Dr Antipov Class 2 Bimax result - help me analyze it (bimax experts gtfih)

[ifyouwannabemylover]

I'm looking at different bimax results to specifically see how much of an effect LF1 has on the nose, taking into account the movements taking place and whether or not the surgeon leaves the ANS in place (like Alfaro)or advances it with the LF1, etc.

Came across this Antipov result:

That's a 4mm advancement advancing the ANS, yet her nose tip doesn't overproject like it often does with LF1:

Looking at other results, you often get a nose tip upturn like this:

And this is death on a guy. Need to figure out what exactly determines whether you'll end up like this or not. Might add more results later for further analysis...

@RealSurgerymax
@varbrah
@SixCRY
@Sergio-OMS
@Acromegaly_Chad

 

[ifyouwannabemylover]

More Antipov...

Result 1, little to no changes to nose:

Result 2, nose = cucked:

What gives? Is it mostly just about the amount of advancement you get?

Edit: Apparently result 1 barely got any LF1 advancement, mostly rotation.

 

[ifyouwannabemylover]

Result by Antipov's colleague, nose looks the exact same:

mogger result tbh

but again, looks like the lefort 1 was pretty much just done to change the occlusal plane:

so that explains this case

 

[Deleted member 2729]

Lifefuel for me

 

[ifyouwannabemylover]

Lifefuel for me

your nose is downturned?

 

[Deleted member 2729]

your nose is downturned?

No I only have dorsal hump but I think the minimal maxilla advance + ccw rotation that Ramieri suggested will be perfectly suited for that

 

[ifyouwannabemylover]

No I only have dorsal hump but I think the minimal maxilla advance + ccw rotation that Ramieri suggested will be perfectly suited for that

you had a consult with him?

 

[Deleted member 2729]

you had a consult with him?

Yea exactly

 

[ifyouwannabemylover]

Yea exactly

with x-rays and everything?

 

[startingover]

STOP COPING, EVERYONE KNOWS THAT HAVING A UNDERBITE MOGS

 

[Deleted member 7725]

Absolutely impossible to predict. These guys got like 6-7 mm linear advancement and 0 additional nose tip projection:

 

[Deleted member 2729]

with x-rays and everything?

Yea I send him my cbct data before the consultation

 

[RealSurgerymax]

Nose upturn isn’t death on a guy lol

 

[SixCRY]

one thing surgeon can't predict is soft tissu adaptation , specially in the nasolabial area

In the littérature it is said that hard tissu to soft tissu movement is not consistant.

4mm ANS can be 1mm soft tissu movement, or could be 3.7 (on study the ratio range from 30% to 90% soft to hard tissu ratio)

 

[materialistic]

My nose is already downturned, so I hope it'll get better with LF1.

 

[lilhorizontal32]

No I only have dorsal hump but I think the minimal maxilla advance + ccw rotation that Ramieri suggested will be perfectly suited for that

In the exact same situation.

Can you pm pics? I want to see if you look like me

 

[Deleted member 2729]

In the exact same situation.

Can you pm pics? I want to see if you look like me

I can DM when I am at home I hope I don't forget jfl!

 

[mulattomaxxer]

Hard to predict soft tissue movement. Upturned nose isn't terrible on men but it does look feminine. As long as your nostril show isn't too much it should look good. A mix of masculine and feminine features is ideal for aesthetics. (You want more masculine features though).

I would saw that a combination of CCW and forward advancement of the maxillia (Lefort 1) will up turn the nose. From what I have seen the nose upturning is more noticable class 3/underbite patients.

Worse case scenario after bimax you can get a rhinoplasty to bring your nose tip down.