Genio + Ramus Widening 2 months in

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tylerlooks22

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hey guys so I got this procedure done in brazil about two months ago (saggital split, ramus widening 5mm each side, and genioplasty 6mm and a couple mm widened.

I had bimaxillary protrusion, but I already went thru invisalign so i didnt wanna do another 2yrs of braces

im still a bit swollen but before i post pre and post results, i wanted to ask

1. my surgeon pushed my mandible back slightly. my mandible looks a bit shorter when its pointed down, is this because my submental is loose (was only tight first month), or is the length an issue?

2. should i have gotten a lefort? instead? my surgeon did a great job but i asked for no lefort and i look overall better but not as robust as I expected
 
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can u dm me before n afrer its hard to give advice w/o seeing
 
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DM me too OP, I’d be happy to help
 
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d
tylerlooks22 said:
View attachment 3642353View attachment 3642355View attachment 3642356

hey guys so I got this procedure done in brazil about two months ago (saggital split, ramus widening 5mm each side, and genioplasty 6mm and a couple mm widened.

I had bimaxillary protrusion, but I already went thru invisalign so i didnt wanna do another 2yrs of braces

im still a bit swollen but before i post pre and post results, i wanted to ask

1. my surgeon pushed my mandible back slightly. my mandible looks a bit shorter when its pointed down, is this because my submental is loose (was only tight first month), or is the length an issue?

2. should i have gotten a lefort? instead? my surgeon did a great job but i asked for no lefort and i look overall better but not as robust as I expected
Click to expand...
dm me pics :)
 
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I am sure u gonna ascend with this one🔥
 
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bump, can I send u a pm to ask u some questions?? Price etc..
 
tylerlooks22 said:
View attachment 3642353View attachment 3642355View attachment 3642356

hey guys so I got this procedure done in brazil about two months ago (saggital split, ramus widening 5mm each side, and genioplasty 6mm and a couple mm widened.

I had bimaxillary protrusion, but I already went thru invisalign so i didnt wanna do another 2yrs of braces

im still a bit swollen but before i post pre and post results, i wanted to ask

1. my surgeon pushed my mandible back slightly. my mandible looks a bit shorter when its pointed down, is this because my submental is loose (was only tight first month), or is the length an issue?

2. should i have gotten a lefort? instead? my surgeon did a great job but i asked for no lefort and i look overall better but not as robust as I expe
Click to expand...
can i know who your surgeon was
 
dm bro i’m thinking of doing same exact surgeries but ramus lengthening too
 
DM, I’m curious
 
@tylerlooks22 do you have any functional problems with your tmjs after surgery? 5mm widening each side is quite a lot. i was told by multiple surgeons 2mm is the limit so you don't risk any problems
would you willig to sent before and after photos privately?
 
Chris2001 said:
@tylerlooks22 do you have any functional problems with your tmjs after surgery? 5mm widening each side is quite a lot. i was told by multiple surgeons 2mm is the limit so you don't risk any problems
would you willig to sent before and after photos privately?
Click to expand...
none at all i just massaged any tight points my surgeon is super good and the osteotony was this

pubmed.ncbi.nlm.nih.gov

Use of a 'low and short' medial cut limits sagittal ramus osteotomy interferences - PubMed

The traditional 'high and short' medial cut of the sagittal ramus osteotomy (Hunsuck modification) is a frequent cause of lingual plate interferences in patients undergoing mandibular yaw or cant corrections. We describe how the modified 'low and short' medial cut of the sagittal ramus osteotomy...
pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov

u can pm but yeah everything was super smooth
 
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dm ascesion, mirin
 
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How much did it cost Bruv?
 
I hope you ascend! mirin the dedication! However mind that bzygomatic line should always be slightly bigger than bigonial line. You are enlarging your bigonial line and if your zygomatic line falls short you risk looking bloated ogre FYI
 
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Xx_gloomy_bison_xX said:
I hope you ascend! mirin the dedication! However mind that bzygomatic line should always be slightly bigger than bigonial line. You are enlarging your bigonial line and if your zygomatic line falls short you risk looking bloated ogre FYI
Click to expand...
it looks fine, the bizygomatic is pretty in line
 
Was this done with custom plates or standard bent plates?
 
tylerlooks22 said:
not too sure i think standard
Click to expand...

Cool. Interested to see if a good ramus widening result was achieved with standard plates and if it will hold in the months following surgery, do try to stick around and post updates.
 
Foreverbrad said:
Cool. Interested to see if a good ramus widening result was achieved with standard plates and if it will hold in the months following surgery, do try to stick around and post updates.
Click to expand...
im mostly healed, the surgery was perfect, no complications.

also my tmj muscles have no more swelling, im about to get fat graft (eyes) and corset plasmyblahblah
 
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tylerlooks22 said:
im mostly healed, the surgery was perfect, no complications.

also my tmj muscles have no more swelling, im about to get fat graft (eyes) and corset plasmyblahblah
Click to expand...
W mirin
 
tylerlooks22 said:
View attachment 3642353View attachment 3642355View attachment 3642356

hey guys so I got this procedure done in brazil about two months ago (saggital split, ramus widening 5mm each side, and genioplasty 6mm and a couple mm widened.

