Lower jaw expansion surgeons.

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windsailorx

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Hello, im going to get double jaw surgery (overbite) and my ortho wanted to extract lower incisors before surgery since i have some crowding on my lower jaw, problem is my jaws already narrow, expanding jaws would be much better, but i cant find any surgeons, if someone here had sarpe+msdo and can link me to a surgeon would be nice, either the states or europe is ok for me
 
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DO NOT GET TEETH EXTRACTED! Other than that SARPE is outdated, get MSE. MSDO is ok.
 
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DO NOT GET TEETH EXTRACTED! Other than that SARPE is outdated, get MSE. MSDO is ok.
I am by no means getting extractions, i know what it does to your face, especially if u have narrow jaw. Do you know any surgeon that performs msdo?
 
I am by no means getting extractions, i know what it does to your face, especially if u have narrow jaw. Do you know any surgeon that performs msdo?

Are you from Europe?
 
Yes. Id have no trouble traveling to the us but id much prefer to do it here in europe.

We have a surgeon on the forum here who does MSDO, he's in Madrid, Spain.

 
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Yes. Id have no trouble traveling to the us but id much prefer to do it here in europe.

Sorry, I mixed that up with IMDO actually. But IMDO is superior.
 
We have a surgeon on the forum here who does MSDO, he's in Madrid, Spain.

So you are not sure wheter he performs msdo or not? Im in spain rn so i guess ill just ask him anyways
 
So you are not sure wheter he performs msdo or not? Im in spain rn so i guess ill just ask him anyways

Nah I mixed it up. But trust me, IMDO widens your jaw as well and is much better. MSDO will give you infections for weeks that are painful af.
 
Nah I mixed it up. But trust me, IMDO widens your jaw as well and is much better. MSDO will give you infections for weeks that are painful af.
Ill look it up, thanks!
 
Nah I mixed it up. But trust me, IMDO widens your jaw as well and is much better. MSDO will give you infections for weeks that are painful af.
Where did you read about msdo and infection risk?
 
Where did you read about msdo and infection risk?

My ortho and surgeon told me. I believe it tbh, MSDO seems barbaric af compared to the advanced technique that is IMDO.
 
My ortho and surgeon told me. I believe it tbh, MSDO seems barbaric af compared to the advanced technique that is IMDO.

I thought imdo will only bring your lower jaw forward, but can not widen it.
 
I thought imdo will only bring your lower jaw forward, but can not widen it.

"The lower jaw lengthens, widens and becomes 3-dimensionally bigger as it grows. This makes room for your tongue to sit in the floor of your mouth, and pulls your tongue forward to remove airway obstruction."

is what it says about that surgery. It's our one way ticket to fix everything ngl.
 
"The lower jaw lengthens, widens and becomes 3-dimensionally bigger as it grows. This makes room for your tongue to sit in the floor of your mouth, and pulls your tongue forward to remove airway obstruction."

is what it says about that surgery. It's our one way ticket to fix everything ngl.
So instead of doing :
MSE + MSDO + BSSO + lefort 1
We could be doing
MSE + IMDO + lefort 1 ?
As IMDO both makes the jaw wider and more projected ? I know BSSO can make something like a 12mm advancement without issues, could IMDO do the same ? TBH it reads like marketing bs and not scientific stuff that's why I'm doubting, gonna research IMDO I guess
 
So instead of doing :
MSE + MSDO + BSSO + lefort 1
We could be doing
MSE + IMDO + lefort 1 ?
As IMDO both makes the jaw wider and more projected ? I know BSSO can make something like a 12mm advancement without issues, could IMDO do the same ? TBH it reads like marketing bs and not scientific stuff that's why I'm doubting, gonna research IMDO I guess

Personally I will do MSE, then a variation of a Le Fort (including BSSO ofc) and then finally IMDO to correct the final bits.
 
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Personally I will do MSE, then a variation of a Le Fort (including BSSO ofc) and then finally IMDO to correct the final bits.
Yeah I think it'd be a bit hard to have the exact same results from IMDO as with BSSO while anticipating the future le fort 1 it would require insane planning and a very experienced surgeon.
I'll go for MSE + bimax first, my lower teeth arch is already wider than my upper teeth so as long as I don't do insane MSE expansion I might not need mandibular expansion.

What is that variation of LF1 you're talking about ?
 
Yeah I think it'd be a bit hard to have the exact same results from IMDO as with BSSO while anticipating the future le fort 1 it would require insane planning and a very experienced surgeon.
I'll go for MSE + bimax first, my lower teeth arch is already wider than my upper teeth so as long as I don't do insane MSE expansion I might not need mandibular expansion.

What is that variation of LF1 you're talking about ?

I'm in contact with numerous surgeons and ideally I'd get a Le Fort 3, but ofc it's hard to convince them. I have had various surgery talks, some want to give me a High Le Fort 1, some a modified Le Fort 3 and some a middle ground that could be classified as a Le Fort 2 I guess.
 
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I'm in contact with numerous surgeons and ideally I'd get a Le Fort 3, but ofc it's hard to convince them. I have had various surgery talks, some want to give me a High Le Fort 1, some a modified Le Fort 3 and some a middle ground that could be classified as a Le Fort 2 I guess.
Do you need CCW rotation ? I personally do and it's fucking me up, otherwise I could do MSE (lateral zygoma projection) + extended lefort 1 (figure E) + bsso. I would just fix everything with that, laterally projected and forward zygos... But you can't do a CCW rotation with higher cuts of LF1
1599145626595
 
Do you need CCW rotation ? I personally do and it's fucking me up, otherwise I could do MSE (lateral zygoma projection) + extended lefort 1 (figure E) + bsso. I would just fix everything with that, laterally projected and forward zygos... But you can't do a CCW rotation with higher cuts of LF1
View attachment 641090

Are you sure? I kinda do need CCW and so far my surgeons haven't rejected the idea of CCW along with an extended Le Fort cut. Hmm...
 
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Are you sure? I kinda do need CCW and so far my surgeons haven't rejected the idea of CCW along with an extended Le Fort cut. Hmm...
Well I emailed the author of a paper who performed a lot of extended lefort 1 (the E one) in the 90s with my questions, he told me this wasn't paired nicely with a CCW. But he might either be wrong or there is a new cut that goes as high and doens't have problems with CCW. It would honestly be lifefuel for me. MSE + high LF1 CCW + bsso would ascend me SO HARD.

Do you have an illustration of the extended lefort 1 cut they're talking about ? I'd really need the zygos to be included
 
Well I emailed the author of a paper who performed a lot of extended lefort 1 (the E one) in the 90s with my questions, he told me this wasn't paired nicely with a CCW. But he might either be wrong or there is a new cut that goes as high and doens't have problems with CCW. It would honestly be lifefuel for me. MSE + high LF1 CCW + bsso would ascend me SO HARD.

Do you have an illustration of the extended lefort 1 cut they're talking about ? I'd really need the zygos to be included

In-some-cases-a-high-Le-Fort-I-osteotomy-is-required-for-advancement-of-the-entire.png


This is the picture I showed to the surgeon I visited today. I know it doesn't necessarily include the zygos, but I know he offers zygo advancement, so I guess we can combine it.
 
In-some-cases-a-high-Le-Fort-I-osteotomy-is-required-for-advancement-of-the-entire.png


This is the picture I showed to the surgeon I visited today. I know it doesn't necessarily include the zygos, but I know he offers zygo advancement, so I guess we can combine it.
Damn it's lifefuel it avoids the optical nerves doesn't it ? And he can perform ccw with this cut ? Do you mind sharing the name of the surgeon please ?
 

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