Lower Jaw Surgery (BSSO Only)

[neo330]

Is going the BSSO only route valid if my lower maxilla is well developed and doesn't need further advancement (so not bimax, just LJS)? My bite doesnt even align perfectly, its a slight overbite. Of course I can throw in genio as well if that would also ascend my side a bit. Any advice on this?

 

[Bryce]

Why do I feel like you only have $30 in your bank account

 

[neo330]

Why do I feel like you only have $30 in your bank account

lmao, I just dont see why I need the lefort if my projection is already ideal/near ideal, dont wanna look dogmaxxed. Also Im tryna get rhino soon too but if i do lefort then ill have to postpone that shit. Ig if I need maxillary cw or ccw rotation i would have to but otherwise whats the point.

 

[Bryce]

lmao, I just dont see why I need the lefort if my projection is already ideal/near ideal, dont wanna look dogmaxxed. Also Im tryna get rhino soon too but if i do lefort then ill have to postpone that shit.

Nigga I've seen your face you don't need any of this shit you're barking about. A LeFort would be an absolute waste of money, like burning your money in a pit would change your face more. Rhino sure, your nose is bulbous towards the end. In no world do you need any maxillofacial reconstructive surgeries JFL, delusionmaxxed

 

[neo330]

Nigga I've seen your face you don't need any of this shit you're barking about. A LeFort would be an absolute waste of money, like burning your money in a pit would change your face more. Rhino sure, your nose is bulbous towards the end. In no world do you need any maxillofacial reconstructive surgeries JFL, delusionmaxxed

ik i dont need a lefort, thats what im trying to ask about, but u rlly dont think a bsso/genio could ascend my side?

 

[Bryce]

ik i dont need a lefort, thats what im trying to ask about, but u rlly dont think a bsso/genio could ascend my side?

Yeah my bad I misread that I hit the Raw Gardens cart 4 times before logging on my room is literally spinning right now so I don't know what the fuck I'm doing. And no I don't think so you look forwardly grown. Like better than me. Rhino and dermal filler wouldn't kill though

 

[lookmaxxer998]

ik i dont need a lefort, thats what im trying to ask about, but u rlly dont think a bsso/genio could ascend my side?

Can’t say without a lateral cephalometric X-ray or CBCT. I think the obv thing is you have a non-ideal philtrum to chin ratio (particularly, you have a long philtrum). It looks like your occlusal plane is down rotated. If you want to fix the slightly off nasolabial angle and long philtrum, you’ll have to involve the maxilla. Although I don’t think your maxilla is underdeveloped. Mandible could also use a slight movement- you’ll likely have to move both to have a CCW rotation.

But honestly, you’re not obviously recessed. The mandible has good definition and ramus is relatively long. Majority of the maxilla has good forward growth. Your mid face/under eyes aren’t bad either. Short upper lip is likely attributed to the maxilla.

Anyway, if you want a good evaluation, you should rely on cephalometric tracing measurements. They’ll give you a better idea of what’s happening on a bone structure level. I would suggest you go to any local maxillofacial surgeon to get the X-ray it’s the same everywhere but then send emails to the surgeons you want to do your surgery and ask them what they would be willing to do given your X-ray and concerns. Ask them if they can help you on email and say you’ll make an appointment only if they think surgery is possible. This saves you a lot of money from consults and gives you a bunch of free evaluations. It’s always wise to have several surgeons give you a rough plan bc some are aggressive, some are conservative, but you’ll get a good idea on what’s generally possible for you. Also do read up on the associated risks. As far as I know maxilla movement is a bit more risky than mandible bc of potential sinus complications, but a lot of people seem to be fine with no long term side effects.

Also beware if you have previously tried to mask your overbite using braces, you’ll need to do braces again to undo that to get the maximum movement. That can take time depending on the case.

If you plan on doing a rhinoplasty to reduce tip bulbosity, you should do it after the jaw surgery (if you decide to do jaw surgery). I think there is a reason for this something to do with how soft tissues settle down. Beware that tip swelling lasts a long time inital will go down in a few weeks/months complete healing back to 100% could be more than a year (but tbh it isn’t very noticeable to the average person- but it’s worth considering. Sometimes taking hot showers alone can prolong the swelling).

Honestly, I’d think about the rhino a bit longer. Most studies show that even a successful rhinoplasty doesn’t add much to overall attractiveness unless the nose is really bad (which yours isn’t).

 

[neo330]

Can’t say without a lateral cephalometric X-ray or CBCT. I think the obv thing is you have a non-ideal philtrum to chin ratio (particularly, you have a long philtrum). It looks like your occlusal plane is down rotated. If you want to fix the slightly off nasolabial angle and long philtrum, you’ll have to involve the maxilla. Although I don’t think your maxilla is underdeveloped. Mandible could also use a slight movement- you’ll likely have to move both to have a CCW rotation.

But honestly, you’re not obviously recessed. The mandible has good definition and ramus is relatively long. Majority of the maxilla has good forward growth. Your mid face/under eyes aren’t bad either. Short upper lip is likely attributed to the maxilla.

Anyway, if you want a good evaluation, you should rely on cephalometric tracing measurements. They’ll give you a better idea of what’s happening on a bone structure level. I would suggest you go to any local maxillofacial surgeon to get the X-ray it’s the same everywhere but then send emails to the surgeons you want to do your surgery and ask them what they would be willing to do given your X-ray and concerns. Ask them if they can help you on email and say you’ll make an appointment only if they think surgery is possible. This saves you a lot of money from consults and gives you a bunch of free evaluations. It’s always wise to have several surgeons give you a rough plan bc some are aggressive, some are conservative, but you’ll get a good idea on what’s generally possible for you. Also do read up on the associated risks. As far as I know maxilla movement is a bit more risky than mandible bc of potential sinus complications, but a lot of people seem to be fine with no long term side effects.

Also beware if you have previously tried to mask your overbite using braces, you’ll need to do braces again to undo that to get the maximum movement. That can take time depending on the case.

If you plan on doing a rhinoplasty to reduce tip bulbosity, you should do it after the jaw surgery (if you decide to do jaw surgery). I think there is a reason for this something to do with how soft tissues settle down. Beware that tip swelling lasts a long time inital will go down in a few weeks/months complete healing back to 100% could be more than a year (but tbh it isn’t very noticeable to the average person- but it’s worth considering. Sometimes taking hot showers alone can prolong the swelling).

Honestly, I’d think about the rhino a bit longer. Most studies show that even a successful rhinoplasty doesn’t add much to overall attractiveness unless the nose is really bad (which yours isn’t).

So would the first step be to get the ceph scans from an orthodontist and then sending them over to the surgeons? Also would the full lateral x-ray cover all necessary areas for cosmetic evaluation?