Need some advice on how to improve the design of the Custom Jaw Implant

[Sud7788]

Hey,
I am looking to get the custom Jaw Implants in July or August. The doctor has send me an STL file of my designed implants basically. The lateral projections in angles are 4mm and 6mm on each side with 15mm in vertical height addition to ramus. The anterior projection of chin is approx 10 mm. with 37mm width,.I am really concerned about the width of the chin actually as well as squareness. Also I have a history of Bimax with Lefort and BSSO albeit due to functional reasons which obviously fucked my gonion angles bad. I have a good midfacial projection with so called anteface but my jawline looks undefined due to BSSO osteotomies. Currently at 18% BF.
My goal is have have a slender face and not overly projecting gonion angles as well as a square chin within normal range . Would like to have 85% bigonion to byzygomatic ratio ideally. Currently my skeletal measurements- byzygomatic width is 132mm and bigonion width is 107mm(including the implants).Should I increase the gonion projection more perhaps and reduce the width of chin to make it less square and more rounder.
I am new to this forum and will share my journey and results here as well as will try to see if I can get any pics of my lower face and will post them.

My doctor is actually a MaxFac surgeon and had some experience before in placing the implants. He also have given me some autonomy to design the implant myself with the CAD/CAM guy.

 

[beau]

wrong forum, nobody here actually looksmaxing

 

[Sud7788]

wrong forum, nobody here actually looksmaxing

Bump. New to this site.Can you tell me which forum to post to get the opinion on design perhaps.

 

[Deleted member 16834]

Bump. New to this site.Can you tell me which forum to post to get the opinion on design perhaps.

Lipstickalley

 

[beau]

Bump. New to this site.Can you tell me which forum to post to get the opinion on design perhaps.

jawsurgeryforums . com

 

[Improver]

You won't get frontal angularity with a convex design like this. Remember that masseter muscle is 10mm wide aprox and you want some concavity to avoid its protrusion.
If that's okay, I will also reduce chin width to 33mm and make it very square

 

[zeek]

Hey,
I am looking to get the custom Jaw Implants in July or August. The doctor has send me an STL file of my designed implants basically. The lateral projections in angles are 4mm and 6mm on each side with 15mm in vertical height addition to ramus. The anterior projection of chin is approx 10 mm. with 37mm width,.I am really concerned about the width of the chin actually as well as squareness. Also I have a history of Bimax with Lefort and BSSO albeit due to functional reasons which obviously fucked my gonion angles bad. I have a good midfacial projection with so called anteface but my jawline looks undefined due to BSSO osteotomies. Currently at 18% BF.
My goal is have have a slender face and not overly projecting gonion angles as well as a square chin within normal range . Would like to have 85% bigonion to byzygomatic ratio ideally. Currently my skeletal measurements- byzygomatic width is 132mm and bigonion width is 107mm(including the implants).Should I increase the gonion projection more perhaps and reduce the width of chin to make it less square and more rounder.
I am new to this forum and will share my journey and results here as well as will try to see if I can get any pics of my lower face and will post them.

My doctor is actually a MaxFac surgeon and had some experience before in placing the implants. He also have given me some autonomy to design the implant myself with the CAD/CAM guy.

the chin is way too wide. don't exceed 30mm.

and you're asking for a lot of anterior augmentation as well. Many be better to do a genioplasty and custom jaws on the side that connect to it OR a custom wraparound implant combined with a genioplasty. But your surgeon may not be experienced enough to do this.

 

[Sud7788]

the chin is way too wide. don't exceed 30mm.

and you're asking for a lot of anterior augmentation as well. Many be better to do a genioplasty and custom jaws on the side that connect to it OR a custom wraparound implant combined with a genioplasty. But your surgeon may not be experienced enough to do this.

Thanks for the input.I am not sure if the surgeon can pull this off but I will certainly ask him.For genioplasty I would like to avoid too much bone manipulations as I already have bimax before which was a nightmare for recovery as well as some concern for bone necrosis after repeated surgeries on bone. Did you also had implants before in jaw? If possible can you share the design perhaps.Would be really helpful in designing mine.

 

[PubertyMaxxer]

the chin is way too wide. don't exceed 30mm.

and you're asking for a lot of anterior augmentation as well. Many be better to do a genioplasty and custom jaws on the side that connect to it OR a custom wraparound implant combined with a genioplasty. But your surgeon may not be experienced enough to do this.

Chin should be 40mm to be wide and masc

30mm is female territory

 

[Improver]

Chin should be 40mm to be wide and masc

30mm is female territory

40mm would look fake as fuck if you don't have a really wide mouth

 

[Improver]

40mm would look fake as fuck if you don't have a really wide mouth

And we only count the straight part of the chin in this mm, so the real outcome is bigger

 

[zeek]

Chin should be 40mm to be wide and masc

30mm is female territory

No it’s not you fucking retard. Kys