Is this dogmaxxed? 13.5 mm maxilla advancement

[BreathOfLife]

I'm planning surgery for functional reasons but looks really large and thought to get some input

 

[saiko]

I think yes but Its because ur infra and cheekbonnes are kinda recessed, with good infra malar implant u Will look good I think.
@RealSurgerymax can give u a more accurate answear

 

[LEFORT17]

I'm planning surgery for functional reasons but looks really large and thought to get some input

thats a lot whose your surgeon

 

[chrishell]

Yes its too much. You also need a downgraft. That plan would produce a wanting outcome.
There is no reason why you can't solve your apnea and get a great aesthetic outcome too.

 

[flatcheck213]

You need a downgraft

 

[Milly477]

I'm planning surgery for functional reasons but looks really large and thought to get some input

way too much man

 

[chemosh]

I'm planning surgery for functional reasons but looks really large and thought to get some input

you went to the doc looking for the sleep apnea treatment the are giving you the sleep apnea cure, which is a lot of advancement.

If you want the best aesthetic and not the best functionalntreatmente you should tell the doc thats your priority.

I do think its a lot of advancement and believe the result would be even worse than the planning. As in risking chimp lips.

Dont listen to the idiots here talking about downgraft, that cant be accessed without a pic of you smilIng. If the smile is good, no downgraft needed.

 

[chrishell]

"Chemosh" post was looking good until last the last two sentences, where it then totally failed because he used the word "idiot." Sad! The relation of the soft tissue to occlusion is evident from the scan and there is clearly a vertical deficiency in the maxilla. Even without seeing a smiling pic, the potential necessity of a downgraft can be ascertained, and the patient ought to at least bring it up with the surgeon.

 

[LEFORT17]

you went to the doc looking for the sleep apnea treatment the are giving you the sleep apnea cure, which is a lot of advancement.

If you want the best aesthetic and not the best functionalntreatmente you should tell the doc thats your priority.

I do think its a lot of advancement and believe the result would be even worse than the planning. As in risking chimp lips.

Dont listen to the idiots here talking about downgraft, that cant be accessed without a pic of you smilIng. If the smile is good, no downgraft needed.

slight downgraft would improve aesthetics 100%

 

[geenk worg]

Yes. I'd ask for a couple of millimeters less. You also need a downward movement to get the optimal aesthetic results.

 

[Xx_gloomy_bison_xX]

Are you having your surgery at a "board certified expert" with an impeccable eye for aesthetics?

At least they agree to perform osteotomies and not fillers

 

[theclam123]

off topic but how did you get your face scanned and be able to manipulate the scans like that?

 

[chemosh]

slight downgraft would improve aesthetics 100%

You have no idea what your are talking about. Downgraft of the maxila will make his whole dental arch go down. If he currently has a perfect smile that would give him a gummy smile. Since his surgeon is not doing that i presume his smile is good as thats one of the aspects the surgeon should analyse.

Just no bro, dont be giving advices like that without a clue of what you are saying.

off topic but how did you get your face scanned and be able to manipulate the scans like that?

After you scan your face they give you the archives. Software called dolphin. Its payed

 

[theclam123]

You have no idea what your are talking about. Downgraft of the maxila will make his whole dental arch go down. If he currently has a perfect smile that would give him a gummy smile. Since his surgeon is not doing that i presume his smile is good as thats one of the aspects the surgeon should analyse.

Just no bro, dont be giving advices like that without a clue of what you are saying.



After you scan your face they give you the archives. Software called dolphin. Its payed

by they do you mean the orthodontist or ofm surgeon?

 

[chemosh]

by they do you mean the orthodontist or ofm surgeon?

They is the company you make the scans. The imaging company. You need a doctor request to do the exam

 

[LEFORT17]

You have no idea what your are talking about. Downgraft of the maxila will make his whole dental arch go down. If he currently has a perfect smile that would give him a gummy smile. Since his surgeon is not doing that i presume his smile is good as thats one of the aspects the surgeon should analyse.

Just no bro, dont be giving advices like that without a clue of what you are saying.

it looks like he has short face syndrom. If his smile/teeth show is fine now, obviously a downgraft would be a bad idea. Im just judging based on what i see here

 

[chemosh]

"Chemosh" post was looking good until last the last two sentences, where it then totally failed because he used the word "idiot." Sad! The relation of the soft tissue to occlusion is evident from the scan and there is clearly a vertical deficiency in the maxilla. Even without seeing a smiling pic, the potential necessity of a downgraft can be ascertained, and the patient ought to at least bring it up with the surgeon.

No, sadly you are unable to interpret a scan just as the rest of the forum, you may know something but clearly looks to just be parroting the basics thst the others say on the forum.

Knowing only the basic of the basic means your opinions are usually very bad

His upper incisor looks to be arround 2 mm’s bellow his upper lip line and that gives a indication of a good smile.

Since we are unable to determine his natural head posture and just going by the posture provided by the scans and the distance of the incisor/ upper lip you are completely wrong in you opinion.

Since fixing smile is one of the obvious thing a surgeon would do in this surgery and his planning had no downgraft it all leads to the conclusion of listening to you all = bad opinion, as usual

 

[chemosh]

it looks like he has short face syndrom. If his smile/teeth show is fine now, obviously a downgraft would be a bad idea. Im just judging based on what i see here

The above post is also for you.

 

[chrishell]

No, sadly you are unable to interpret a scan just as the rest of the forum, you may know something but clearly looks to just be parroting the basics thst the others say on the forum.

Knowing only the basic of the basic means your opinions are usually very bad

His upper incisor looks to be arround 2 mm’s bellow his upper lip line and that gives a indication of a good smile.

Since we are unable to determine his natural head posture and just going by the posture provided by the scans and the distance of the incisor/ upper lip you are completely wrong in you opinion.

Since fixing smile is one of the obvious thing a surgeon would do in this surgery and his planning had no downgraft it all leads to the conclusion of listening to you all = bad opinion, as usual

The upper lip line is a poor reference because it does not account for the wide variance in upper lip vermilion show, lip eversion, amount of gingival recession and so on. In the absence of a photo of the smile the lip seal is a better reference for assessing relation of the lips to occlusion. Moreover the distance between these anatomical points (lip seal and beginning of gum line) is held constant regardless of posture. From what I see it looks like they maybe probably could possibly potentially maybe probably could maybe maybe maybe be a candidate for it.

All I am saying is that the patient ought to bring it up. I could be right or I could be wrong. I don't care. I came on too hard at first. Regardless, the surgeon here is proposing a 13.5mm maxilla advancement. I don't think the presence or absence of a downgraft in this plan means much because they are missing the mark so much already.

Remember: No advice here or anywhere should be taken as medical advice that should be followed to the letter.

 

[LEFORT17]

The above post is also for you.

not reading allat aint that deep