tweaqo
ChadLite2027
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So I just had a consultation with Dr Pagnoni, with CBCT scans.
Before he had the CBCT scans, he recommended I just get genioplasty alone, but after he saw my skull, he changed the plan.
He said I have extremely mild maxillary recession (to the point it’s not noticeable due to my soft tissue covering it, so my maxilla still looks projected IRL).
He thinks that a genioplasty alone might give me a chin that looks unbalanced and protruded, so recommended I get a trimax, with ramus widening.
He said that the Lefort 1 would literally be less than 2mm, and I wouldn’t see a visible difference in the maxilla, and the only reason for doing the Lefort 1 is not to improve how my upper jaw looks, but to allow a bigger BSSO movement.
He wanted to be very conservative, recommending a 1-2mm Lefort 1 with maybe a small bit of downgrafting. A BSSO that would only be around 4-5mm and a 3 piece genioplasty which advances forward only about 4mm too, as well as heighten and widen. I was very surprised at how conservative he was.
For the BSSO cut, he said he could widen the ramus using custom plates, just by about 1-2mm per side, and also mentioned that he HATES jaw angle implants, but still does them. He was heavily against me getting jaw angle implants. He said I shouldn’t get jaw implants as my gonions aren’t too inward, so only need a small movement out.
I asked him about infras, and he said I probably don’t need them, but if I were to, he would use very small implants. So I’ll probably just stick to my original plan which is fat grafting and canthoplasty.
Before he had the CBCT scans, he recommended I just get genioplasty alone, but after he saw my skull, he changed the plan.
He said I have extremely mild maxillary recession (to the point it’s not noticeable due to my soft tissue covering it, so my maxilla still looks projected IRL).
He thinks that a genioplasty alone might give me a chin that looks unbalanced and protruded, so recommended I get a trimax, with ramus widening.
He said that the Lefort 1 would literally be less than 2mm, and I wouldn’t see a visible difference in the maxilla, and the only reason for doing the Lefort 1 is not to improve how my upper jaw looks, but to allow a bigger BSSO movement.
He wanted to be very conservative, recommending a 1-2mm Lefort 1 with maybe a small bit of downgrafting. A BSSO that would only be around 4-5mm and a 3 piece genioplasty which advances forward only about 4mm too, as well as heighten and widen. I was very surprised at how conservative he was.
For the BSSO cut, he said he could widen the ramus using custom plates, just by about 1-2mm per side, and also mentioned that he HATES jaw angle implants, but still does them. He was heavily against me getting jaw angle implants. He said I shouldn’t get jaw implants as my gonions aren’t too inward, so only need a small movement out.
I asked him about infras, and he said I probably don’t need them, but if I were to, he would use very small implants. So I’ll probably just stick to my original plan which is fat grafting and canthoplasty.
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