How to address nose nasolabial angle during bimax?

[ranger150]

I'm having bimax with CCW and big mandibular advancement. Below is a post-op simulation. Is there an easy fix for the nasolabial angle (which is normally within 90-98*)?

CC: @anticel do you think I'm a candidate for shortening the spina nasalis?

 

[eagle_tren123]

I’m wondering this as well. Can rhino fix this easily?

 

[ranger150]

@RealSurgerymax @anticel @Clavicular does this fall into rhino territory or can it be fixed with septoplasty or cutting the spina nasali somehow?

 

[RealSurgerymax]

@RealSurgerymax @anticel @Clavicular does this fall into rhino territory or can it be fixed with septoplasty or cutting the spina nasali somehow?

You need a rhinoplasty after bimax. Just plan on it.

 

[ranger150]

You need a rhinoplasty after bimax. Just plan on it.

Thank you. I'm lost on how to approach it, I sent a consultation request to your gmail.

 

[RealSurgerymax]

Thank you. I'm lost on how to approach it, I sent a consultation request to your gmail.

Dm your email address

 

[Fairytale]

Why your entire nose is lifted along with bridge in the after simulation (red line?)

Also how many mm of anterior impaction
And pogonion?

 

[ranger150]

Why your entire nose is lifted along with bridge in the after simulation (red line?)

Also how many mm of anterior impaction
And pogonion?

My nose is already upturned despite excessive vertical maxillary downward growth. I’m having about 4mm anterior impaction.

I’m not 100% sure why soft tissue didn’t align to the red outline. Maybe it has to do with perspective/orthogonal mode? I’m not familiar with the intricacies of Dolphin CMF, but there’s a research paper comparing three methods of soft tissue simulation and none are very accurate.

 

[fleurybobby]

You need a rhinoplasty after bimax. Just plan on it.

Is it bad to do rhinoplasty during bimax?

 

[RealSurgerymax]

Is it bad to do rhinoplasty during bimax?

No its fine if the anesthesia time isn't too high and if the surgeon is good at it which almost no very good jaw surgeons are also very good rhino surgeons

 

[fleurybobby]

No its fine if the anesthesia time isn't too high and if the surgeon is good at it which almost no very good jaw surgeons are also very good rhino surgeons

Well im thinking of going with Ramieri and im pretty sure he works with Marianetti which is a good rhino surgeon(i think)

 

[lasthope]

I'm having bimax with CCW and big mandibular advancement. Below is a post-op simulation. Is there an easy fix for the nasolabial angle (which is normally within 90-98*)?
View attachment 2842872

CC: @anticel do you think I'm a candidate for shortening the spina nasalis?

Which surgeon are you going to?

 

[lasthope]

No its fine if the anesthesia time isn't too high and if the surgeon is good at it which almost no very good jaw surgeons are also very good rhino surgeons

What do you think of raffaini as a rhino+jaw doc?

 

[RealSurgerymax]

What do you think of raffaini as a rhino+jaw doc?

He's one of the best that came to mind when I said that

 

[blatonslatt]

He's one of the best that came to mind when I said that

I’ll do a free surgery for you when i reconstruct your face with my fist, you stupid cunt.

 

[RealSurgerymax]

I’ll do a free surgery for you when i reconstruct your face with my fist, you stupid cunt.

EAT MY SHIT!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

 

[lasthope]

He's one of the best that came to mind when I said that

Can you answer my pm please? I need surgery plan and probably have the same problem as op

 

[RealSurgerymax]

Can you answer my pm please? I need surgery plan and probably have the same problem as op

sure just a minute

 

[BoredPrince]

He's one of the best that came to mind when I said that

What about Ramieri, I know he's a great jaw surgeon but does he have an "eye" for facial aesthetics concerning other procedures like raffaini?

 

[anticel]

CC: @anticel do you think I'm a candidate for shortening the spina nasalis?

i d say so yes

 

[soover4me]

@RealSurgerymax @anticel @Clavicular does this fall into rhino territory or can it be fixed with septoplasty or cutting the spina nasali somehow?

Yes rhinoplasty would be the only option

 

[kriz44]

No its fine if the anesthesia time isn't too high and if the surgeon is good at it which almost no very good jaw surgeons are also very good rhino surgeons

Could you reply to my mail

 

[UZB_Strebl]

EAT MY SHIT!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Don’t worry giant I’ll protect u