I had bimaxillary protrusion, but I already went thru invisalign so i didnt wanna do another 2yrs of braces

im still a bit swollen but before i post pre and post results, i wanted to ask

1. my surgeon pushed my mandible back slightly. my mandible looks a bit shorter when its pointed down, is this because my submental is loose (was only tight first month), or is the length an issue?

2. should i have gotten a lefort? instead? my surgeon did a great job but i asked for no lefort and i look overall better but not as robust as I expected
Click to expand...
can he do infra-malar implants ?
 
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LEFORT17 said:
is he using peek?
Click to expand...
he will use whatever you want. i wanted to get them but decided just to stick to fat graft

i was gonna do a mix of xenograft and autogenous from my hip

hes super flexible to anyones plan
 
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tylerlooks22 said:
he will use whatever you want. i wanted to get them but decided just to stick to fat graft

i was gonna do a mix of xenograft and autogenous from my hip

hes super flexible to anyones plan
Click to expand...
hes 100% on my list of potential surgeons after my decompensation phase if my local surgeons plan aint it
 
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LEFORT17 said:
hes 100% on my list of potential surgeons after my decompensation phase if my local surgeons plan aint it
Click to expand...
yeah i think i sent u my results but if not ill show u
 
tylerlooks22 said:
View attachment 3642353View attachment 3642355View attachment 3642356

hey guys so I got this procedure done in brazil about two months ago (saggital split, ramus widening 5mm each side, and genioplasty 6mm and a couple mm widened.

I had bimaxillary protrusion, but I already went thru invisalign so i didnt wanna do another 2yrs of braces

im still a bit swollen but before i post pre and post results, i wanted to ask

1. my surgeon pushed my mandible back slightly. my mandible looks a bit shorter when its pointed down, is this because my submental is loose (was only tight first month), or is the length an issue?

2. should i have gotten a lefort? instead? my surgeon did a great job but i asked for no lefort and i look overall better but not as robust as I expected
Click to expand...
Could u dm me an before and after as well? I had my eyes set abroad, so Brazil could be interesting.
 
tylerlooks22 said:
View attachment 3642353View attachment 3642355View attachment 3642356

hey guys so I got this procedure done in brazil about two months ago (saggital split, ramus widening 5mm each side, and genioplasty 6mm and a couple mm widened.

I had bimaxillary protrusion, but I already went thru invisalign so i didnt wanna do another 2yrs of braces

im still a bit swollen but before i post pre and post results, i wanted to ask

1. my surgeon pushed my mandible back slightly. my mandible looks a bit shorter when its pointed down, is this because my submental is loose (was only tight first month), or is the length an issue?

2. should i have gotten a lefort? instead? my surgeon did a great job but i asked for no lefort and i look overall better but not as robust as I expected
Click to expand...
dm me i did ramus widening too and i have to say smtn
 
ca
tylerlooks22 said:
View attachment 3642353View attachment 3642355View attachment 3642356

hey guys so I got this procedure done in brazil about two months ago (saggital split, ramus widening 5mm each side, and genioplasty 6mm and a couple mm widened.

I had bimaxillary protrusion, but I already went thru invisalign so i didnt wanna do another 2yrs of braces

im still a bit swollen but before i post pre and post results, i wanted to ask

1. my surgeon pushed my mandible back slightly. my mandible looks a bit shorter when its pointed down, is this because my submental is loose (was only tight first month), or is the length an issue?

2. should i have gotten a lefort? instead? my surgeon did a great job but i asked for no lefort and i look overall better but not as robust as I expected
Click to expand...
can u dm me the photos?
 
tylerlooks22 said:
View attachment 3642353View attachment 3642355View attachment 3642356

hey guys so I got this procedure done in brazil about two months ago (saggital split, ramus widening 5mm each side, and genioplasty 6mm and a couple mm widened.

I had bimaxillary protrusion, but I already went thru invisalign so i didnt wanna do another 2yrs of braces

im still a bit swollen but before i post pre and post results, i wanted to ask

1. my surgeon pushed my mandible back slightly. my mandible looks a bit shorter when its pointed down, is this because my submental is loose (was only tight first month), or is the length an issue?

2. should i have gotten a lefort? instead? my surgeon did a great job but i asked for no lefort and i look overall better but not as robust as I expected
Click to expand...
Hi there, this definitely is an awesome step you took, but could you please PM the photos before and after if possible?
 
Dm
tylerlooks22 said:
View attachment 3642353View attachment 3642355View attachment 3642356

hey guys so I got this procedure done in brazil about two months ago (saggital split, ramus widening 5mm each side, and genioplasty 6mm and a couple mm widened.

I had bimaxillary protrusion, but I already went thru invisalign so i didnt wanna do another 2yrs of braces

im still a bit swollen but before i post pre and post results, i wanted to ask

1. my surgeon pushed my mandible back slightly. my mandible looks a bit shorter when its pointed down, is this because my submental is loose (was only tight first month), or is the length an issue?

2. should i have gotten a lefort? instead? my surgeon did a great job but i asked for no lefort and i look overall better but not as robust as I expected
Click to expand...
Dm me for pics pls
 
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