Acromegaly_Chad
Offical Surgery Consultant
- Joined
- Apr 16, 2020
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As we all know, bimax carries the risk of destroying your ogee curve. Now before I get into it too much for myself and study the effects, I'd like to hear what you guys know about how to prevent this from happening.
My thoughts so far are: Ogee curve gets destroyed by too big advancements (but when to know it's too big?) and usually it's more prone to happen when you suffer from midface hypoplasia (class 3 patients are more likely to get their ogee fucked by lf1 than class 2 patients) or have hollow undereyes and zygos with weak lateral projection.
Further more a very borad mid mandible and/or weak chin with weak anterior projection seem to make bimax cases more prone to getting their ogee fucked.
After all, it seems logically that a wider palate is also more likely to produce such an outcome than a narrow palate.
Conclusions:
- Forward growth > ogee curve, it's ok to get it slightly worse through a bimax
- midface hypoplasia -> DON'T do LF1 or only very little
- Midface fat grafts and Zygo osteotomies can help restore the important marking points in the upper region of the ogee curve
- a strong chin does the some for the lower marking point
Any more thoughts on this? This topic is INSANELY important when discussing Bimax yet even maxfacs don't really mention it.
Tagging some surgerymaxxers
@SixCRY @RealSurgerymax @thecel @lasthope
My thoughts so far are: Ogee curve gets destroyed by too big advancements (but when to know it's too big?) and usually it's more prone to happen when you suffer from midface hypoplasia (class 3 patients are more likely to get their ogee fucked by lf1 than class 2 patients) or have hollow undereyes and zygos with weak lateral projection.
Further more a very borad mid mandible and/or weak chin with weak anterior projection seem to make bimax cases more prone to getting their ogee fucked.
After all, it seems logically that a wider palate is also more likely to produce such an outcome than a narrow palate.
Conclusions:
- Forward growth > ogee curve, it's ok to get it slightly worse through a bimax
- midface hypoplasia -> DON'T do LF1 or only very little
- Midface fat grafts and Zygo osteotomies can help restore the important marking points in the upper region of the ogee curve
- a strong chin does the some for the lower marking point
Any more thoughts on this? This topic is INSANELY important when discussing Bimax yet even maxfacs don't really mention it.
Tagging some surgerymaxxers
@SixCRY @RealSurgerymax @thecel @lasthope
