NHS bimax (UK)

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woodpecker667

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I'm due a bimax on the NHS but im concious that the mandibular advancement is for function (should still enhance looks) and only the maxillary advancement is done for cosmetics. I want to know if people think i should go private to maximise the cosmetic side of things.
 
Do they use 3D planning?
Will they actually stick to the plan?
Will they tell you what the plan is?
Do you need CW/CCW/downgraft? Can they do it?
Do you need genio as well? Will they do it?
 
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I'm due a bimax on the NHS but im concious that the mandibular advancement is for function (should still enhance looks) and only the maxillary advancement is done for cosmetics. I want to know if people think i should go private to maximise the cosmetic side of things.
nhs has bimax? :lul::lul:
 
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Yes, there is no shortage of NHS botches on the internet.

It depends on the surgeon you get but the majority do not consider aesthetics.
 
Do they use 3D planning?
Will they actually stick to the plan?
Will they tell you what the plan is?
Do you need CW/CCW/downgraft? Can they do it?
Do you need genio as well? Will they do it?
They won’t do genioplasty as it’s purely cosmetic although they’re happy to advance my maxilla despite it only being cosmetic. I’ll ask about the others at my next consultation
 
I'm due a bimax on the NHS but im concious that the mandibular advancement is for function (should still enhance looks) and only the maxillary advancement is done for cosmetics. I want to know if people think i should go private to maximise the cosmetic side of things.
If you want a superior cosmetic outcome, you’ll have to go private - no question.
 
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Yes, there is no shortage of NHS botches on the internet.

It depends on the surgeon you get but the majority do not consider aesthetics.
Well if that was the case with my surgeon then I wouldn’t be getting the LF1, I’d only get the BSSO. For me the LF1 is purely for cosmetics as my consultant told me
 
If you want to a superior cosmetic outcome, you’ll have to go private - no question.
I phrased it badly. I’m aware a private will have a better outcome aesthetically but if I can get it free and still get a good outcome then I’m happy.
 
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Yes, there is no shortage of NHS botches on the internet.

It depends on the surgeon you get but the majority do not consider aesthetics.
I had a quick search for NHS BIMAX botches and couldn’t see any.
 
Well if that was the case with my surgeon then I wouldn’t be getting the LF1, I’d only get the BSSO. For me the LF1 is purely for cosmetics as my consultant told me
Maybe your surgeon is one of the good ones then. I don't know NHS surgeons in particular but it is highly variable on the surgeon you get from what I know. Foreverbrad's questions are good ones. Simply having LeFort or not may not cut it. Do you need rotation, do you need impaction or downgraft, do you need ramus widening, do you need genioplasty etc? If you get a 3D plan feel free to dm and I can give some very general thoughts.
 
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Yep, it’s quite a common surgery in the UK
There are a lot more on reddit. Things like a guy who needs a 4mm maxilla and some rotation ends up getting like 10mm linear advancement on both jaws and looks like a chimp.
 
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Is it really? I assume it’s very hard to get though no?
I live in the Uk as well
You can’t get it on the NHS unless you have maloclussion. I’m getting it to fix my malocclusion but it will also enhance me aesthetically as my maxilla and mandible will be brought forwards. If you’re genuinely abnormally recessed I’d ask your orthodontist about it
 
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and its free? wtf. UK has welfare for ugly niggas?
Yep, it’s to fix maloclussion. You can’t just ask for it you need to be eligible, a bit like how insurance covers it in the US.
 
You can’t get it on the NHS unless you have maloclussion. I’m getting it to fix my malocclusion but it will also enhance me aesthetically as my maxilla and mandible will be brought forwards. If you’re genuinely abnormally recessed I’d ask your orthodontist about it
I’m recessed but have normal bite it’s brutal I have no hope
 
Maybe your surgeon is one of the good ones then. I don't know NHS surgeons in particular but it is highly variable on the surgeon you get from what I know. Foreverbrad's questions are good ones. Simply having LeFort or not may not cut it. Do you need rotation, do you need impaction or downgraft, do you need ramus widening, do you need genioplasty etc? If you get a 3D plan feel free to dm and I can give some very general thoughts.
I need to research my surgeon but he dies private orthodontists too. Not sure if he does surgery privately as well though.
 
Do they use 3D planning?
Will they actually stick to the plan?
Will they tell you what the plan is?
Do you need CW/CCW/downgraft? Can they do it?
Do you need genio as well? Will they do it?
Could you tell me what these abbreviations mean so I could ask my consultant about it next time I see him please?
 
