Jaw Surgery This Year - How do you ask for aesthetic movements

[Herald420]

Got jaw surgery coming up later this year. I’ve already started the braces process and my ortho estimates I’ll be ready for surgery in about 6–8 months.

The current plan (based on previous consultations) is:

• Segmented upper jaw expansion
• Maxillary advancement - Nasal airway expansion, nasal support & minor recession
• Lower jaw advancement - Airway expansion and minor recession + obviously for a better jawline.
• Genioplasty - For deep mentolabial crease to make more masculine

Most of it should be covered by insurance here in Queensland, Australia, which is nice or else its like 50k bruh.
I wanted to ask if anyone here in Australia (or anywhere really) has experience discussing aesthetic movements with their surgeon, not just functional corrections. My only functional corrections are airways (which are minor at best) & slight jaw asymmetry - aesthetics is literally all I'm doing it for

A few questions:

• Did your surgeon actually consider aesthetic goals, or did they focus strictly on bite/function?
• Were you able to suggest movements (e.g., additional advancement, rotation, etc.)?
• Did you bring reference photos or morphs?

Also curious what people here think about ideal movements in general for someone who’s probably sub-5 currently (not posting my face for obvious reasons).


And before anyone says it: Yes, I’m planning rhinoplasty the year after jaw surgery.

 

[geenk worg]

Your upper jaw is vertically deficient. If i were to plan your surgery i would first do decompensation and increase the overjet a bit. in the surgery - slight clockwise rotation, advance the upper jaw by 10mm~, lower jaw would probably have room for 13mm~ advancement after decomp, and slight chin setback and vertical increase

 

[Animepilled]

yeah looks like a dowgngraft+advancement case. I doubt your teeth show fully vertically when smiling. Genio is probably not even necessary.

 

[Herald420]

Your upper jaw is vertically deficient. If i were to plan your surgery i would first do decompensation and increase the overjet a bit. in the surgery - slight clockwise rotation, advance the upper jaw by 10mm~, lower jaw would probably have room for 13mm~ advancement after decomp, and slight chin setback and vertical increase

I would have you as my surgeon, would be mirin.

I suspect this is what my surgeon would be doing. What’s surprising is I’m not getting any decompensation in prep for surgery. From my understanding only straightening of teeth.

Definitely going have to follow this up + speak with another surgeon

 

[Herald420]

yeah looks like a dowgngraft+advancement case. I doubt your teeth show fully vertically when smiling. Genio is probably not even necessary.

Thanks mate. I do have teeth show on my front teeth my back teeth not so much

 

[geenk worg]

I would have you as my surgeon, would be mirin.

I suspect this is what my surgeon would be doing. What’s surprising is I’m not getting any decompensation in prep for surgery. From my understanding only straightening of teeth.

Definitely going have to follow this up + speak with another surgeon

IPR on the lower might be necessary to get to a normal class I occlusion. a chin setback might be necessary if you go this route

 

[geenk worg]

Thanks mate. I do have teeth show on my front teeth my back teeth not so much

I would actually argue that true measurable height (distance between incisor edge and nose) is more important than "tooth show" but that's just my opinion anyways

 

[trenbolone8883]

Your upper jaw is vertically deficient. If i were to plan your surgery i would first do decompensation and increase the overjet a bit. in the surgery - slight clockwise rotation, advance the upper jaw by 10mm~, lower jaw would probably have room for 13mm~ advancement after decomp, and slight chin setback and vertical increase

10 mm is much isnt it ? im not a pro but i guess

 

[geenk worg]

10 mm is much isnt it ? im not a pro but i guess

Yes. He's quite recessed