Impaction in bimax, is like doing extractions but worse

How come? It’s pretty good for long midfaces and fixes a gummy smile. Obviously don’t get it if you have zero gum show and an ideal fwhr, midface etc, but it’s pretty good
 
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impaction has its place to be ngl. it can seriously ascend some people.
 
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How come? It’s pretty good for long midfaces and fixes a gummy smile. Obviously don’t get it if you have zero gum show and an ideal fwhr, midface etc, but it’s pretty good
I mean its kinda obv why, might do a visual thread on it
 
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i had posterior downgraft, impaction 1mm at the front of the mouth. you can have lengthening of the face even without a downgraft. le fort 1 forward advancement ITSELF will LENGTHEN the face. you need to impact the jaw upwards A LOT to shorten the face if you are going to advance the upper jaw forward by a good bit.
It will lengthen it yes even without downgrafting because your nose becomes more upturned and upper lip tucks in a bit.
 
i had it done already, 4mm per side. it's safe if u go to a good surgeon. no relapse or tmj.
How would you go about it if you could do it all over again? Doesn’t downgrafting and impaction also have to take your bite into consideration a.k.a it can’t be done by relying just purely on aesthetics so for example I can’t tell the surgeon to avoid downgrafting because otherwise my occlusion won’t be correct. Or am I wrong?
 
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How would you go about it if you could do it all over again? Doesn’t downgrafting and impaction also have to take your bite into consideration a.k.a it can’t be done by relying just purely on aesthetics so for example I can’t tell the surgeon to avoid downgrafting because otherwise my occlusion won’t be correct. Or am I wrong?
I wouldnt change a thing the only thing i regret is getting an overadvanced ogre genio. Dont get genio widening. Trust ur surgeon if hes a legit blackpilled one
 
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I wouldnt change a thing the only thing i regret is getting an overadvanced ogre genio. Dont get genio widening. Trust ur surgeon if hes a legit blackpilled one
Okay, I'll avoid downgrafting though as I believe I do not need it. I also have a geniplasty planned, but for me I'm trying to advance my chin only a tad bit just so it's not recessed (its only a tad bit recessed right now) and move it a little bit up, I feel like my chin is a bit too big in comparison to my philtrum, so I'll try to achieve a 2.7 CPR. But I'll defo not let my surgeon overadvance.
 
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I wouldnt change a thing the only thing i regret is getting an overadvanced ogre genio. Dont get genio widening. Trust ur surgeon if hes a legit blackpilled one
what were your movements
 
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