Eppely got back to me he said I need shotgun implants ASAP

[Deleted member 10172]

Thank you for your message and your interest in Dr. Eppley’s work.



Dr. Eppley has replied:



“With no x-rays and one partial full face I can only make incompletely informed comments:



1) Your lip incompetence is not due to allergies; it is due to a very short chin/lower jaw. At the least a sliding genioplasty of double digits is needed.



2) A long upper lip can only be reduced by a subnasal lip lift. No form of upper jaw shortening/impaction will make the upper lip length any shorter.



3) Orthognathic surgery (bimax surgery) never creates any improvement in the gonial angles and in many cases actually makes it worse. Jaw angle shape changes can only be done with implants.

Idk if he would do Lefort I, I’ll do a maxillary triangle to see how many mms I need for a forward grown maxilla as if that even matters in the first place

he said CCW rotation cannot change ur gonial angle and it will only worsen it and I believe him because I haven’t seen any huge CCW rotations

 

[Deleted member 756]

Any idea on price?

 

[Deleted member 10172]

Any idea on price?

It doesn’t matter cause I’m not gonna go to him for surgery I just wanted his opinion

 

[Deleted member 10172]

Any idea on price?

Idk I’m gonna ask him how much for a skull implant cause I need one like a huge skull implant

 

[ANDALUSIAN_JOCK]

2) A long upper lip can only be reduced by a subnasal lip lift. No form of upper jaw shortening/impaction will make the upper lip length any shorter.

Why does he refer to the philtrum as upper lip? I have seen other surgeons do it as well and it is so misleading.

3) Orthognathic surgery (bimax surgery) never creates any improvement in the gonial angles and in many cases actually makes it worse. Jaw angle shape changes can only be done with implants.

???

 

[Deleted member 12669]

Why does he refer to the philtrum as upper lip? I have seen other surgeons do it as well and it is so misleading.


???

@Toodlydood gtfih bro you need this

 

[Mongrelcel]

if he would do Lefort

eppley does osteotomies? since when

 

[ovosoundszn]

Why does he refer to the philtrum as upper lip? I have seen other surgeons do it as well and it is so misleading.


???

he could of just done mewing, idk why he needed that surgery.

 

[StrangerDanger]

3) Orthognathic surgery (bimax surgery) never creates any improvement in the gonial angles and in many cases actually makes it worse. Jaw angle shape changes can only be done with implants.

???????????

 

[ANDALUSIAN_JOCK]

he could of just done mewing, idk why he needed that surgery.

Indeed, imagine spending thousands on surgery when you can just mew like @Salludon.

 

[Deleted member 10172]

Why does he refer to the philtrum as upper lip? I have seen other surgeons do it as well and it is so misleading.


???

He must be frauding that pic there’s no way

 

[Deleted member 10172]

@Toodlydood gtfih bro you need this

Wait so how did his cheekbones and his infraorbitals improve?

 

[ANDALUSIAN_JOCK]

He must be frauding that pic there’s no way

Idk it looks legit to me, let's ask the forum experts.

@RealSurgerymax @Sergio-OMS @Ocelot is the result frauded or is that perfectly achievable?

 

[Deleted member 12669]

Wait so how did his cheekbones and his infraorbitals improve?

asking the wrong person bro

 

[Ocelot]

He must be frauding that pic there’s no way

Idk it looks legit to me, let's ask the forum experts.

@RealSurgerymax @Sergio-OMS @Ocelot is the result frauded or is that perfectly achievable?

Of course it's achievable. Yes he is tilting his head further up in the after photo, but in any bimaxillary surgery where there is maxillary impaction performed, the mandible also has to be moved upwards to close the gap and maintain a proper bite. So the gonial angle decreases.

 

[Cigarette]

gl op

 

[ANDALUSIAN_JOCK]

Yes he is tilting his head further up in the after photo, but in any bimaxillary surgery where there is maxillary impaction performed, the mandible also has to be moved upwards to close the gap and maintain a proper bite. So the gonial angle decreases.

The decrease is due to the mandible rotating at the TM joint as a response to the maxillary impaction, causing the mandible to "swing" forward, no?

 

[Deleted member 10042]

gl op

Girl in Avi plz?

