud.isbarxanli.04]

Is it risky I try to get insurance covered jaw surgery for my deep overbite in warsaw tryna get better side and front,my deep bite is similar to gustavo and that ginger guy you showed

Side prof for reference

 

[Davud.isbarxanli.04]

Side prof for reference

@lurking truecel

 

[Gladiat0r]

We all seen the best results from bimax, and if you want that your bimax to actually ascend you from front and side then you need to reach up to a few of these criterias.

criterias to actually ascend from front:

1. You need to have decent jaw width(black) at the gonions( wide jaw), both good examples, right has outward gonions(unfortunate he has short ramus), jaw implants look shit so over if you dont have.

View attachment 4401191

2. Good vertical height across the whole mandible(long ramus big part of it), but if you got too much you will be ogre( very bad). black box is good, red bad:

View attachment 4401213

3. you have a gummy smile(impaction even if it comes some with downsides) or little tooth show( downgraft case, sfs)

View attachment 4401220

4. you need to have bite issues, extreme overbite(7 mm +), underbite, deep bite, or anterior open bite(get your condyles checked).(you can create via decomp)

View attachment 4401228


5. big nasolabial angle and the lip being far behind your nose. this means that you can get a big change on the lips from front movement. the higher you have the greater the change possible

View attachment 4401243

if you dont have all of these then bimax will not change front for you at all.(overbite could be created if you are decompensated somehow)

side profile criterias:

side is cope we know most people can ascend with bimax from the side even most psl gods glazed on this site. so dont even bother if thats the only thing unless severe retrusion. And also the front criteria is enough to understand if its worth. But for function side is ofc very important



Okey now, lets look at some bimax results and there skeletal disposition and the reason why the result became so good or why its not so good.

Lets start with gustavo, Alfaro bimax case, the most famous bimax result online:


View attachment 4400481
View attachment 4400495

lets look at his skeleton, which explains the huge transformation:

View attachment 4400494


Lets now look at another alfaro case which didnt have equally good ascension, but he still had a sfs.

As we can see from the front he didnt have as much of a overbite or retrusion.
View attachment 4400504

Because he didnt have much recession the lower jaw didnt became more vertically long as it wasnt hidden away behind a huge overbite or deep bite as in gustavos case. But he did a vertical genio which i think was a mistake

View attachment 4400505


lets look at his bones and compare to gustavos:

View attachment 4400538


Lets look at the standard recessed case, which has a functional issue. But he doesnt have a gummy smile or much short face syndrome. This makes his front appear the same almost. As we also can notice is that more forward projection will make it seem like its less width on the mandible because of perception.

huge side ascension:
View attachment 4400547

almost nothing changed from front because of no sfs or excess gummy show:
View attachment 4400549

lets look at the bones:

View attachment 4400568


lets look at some more of the most famous bimax cases with the biggest asensions.

lets start with raffaini case:

He got a relatively big overbite, where his lower mandible is hidden because of it. clear indicator is that his chin is far back behind his chin.
View attachment 4400577

from the front he ascends hard when his overly short chin and mandible is coming forward to make his his lowr third seem normal height and not hidden.
View attachment 4400583


his skeleton:

View attachment 4400585


another raffaini case, extremly good base for bimax:

retruded both in the lower and upper jaw( huge nasolabial angle, his upper lip is far behind his nasal base, which makes it possible to go huge on the maxilla and mandible)

View attachment 4400591

From the front his lips become more supported with the huge uppr maxilla movement, and his lower jaw hidden by a big overbite is now in the view.
View attachment 4400595

lets look at his bones, as we can see have the perfect base, and he also gets huge movements which makes a big diffrence:

View attachment 4400603


side note: i dont account on other failos you have like, huge nose, bad eyes, bad phil or whatever that is not addressed primarly via jaw surgery.


side note on the gustavo case, he got severly underadvanced compared to his plan. but yea the front still looks really good. But just shows how unpredictable the surgery is :

View attachment 4400621

fuck i literally have long face with short ramus. i posted thread where I show my side, if you want to check it out.

