đź’€ Maxilla: Difference Between Recessed and Flat, Explained with 3D Animations

Amazing
 
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flat AND recessed is brutal :feelswhy:
would you say my maxilla is flat and recessed or just flat? IMG 3636
 
View attachment 4205433

Looking at this slice through my zygos I think my maxilla is flat.
But comparing my side profile to your chart it seems not flat.

I might just be on the borderline for flat. I’m certainly recessed but it appears to be mostly in the lower maxilla as my anterior nasal spine is set back from my upper nasal bone.. I don’t see how Lefort 2 alone would be good here, it would have to be segmental 2 and 1 combined.

It also raises a question about infraorbital implants because unless you already have an exemplary “3D” maxilla, they are going to flatten it out even more. I’m not sure my face can support them at all without Lefort 2.

View attachment 4205434

Good thread.
IMG 3713 would you say my maxilla is similar in 3Dness to your ceph? i’m not sure if a high cut lf1 would do much improvement?
 
I have a 3mm recession and it doesn't look like it.
 
so a trimax wouldn’t be a great idea to pursue?

i don’t know man please get a CT if you are really serious about this

I think you will dogmaxx with any bimax advancement, you need lefort 2 bimax. Basically your face is already balanced so you’d have to move entire midface linearly forward if that’s what you wanted. Plus probably some augmentation to the brow ridge.
 
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Botb
 
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Maxillary Protrusion and Retrusion

Maxillary protrusion and retrusion is how anteriorly positioned your palate is in relation to your neurocranium.

View attachment 4199761

Whether a maxilla is recessed or not recessed depends on the relationship between the positions of the palate, eyes, and mandible. And the space in the airway.

Recessed maxilla indicators:
  • Negative orbital vector
  • Nasolabial folds
  • Retrognathic profile
  • Underbite (class III malocclusion)
  • Teeth look inwardly set when smiling
Recessed maxilla can cause functional health issues such as tooth wear (in class III malocclusion), airway constriction (can cause sleep apnea), and speech problems.



Maxillary 3Dness and Flatness

Maxillary “3D”ness is an aesthetic look that comes from:
  • anterior projection of the paranasal area, nasal sill, anterior nasal spine, and pyriform aperture
  • backwardly-angled zygomatic processes of the maxilla (the “connecting wings” that border the zygos) making the midface look fox-like as opposed to pancake

View attachment 4199878

Unlike protrusion/retrusion, 3Dness/flatness is an entirely aesthetic feature and has no bearing on health.

3Dness/flatness is closely related to the orbitomaxillary plane angle. More about that here:




Examples

View attachment 4199869

The gorilla maxilla shows the difference between forward-grownness and 3Dness. The gorilla maxilla is extremely forward-protruding, but it’s flat as fuck, literally flatter than an Asian maxilla:

View attachment 4199953

The human maxilla’s teeth are more retracted and tucked under the eyes, but the shape of the central maxilla is much less flat:

View attachment 4199961



Mew Cope

Mouth breathing and shit oral posture can make the maxilla grow improperly, but that has to do with positioning (protrusion/retrusion) only. Mewing from birth would’ve done absolutely nothing for your maxilla’s 3Dness/flatness.
whats that? whats a maxilla?
 
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Another beautiful banger from thecel :feelsokman:
 
Sadly those who call every nigga recessed never gonna see this đź’”
 

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