Important advice for aspiring bimaxcels with class ii bites and obtuse occlusal planes.

[livelaughlooksmax]

The key to assessing linear advancement of the Maxillo-Mandibular Complex is pre-surgical nasal (alar) base position. If the nose profile is already straight-ish then do not advance the maxilla under any circumstance. You don't want an overly projected nasal base. Only male models with exceptional midface projection get away with it. Request counter clockwise rotation ONLY. My 3mm advancement was a massive error in hindsight. Nose is now upturned. Potentiates the long face look. Disharmony in the upper midface-jaws relationship. Don't do it.

 

[lilhorizontal32]

The key to assessing linear advancement of the Maxillo-Mandibular Complex is pre-surgical nasal (alar) base position. If the nose profile is already straight-ish then do not advance the maxilla under any circumstance. You don't want an overly projected nasal base. Only male models with exceptional midface projection get away with it. Request counter clockwise rotation ONLY. My 3mm advancement was a massive error in hindsight. Nose is now upturned. Potentiates the long face look. Disharmony in the upper midface-jaws relationship. Don't do it.

Can you share before and after pics? my surgeon wants to do 3mm of lefort 1 and I want to make sure that it wont be a looksmin

 

[livelaughlooksmax]

Can you share before and after pics? my surgeon wants to do 3mm of lefort 1 and I want to make sure that it wont be a looksmin

No pics of me. I can't help you without seeing your face. How does your nose look now? Do you have a long midface? It will get longer with linear advancement. Is the source of your recession below your nose? What is your occlusal plane angle?

Less is more with bimax. Big movements kill facial harmony. Without knowing your details, I recommend suggesting less linear advance and more CCW rotation to your maxfac.

If your philtrum is long (16mm+) I would look into a lip lift prior to surgery. Although that is risky. In surgical planning maxfacs assess degree impaction or downgrafting using tooth show as a guide. You can already see how disastrous this is for long philtrumcels.

 

[livelaughlooksmax]

My bimax result was pretty meh. Genioplasty was poorly planed leaving me with a long chin and asymmetry. But more pressingly, my MMC needs 1mm impaction and 2mm linear retraction. Also perhaps 1-2 degrees of occlusal plane steepening. A pipe dream, you dont want a bimax revision. I hope the natural relapse of my overly projected jaws continues. I noticed my teeth show has reduced marginally (thank fuck) through facial exercises and quite extreme jaw clenching. I look much better now at 18 months post OP compared to just 6 months ago.

 

[lilhorizontal32]

My bimax result was pretty meh. Genioplasty was poorly planed leaving me with a long chin and asymmetry. But more pressingly, my MMC needs 1mm impaction and 2mm linear retraction. Also perhaps 1-2 degrees of occlusal plane steepening. A pipe dream, you dont want a bimax revision. I hope the natural relapse of my overly projected jaws continues. I noticed my teeth show has reduced marginally (thank fuck) through facial exercises and quite extreme jaw clenching. I look much better now at 18 months post OP compared to just 6 months ago.

can you pm the surgeon

 

[one job away]

The key to assessing linear advancement of the Maxillo-Mandibular Complex is pre-surgical nasal (alar) base position. If the nose profile is already straight-ish then do not advance the maxilla under any circumstance. You don't want an overly projected nasal base. Only male models with exceptional midface projection get away with it. Request counter clockwise rotation ONLY. My 3mm advancement was a massive error in hindsight. Nose is now upturned. Potentiates the long face look. Disharmony in the upper midface-jaws relationship. Don't do it.

And that is a wrong statement. A leftort is RISKY aesthetically that is correct. But depending on the cut you can avoid changeing the nose etc. not all bimax advance the nose

 

[hispanicincel]

The key to assessing linear advancement of the Maxillo-Mandibular Complex is pre-surgical nasal (alar) base position. If the nose profile is already straight-ish then do not advance the maxilla under any circumstance. You don't want an overly projected nasal base. Only male models with exceptional midface projection get away with it. Request counter clockwise rotation ONLY. My 3mm advancement was a massive error in hindsight. Nose is now upturned. Potentiates the long face look. Disharmony in the upper midface-jaws relationship. Don't do it.