Fixed my bimaxillary protrusion with double jaw surgery

[ilatusebon]

1 month post op, still swollen
Concerns: long face, gummy smile, protruded mouth.

Moves:
· Maxilla (Le Fort I): 4.3 mm impaction, 4 mm setback, 2° clockwise rotation
· Mandible (BSSRO): autorotated to match new occlusion
· Chin (genioplasty): 8 mm advancement, 4 mm height reduction


Profile appears now more Caucasian

My upper maxilla (infraorbital area) actually lacked projection, while my lower maxilla area was way above average and protruded. This huge contrast made my upper midface look completely flat and sunken. By setting back the lower maxilla, I fixed the protrusion. Even though my upper midface didn't move, bringing the lower part back reduced that flat illusion

I wanted more projection for the chin, but 8mm was the safe limit for the first jump. I will let it heal and might do a second genioplasty in the future for that final bit of forward growth

I also plan to complete the look with infraorbital rim implants down the road to fully optimize my upper midface projection as I have lower eyelid exposure

 

[lurking truecel]

Incel to neckbeard incel

 

[farewell]

awesome!

 

[hello_qwerty1234]

1 month post op, still swollen
Concerns: long face, gummy smile, protruded mouth.

Moves:
· Maxilla (Le Fort I): 4.3 mm impaction, 4 mm setback, 2° clockwise rotation
· Mandible (BSSRO): autorotated to match new occlusion
· Chin (genioplasty): 8 mm advancement, 4 mm height reduction


Profile appears now more Caucasian

My upper maxilla (infraorbital area) actually lacked projection, while my lower maxilla area was way above average and protruded. This huge contrast made my upper midface look completely flat and sunken. By setting back the lower maxilla, I fixed the protrusion. Even though my upper midface didn't move, bringing the lower part back reduced that flat illusion

I wanted more projection for the chin, but 8mm was the safe limit for the first jump. I will let it heal and might do a second genioplasty in the future for that final bit of forward growth

I also plan to complete the look with infraorbital rim implants down the road to fully optimize my upper midface projection as I have lower eyelid exposure


View attachment 5257640View attachment 5257641

you should have just gotten head gear and a genioplasty

 

[yussimania]

Wdym autorotation BSSO?

 

[ilatusebon]

Incel to neckbeard incel

The change is obviously limited; you shouldn't expect a massive transformation from a single surgery. Double jaw surgery isn't magic for most cases, but the improvement is still significant in my case

 

[lurking truecel]

The change is obviously limited; you shouldn't expect a massive transformation from a single surgery. Double jaw surgery isn't magic for most cases, but the improvement is still significant in my case

Say that to the people in the back

 

[ilatusebon]

Wdym autorotation BSSO?

When the maxilla is moved up, the lower jaw automatically swings upward and forward on its hinge to close the bite

 

[yussimania]

When the maxilla is moved up, the lower jaw automatically swings upward and forward on its hinge to close the bite

Yeah I know that buddy, I'm just wondering why you said double jaw then if it's just the LF1

 

[ilatusebon]

you should have just gotten head gear and a genioplasty

Headgear wouldn't have done anything for an adult skeletal issue. While the genioplasty did 80% of the heavy lifting for the profile, it wouldn't have fixed the severe gummy smile
More importantly, it wouldn't have fixed the flat midface illusion, which was mostly caused by the bimaxillary protrusion. I needed the Le Fort I impaction and setback to fix the root structural issues

 

[ilatusebon]

Yeah I know that buddy, I'm just wondering why you said double jaw then if it's just the LF1

It was DJS because both jaws were surgically moved

 

[tyler1234]

Which is after

 

[yussimania]

It was DJS because both jaws were surgically moved

Yeah so what did you do in the BSSO then?

 

[ilatusebon]

Yeah so what did you do in the BSSO then?

The BSSO was used to set back and realign my lower jaw so the bite matched maxilla setback, otherwise it would cause an underbite

 

[yussimania]

The BSSO was used to set back and realign my lower jaw so the bite matched maxilla setback, otherwise it would cause an underbite

Ah ok cool

 

[zemult]

Brutal not much improvement. Do you have any actual side profile pictures?

 

[ilatusebon]

Brutal not much improvement. Do you have any actual side profile pictures?

 

[zemult]

View attachment 5257713View attachment 5257716

Okay nice significant improvement in side profile. Lose fat nigga

 

[ilatusebon]

Okay nice significant improvement in side profile. Lose fat nigga

its not fat its swelling, I am still very swollen

 

[Weed]

As soon as I saw setback I knew it'd be over.

Wasn't decomp + bsso + genio better here? Or impact maxilla without any set back? What did your doc and ortho say initially?

Anyways still better than before tho

 

[ilatusebon]

As soon as I saw setback I knew it'd be over.

Wasn't decomp + bsso + genio better here? What did your doc and ortho say initially?

Anyways still better than before tho

No, decomp is only for teeth. Btw ASO isn't an option either because it doesn't correct a gummy smile or a long face


In my case, it was a skeletal issue, both of my jaws were physically too far forward, which is classic bimaxillary protrusion.

Maxillary advancement isn't a one-size-fits-all miracle; while 90% of people on these forums lack projection, my lower maxilla was actually over-advanced. I had to set it back to make the higher part look less flat, upper maxilla is recessed for most people anyway