tweaqo
ChadLite2027
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Many people on this forum love to prescribe anyone who has recession on this forum: BIMAX.
-BUT THIS IS NOT GOOD ADVICE FOR ALOT OF PEOPLE
TLDR IS AT THE END
While bimax is a good option, I often see underwhelming results aesthetically, even with large movements that include CCW/CW rotation, which is why I believe for most people (who dont have a retruded maxillas), genioplasties and jaw angle implants are more favourable.
10mm genioplasty result from Reddit
Double Genioplasty (total 15mm) and Jaw Angle Implants:
looksmax.org
Genioplasty alone:
12mm Genioplasty and rhino with Eppley:
Many of these people would have been told to get bimax by people on this forum, yet got better results from jaw implants and/or genioplasty. I can find more examples, but I can’t be bothered right now.
Jaw angle implants are often not talked about much I think due to multiple reasons:
1. Higher risks of infection
However, greatly reduced by using materials such as PEEK or Titanium, as well as using antibiotic coating
2. Risk of looking uncanny
However, reduced by doing customised implants with a surgeon who offers this, and BEING CONSERVATIVE
3. Misplacement of implants
However, by choosing a skilled surgeon with a good track record who again, uses custom implants and is being conservative will reduce this risk
Jaw angle implants can also have a posterior (backward) flare in order to add more mandibular length, which in my opinion, is one of the main goals of an aesthetic side profile: the length from the gonion to pogonion.
Genioplasty alone is also not usually seen as a great option to reduce recession due to people believing that your chin shape may look funny or weird if you advance it a lot.
This isn’t usually true, if again, you go to a surgeon who is:
1. Willing to advance 10mm+
2. Does different, custom movements (not just regular sliding genio), but also adding height/width.
Example of widening and advancement genio:
This means that when advancing forward by a lot, adding height can reduce the mentolabial fold that can occur when just sliding forward.
Bone grafting and other methods can also be used in order to control the mentolabial fold.
In order to advance by a lot on the genioplasty, bone grafting or bone substitution may be necessary.
By combining these two procedures, many people can get better results than a bimax, again assuming you don’t have a retruded maxilla, and can also be combined with a BSSO, if needed.
The improvement could be an over 20mm increase in the gonion to pogonion length, as well as improving jaw frontal angle by widening genio and jaw angle implants, making it a better option for many over a bimax.
If you experience anything like obstructive sleep apnea or have fucked up occlusion, then bimax is likely for you rather than “camouflage surgery” like what is described in this thread.
TLDR; Larger Custom Genioplasty and custom implants can offer better results than a bimax, assuming no retrusion in maxilla and no functional issues, as this is a camouflage surgery. It can successfully add over 20mm of gonion to pogonion length, as well as improving the front profile, usually better than a bimax can.
THANKS FOR READING
-BUT THIS IS NOT GOOD ADVICE FOR ALOT OF PEOPLE
TLDR IS AT THE END
While bimax is a good option, I often see underwhelming results aesthetically, even with large movements that include CCW/CW rotation, which is why I believe for most people (who dont have a retruded maxillas), genioplasties and jaw angle implants are more favourable.
10mm genioplasty result from Reddit
Double Genioplasty (total 15mm) and Jaw Angle Implants:
Insane ascension by only genioplasty and jaw angle implants
This is another proof of how bimax is cope and mainly should only be considered for health reasons . @EasyMan875 @Oxygen @feelgood
looksmax.org
Genioplasty alone:
12mm Genioplasty and rhino with Eppley:
Many of these people would have been told to get bimax by people on this forum, yet got better results from jaw implants and/or genioplasty. I can find more examples, but I can’t be bothered right now.
Jaw angle implants are often not talked about much I think due to multiple reasons:
1. Higher risks of infection
However, greatly reduced by using materials such as PEEK or Titanium, as well as using antibiotic coating
2. Risk of looking uncanny
However, reduced by doing customised implants with a surgeon who offers this, and BEING CONSERVATIVE
3. Misplacement of implants
However, by choosing a skilled surgeon with a good track record who again, uses custom implants and is being conservative will reduce this risk
Jaw angle implants can also have a posterior (backward) flare in order to add more mandibular length, which in my opinion, is one of the main goals of an aesthetic side profile: the length from the gonion to pogonion.
Genioplasty alone is also not usually seen as a great option to reduce recession due to people believing that your chin shape may look funny or weird if you advance it a lot.
This isn’t usually true, if again, you go to a surgeon who is:
1. Willing to advance 10mm+
2. Does different, custom movements (not just regular sliding genio), but also adding height/width.
Example of widening and advancement genio:
This means that when advancing forward by a lot, adding height can reduce the mentolabial fold that can occur when just sliding forward.
Bone grafting and other methods can also be used in order to control the mentolabial fold.
In order to advance by a lot on the genioplasty, bone grafting or bone substitution may be necessary.
By combining these two procedures, many people can get better results than a bimax, again assuming you don’t have a retruded maxilla, and can also be combined with a BSSO, if needed.
The improvement could be an over 20mm increase in the gonion to pogonion length, as well as improving jaw frontal angle by widening genio and jaw angle implants, making it a better option for many over a bimax.
If you experience anything like obstructive sleep apnea or have fucked up occlusion, then bimax is likely for you rather than “camouflage surgery” like what is described in this thread.
TLDR; Larger Custom Genioplasty and custom implants can offer better results than a bimax, assuming no retrusion in maxilla and no functional issues, as this is a camouflage surgery. It can successfully add over 20mm of gonion to pogonion length, as well as improving the front profile, usually better than a bimax can.
THANKS FOR READING