But I mean, with implants, even a small ramus could be elongated somehow

 

[Jgns]

View attachment 4400577
View attachment 4400583
holy shit im basically exactly like that when im not jutting long ramus and wide jaw with outward gonions but my shits so recessed and pulled back due to dogshit development hopefuel

 

[Buterman]

We all seen the best results from bimax, and if you want that your bimax to actually ascend you from front and side then you need to reach up to a few of these criterias.

criterias to actually ascend from front:

1. You need to have decent jaw width(black) at the gonions( wide jaw), both good examples, right has outward gonions(unfortunate he has short ramus), jaw implants look shit so over if you dont have.

View attachment 4401191

2. Good vertical height across the whole mandible(long ramus big part of it), but if you got too much you will be ogre( very bad). black box is good, red bad:

View attachment 4401213

3. you have a gummy smile(impaction even if it comes some with downsides) or little tooth show( downgraft case, sfs)

View attachment 4401220

4. you need to have bite issues, extreme overbite(7 mm +), underbite, deep bite, or anterior open bite(get your condyles checked).(you can create via decomp)

View attachment 4401228


5. big nasolabial angle and the lip being far behind your nose. this means that you can get a big change on the lips from front movement. the higher you have the greater the change possible

View attachment 4401243

if you dont have all of these then bimax will not change front for you at all.(overbite could be created if you are decompensated somehow)

side profile criterias:

side is cope we know most people can ascend with bimax from the side even most psl gods glazed on this site. so dont even bother if thats the only thing unless severe retrusion. And also the front criteria is enough to understand if its worth. But for function side is ofc very important



Okey now, lets look at some bimax results and there skeletal disposition and the reason why the result became so good or why its not so good.

Lets start with gustavo, Alfaro bimax case, the most famous bimax result online:


View attachment 4400481
View attachment 4400495

lets look at his skeleton, which explains the huge transformation:

View attachment 4400494


Lets now look at another alfaro case which didnt have equally good ascension, but he still had a sfs.

As we can see from the front he didnt have as much of a overbite or retrusion.
View attachment 4400504

Because he didnt have much recession the lower jaw didnt became more vertically long as it wasnt hidden away behind a huge overbite or deep bite as in gustavos case. But he did a vertical genio which i think was a mistake

View attachment 4400505


lets look at his bones and compare to gustavos:

View attachment 4400538


Lets look at the standard recessed case, which has a functional issue. But he doesnt have a gummy smile or much short face syndrome. This makes his front appear the same almost. As we also can notice is that more forward projection will make it seem like its less width on the mandible because of perception.

huge side ascension:
View attachment 4400547

almost nothing changed from front because of no sfs or excess gummy show:
View attachment 4400549

lets look at the bones:

View attachment 4400568


lets look at some more of the most famous bimax cases with the biggest asensions.

lets start with raffaini case:

He got a relatively big overbite, where his lower mandible is hidden because of it. clear indicator is that his chin is far back behind his chin.
View attachment 4400577

from the front he ascends hard when his overly short chin and mandible is coming forward to make his his lowr third seem normal height and not hidden.
View attachment 4400583


his skeleton:

View attachment 4400585


another raffaini case, extremly good base for bimax:

retruded both in the lower and upper jaw( huge nasolabial angle, his upper lip is far behind his nasal base, which makes it possible to go huge on the maxilla and mandible)

View attachment 4400591

From the front his lips become more supported with the huge uppr maxilla movement, and his lower jaw hidden by a big overbite is now in the view.
View attachment 4400595

lets look at his bones, as we can see have the perfect base, and he also gets huge movements which makes a big diffrence:

View attachment 4400603


side note: i dont account on other failos you have like, huge nose, bad eyes, bad phil or whatever that is not addressed primarly via jaw surgery.


side note on the gustavo case, he got severly underadvanced compared to his plan. but yea the front still looks really good. But just shows how unpredictable the surgery is :

View attachment 4400621

What do you think about patients with sfs due to a class 3 with a short maxillary height?

 

[Simikz]

It cant be bad but it doesnt need to be perfect

What about mine?