Inverted L osteotomy

[Deleted member 5385]

As everybody knows downward growth of splanchnocranium is one of the most disgusting traits to have and one of the hardest to completly fix. Typical bimax can't help since vertically shortening whole maxilla is not possible and it can't touch ramus.
L osteotomy fix steep occlusal plane along with lenghtening ramus.

Bone graft is needed of course
Another good option is this osteotomy

Results are even better
This and side wing osteotomy and modified Lefort 3 will be able to completly fix disgusting downward growth in most cases

 

[Lev Peshkov]

this looks good for gonial andle cels

would this be possible for my brocel who will need to undergo bsso after hi9s lefort

@xefo69

looks good for u if u can

 

[xefo]

this looks good for gonial andle cels

would this be possible for my brocel who will need to undergo bsso after hi9s lefort

@xefo69

looks good for u if u can

bro we literally worked out that my gonial angle isnt bad

 

[Lev Peshkov]

bro we literally worked out that my gonial angle isnt bad

it isnt bad tbh

u just need to fix that ramus ngl

tbh since we cant really see from the picture u should ask the surgeron

 

[xefo]

it isnt bad tbh

u just need to fix that ramus ngl

tbh since we cant really see from the picture u should ask the surgeron

yeh my ramus is the problem

 

[Lev Peshkov]

yeh my ramus is the problem

 

[xefo]

View attachment 708070

dn really read OP's post tbh, but actually looks good might consider it, wonder if he will do it with my others

 

[Lev Peshkov]

dn really read OP's post tbh, but actually looks good might consider it, wonder if he will do it with my others

the pic isent was ramus filler lol

 

[Deleted member 4430]

downward growth is ideal

 

[xefo]

the pic isent was ramus filler lol

this one

 

[Lev Peshkov]

View attachment 708074

this one

it doesn look good ngl

 

[xefo]

it doesn look good ngl

i'm against fillers tbh but might consider them after osteomies

 

[Deleted member 4797]

before/afters?

 

[Ocelot]

downward growth is ideal

you need to have a tall personality to compensate for short ramus tbh

 

[xefo]

you need to have a tall personality to compensate for short ramus tbh

life fuel ngl xD

 

[Deleted member 5385]

before/afters?

Have on mind those are really bad cases of downwardgrowthcels
And actually it depends on base cause the less downward growth the better results
And those are only funcional

 

[Deleted member 4797]

View attachment 708093View attachment 708094View attachment 708095
Have on mind those are really bad cases of downwardgrowthcels

Good results, it seems more focused on rotation of the jaws without bringing maxilla too forward. So I dont see the benefit of this over a BSSO with CCW downgraft, unless you dont want the ante-face look

 

[Deleted member 4430]

you need to have a tall personality to compensate for short ramus tbh

I have a 186cm personality. Is that enough?

 

[Deleted member 5385]

Good results, it seems more focused on rotation of the jaws without bringing maxilla too forward. So I dont see the benefit of this over a BSSO with CCW downgraft, unless you dont want the ante-face look

Yes cause when you rotate maxilla and mandible you don't have more space to also bring it forward
It should be done on next surgery cause now downward growth is fixed

 

[xefo]

I have a 186cm personality. Is that enough?

manlet unironically

1 inch lifts at least bro

 

[Ocelot]

I have a 186cm personality. Is that enough?

it's over if your height x ramus length is less than 1200

 

[Deleted member 5385]

Of course bumo

 

[depressionmaxxing]

bump