Mine was an Indian man who barely spoke English, there’s always hope. 😂
When I was 15 I went to her told her one side of my upper row of teeth literally is shorter than the other one and I can’t touch my molars for that one, and she said no ur fine, now I’m 18 and I want to kill myself befause I have insane jaw asymmetry
 
There’s no way that’s true
Screenshot 2025 05 02 at 194131
 
When I was 15 I went to her told her one side of my upper row of teeth literally is shorter than the other one and I can’t touch my molars for that one, and she said no ur fine, now I’m 18 and I want to kill myself befause I have insane jaw asymmetry
You can probably get corrective jaw surgery for that on the NHS. Trouble is the waiting time is ages, I’m lucky I got referred for a bimax at 16 years old and they can’t begin treatment until 18 anyways. I should get braces at 18.5 and then surgery at 20.5-21 years old. If you were eligible for double jaw you’d probably not be done with treatment for ages. If it bothers you that much start saving and go private
 
Could you tell me what these abbreviations mean so I could ask my consultant about it next time I see him please?

They just mean movements where they rotate the jaws as well as moving them forward. It helps to change the gonial angle and the occlusal plane if needed.
 
They just mean movements where they rotate the jaws as well as moving them forward. It helps to change the gonial angle and the occlusal plane if needed.
Do they not stand for anything or is a CW/CWW the actual name for it? Will my ortho understand what I’m saying basically
 
Do they not stand for anything or is a CW/CWW the actual name for it? Will my ortho understand what I’m saying basically

It stands for clockwise and counterclockwise rotations. Which I find a stupid convention because it depends what side you’re looking from. But basically CW = chin down and CCW = chin up.
 
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Oh ye 24% are disabled which includes elderly, autistic etc but there’s only 5 million people who get disability welfare. 3.5 million on PIP, 1.3 on DLA.
True, more like 10% of the working population but there's no way 1 in 4 people in the UK are actually disabled.
 
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It stands for clockwise and counterclockwise rotations. Which I find a stupid convention because it depends what side you’re looking from. But basically CW = chin down and CCW = chin up.
Thanks, ye they do do that because I remember my surgeon mentioning something to do with a clock before I had any understanding of the surgery at all.
 
Thanks, ye they do do that because I remember my surgeon mentioning something to do with a clock before I had any understanding of the surgery at all.

If you can get 3D planning we can review it on here and give advice. Considering a private bimax will cost multiple years of uk wagecuck salary it’s definitely worth going NHS if a good outcome is possible. You just need to vet them.
 
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That's outrageous!
😂 they do rhino plast
True, more like 10% of the working population but there's no way 1 in 4 people in the UK are actually disabled.
theres defo people Frauding it and there’s lots of young men (18-25) who are just to lazy to work. 1 million of benefit claimants are young unemployed dosser men. you can get it for being autistic and stuff also there’s carer grants for those who look after disabled
 
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😂 they do rhino plast
Phew.
theres defo people Frauding it and there’s lots of young men (18-25) who are just to lazy to work. 1 million of benefit claimants are young unemployed dosser men. you can get it for being autistic and stuff also there’s carer grants for those who look after disabled
Yeah, they need to get much tougher. It's total BS and an insult to actual hard working people.
 
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If you can get 3D planning we can review it on here and give advice. Considering a private bimax will cost multiple years of uk wagecuck salary it’s definitely worth going NHS if a good outcome is possible. You just need to vet them.
I’m not sure when 3D planning is done but I haven’t even got braces yet. I won’t get the bimax for another 2-3 years, I’m seeing my consultant in 2 months though so I’ll ask about it all then.
 
Phew.

Yeah, they need to get much tougher. It's total BS and an insult to actual hard working people.

Will Farage deliver this?
 
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Phew.

Yeah, they need to get much tougher. It's total BS and an insult to actual hard working people.
I agree, I never really felt a functional hinderence because of my bite but it affects me visually and I’d 100% go private if NHS wasn’t an option but perhaps that’s because I don’t know how a good bite should actually feel so hard to tell if it’s worth it functionally. I was also offered just brace treatment and no bimax but obviously going to leach of the tax payer and go all out. 😏
 
I’m not sure when 3D planning is done but I haven’t even got braces yet. I won’t get the bimax for another 2-3 years, I’m seeing my consultant in 2 months though so I’ll ask about it all then.
I think normally you have to pay for the braces but tbh it will save you a lot of hassle even if you do decide to switch surgeon later on
 

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