Downgraft with net CW vs Downgraft with net CCW, what mogs for short face syndrome?

FATPU$$YHUNTER

FATPU$$YHUNTER

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both the above bimax movements for the maxilla seem to produce more or less the same result so I was just wondering what the deciding factor on getting either would be. Anyone know?

downgraft net CCW:
1766042748756

1766042766520

1766042784237


downgraft net CW:
1766042821772

1766042837703

1766042887492
 
NoseProphecy

NoseProphecy

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I’m not sure but the 2nd one already had a strong chin so if ccw was performed it would’ve made his profile more concave than before. So CW rotation made it rotate down.
 
FATPU$$YHUNTER

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I’m not sure but the 2nd one already had a strong chin so if ccw was performed it would’ve made his profile more concave than before. So CW rotation made it rotate down.
yeah I think thats it.
@lurking truecel thoughts?
 
lurking truecel

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yeah I think thats it.
@lurking truecel thoughts?
Its about rhe nasolabial angle aswell. Ccw is dont to get more advancement on the lower jaw when one can't move upper jaw more. The lower guy had his maxilla far back prior and far behind his phil which made a huge maxilla movement possible. If the upper guy had it his nose would be upturned and his phil raped
 
FATPU$$YHUNTER

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Its about rhe nasolabial angle aswell. Ccw is dont to get more advancement on the lower jaw when one can't move upper jaw more. The lower guy had his maxilla far back prior and far behind his phil which made a huge maxilla movement possible. If the upper guy had it his nose would be upturned and his phil raped
interesting. btw, who do you think is the best surgeon for sfs?
 
lurking truecel

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I thought @FrenchareMedCucks is getting a big one
Prob not relative to what he could have gotten, he also dont bone graft as much as raffaini so i def would rather go for raffaini if i would downgraft. Both ram and pag is weak when it comes to bonegraft
 
lurking truecel

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Good to know
Also the minimal invasive approach isnt really suitable for it, i could make a thread on it but it might be seen as hate. Also people kinda hate when i do negative threads so i dont know if i will
 
Prøphet

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Also the minimal invasive approach isnt really suitable for it, i could make a thread on it but it might be seen as hate. Also people kinda hate when i do negative threads so i dont know if i will
I never really understood what mios is tbh, it sounds more like a marketing term to me
 
lurking truecel

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I never really understood what mios is tbh, it sounds more like a marketing term to me
Its simple, you make a smaller cut and more plates at the nasal base. But this can be risky if to much posterior downgraft and esp without bone graft(posterior plate makes it more stable obv). This can make it so the bone dont get as much bone density and doesnt get properly bonefied at the back. It has happpend to many alfaro patients. And ram uses kinda same method but smaller movements. Having less bone there and less re growth is hard to determine what the consequences would be. Worth thinking about
 
Prøphet

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It’s simple, you make a smaller cut and more plates at the nasal base. But this can be risky if to much posterior downgraft and esp without bone graft. This can make it so the bone dont get as much bone density and doesnt get properly bonefied at the back. It has happpend to many alfaro patients. And ram uses kinda same method but smaller movements. Having less bone there and less re growth is hard to determine what the consequences would be. Worth thinking about
Ohhh yeah that sounds kinda risky if the fracture doesnt fully heal back

Jfl every time I hear the name Alfaro I get ptsd to that one nigga who got turned into a class 3 ogre by him

I’m trying to find it but it’s lost media atp
 
lurking truecel

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Ohhh yeah that sounds kinda risky if the fracture doesnt fully heal back

Jfl every time I hear the name Alfaro I get ptsd to that one nigga who got turned into a class 3 ogre by him

I’m trying to find it but it’s lost media atp
Yea i dont think he is giga bad, but i think mios should be done only when not so much downgraft
 
FATPU$$YHUNTER

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Also the minimal invasive approach isnt really suitable for it, i could make a thread on it but it might be seen as hate. Also people kinda hate when i do negative threads so i dont know if i will
nah do it bro, fuck the haters your threads are high iq and add value to this dogshit forum
 
_Lucius

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Prob not relative to what he could have gotten, he also dont bone graft as much as raffaini so i def would rather go for raffaini if i would downgraft. Both ram and pag is weak when it comes to bonegraft
Does Ramieri rely on rotation more than downgrafting? I know that is usually the case for university hospitals because it is far more stable
 

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