 

[Cigarette]

Girl in Avi plz?

pamibaby

 

[Ocelot]

The decrease is due to the mandible rotating at the TM joint as a response to the maxillary impaction, causing the mandible to "swing" forward, no?

no because a bimaxillary surgery, as the name suggests, includes an osteotomy of the mandible as well. The portion of the mandible that is cut is moved upward and fixed in position with screws/plates
tmj is not involved

blue portion of the mandible is what is being moved surgically, yellow is stationary

 

[ANDALUSIAN_JOCK]

no because a bimaxillary surgery, as the name suggests, includes an osteotomy of the mandible as well. The portion of the mandible that is cut is moved upward and fixed in position with screws/plates
tmj is not involved

"Muh impaction swings the mandible forward" "Muh the mandible rotates at the TM-Joint"
@Dr Shekelberg you have some explaining to do

blue portion of the mandible is what is being moved surgically, yellow is stationary
View attachment 1131243

View attachment 1131244

That's posterior downgraft tho.

 

[Ocelot]

"Muh impaction swings the mandible forward" "Muh the mandible rotates at the TM-Joint"
@Dr Shekelberg you have some explaining to do


That's posterior downgraft tho.

correct but the same concept applies with anterior impaction because the fundamental principle is that there is a gap between the surgically displaced maxilla and mandible, so the mandible is also surgically moved to the new position

it doesn't just rotate by itself

 

[ANDALUSIAN_JOCK]

correct but the same concept applies with anterior impaction because the fundamental principle is that there is a gap between the surgically displaced maxilla and mandible, so the mandible is also surgically moved to the new position

it doesn't just rotate by itself

I see, also thanks for posting these pics, they helped me visualize something I read a while ago on JSF:

CCW (with posterior downgrafting) also allows for more lower jaw advancement than upper jaw, often with NO extractions involved.

 

[Deleted member 10172]

gl op

I’m gonna need a lot of it

 

[reptiles]

Thank you for your message and your interest in Dr. Eppley’s work.



Dr. Eppley has replied:



“With no x-rays and one partial full face I can only make incompletely informed comments:



1) Your lip incompetence is not due to allergies; it is due to a very short chin/lower jaw. At the least a sliding genioplasty of double digits is needed.



2) A long upper lip can only be reduced by a subnasal lip lift. No form of upper jaw shortening/impaction will make the upper lip length any shorter.



3) Orthognathic surgery (bimax surgery) never creates any improvement in the gonial angles and in many cases actually makes it worse. Jaw angle shape changes can only be done with implants.

Idk if he would do Lefort I, I’ll do a maxillary triangle to see how many mms I need for a forward grown maxilla as if that even matters in the first place

he said CCW rotation cannot change ur gonial angle and it will only worsen it and I believe him because I haven’t seen any huge CCW rotations

>>3) Orthognathic surgery (bimax surgery) never creates any improvement in the gonial angles and in many cases actually makes it worse. Jaw angle shape changes can only be done with implants.>>

This is patentally wrong bimax with counter clock wise rotation absolutely can fix gonial angle discrepancies also while it's true conventional surgery can't fix the angle of your jaw line you can sculpt your jaw with a jaw sculptor this is done routinely i don't know what eppley is trying to imply here is he saying the girl below didn't improve her gonial angle

 

[Deleted member 10172]

>>3) Orthognathic surgery (bimax surgery) never creates any improvement in the gonial angles and in many cases actually makes it worse. Jaw angle shape changes can only be done with implants.>>

This is patentally wrong bimax with counter clock wise rotation absolutely can fix gonial angle discrepancies also while it's true conventional surgery can't fix the angle of your jaw line you can sculpt your jaw with a jaw sculptor this is done routinely i don't know what eppley is trying to imply here is he saying the girl below didn't improve her gonial angle

View attachment 1133507

Her cheekbones improved

 

[reptiles]

Her cheekbones improved

Not only that look at her paranasial line it became more upturned her upper midface was untouched that up turn doesn't happen without a rotation and movement no matter angle you use

 

[Deleted member 10172]

Not only that look at her paranasial line it became more upturned her upper midface was untouched that up turn doesn't happen without a rotation and movement no matter angle you use

Does ogee curve really matter for attraction, most people on jaw surgery forums say that implants are shit

 

[reptiles]

Does ogee curve really matter for attraction, most people on jaw surgery forums say that implants are shit

Off course it matters the ogee curve means you are low body fat and that you don't have flat cheek bones

 

[Deleted member 10172]

Off course it matters the ogee curve means you are low body fat and that you don't have flat cheek bones

How do u fix flat cheekbones

 

[reptiles]

How do u fix flat cheekbones

Lefort 1 some what with rotation for a full fix lefort 3

 

[Deleted member 10172]

Lefort 1 some what with rotation for a full fix lefort 3

Are u serious about Lefort III that is never going to happen. What about modified Lefort III? It advances the orbital rims and cheekbones. Also eppely has a detailed guide on the ogee curve