Opinions on my ceph scan

[moneyfundsmoneys]

For those who are lazy to open quick summary

SNA: 86.8
SNB: 81.4
MPA: 25.7
Gonial Angle: 119.7

 

[moneyfundsmoneys]

bump

 

[czechpsl]

For those who are lazy to open quick summary

SNA: 86.8
SNB: 81.4
MPA: 25.7
Gonial Angle: 119.7

get genio

 

[iamgoingtoascend]

Looks quite similar to mine, id say get genio and rhinoplasty

 

[YoungPhilosopher]

Yo big ahh nose

 

[moneyfundsmoneys]

Figures largely within normal ranges.

WeDoCeph suspects maxillary prognathism + flat chin but the rest figures within normal to above average ranges.
if it bothers me ill prob do genio

 

[moneyfundsmoneys]

Yeah, SNA is above average, implying mild prognathism.

Would the most appropriate action be to reduce the prognathism or to balance the chin forward?

 

[moneyfundsmoneys]

UPDATE: Got my ceph analyzed by a lab for free (PM if you want the source)

88.1 SNA and 80 SNB

might seriously consider lefort 1 setback

 

[czechpsl]

might seriously consider lefort 1 setback

negative roi. just do retractive braces on upper. setback would fuck up your nose and airway

 

[moneyfundsmoneys]

negative roi. just do retractive braces on upper. setback would fuck up your nose and airway

whats the best between advancing ccw the mandible and retractive braces to correct 88 sna

 

[czechpsl]

whats the best between advancing ccw the mandible and retractive braces to correct 88 sna

Isn't just your radix recessed, causing your high SNA? That's a common case—I've seen underbites with an SNA over 90. I cant see your ceph, could you upload it again?

 

[moneyfundsmoneys]

Isn't just your radix recessed, causing your high SNA? That's a common case—I've seen underbites with an SNA over 90. I cant see your ceph, could you upload it again?

 

[czechpsl]

no i ment ceph as before unedited

 

[moneyfundsmoneys]

no i ment ceph as before unedited

my bad

 

[czechpsl]

my bad

I mean, you have Class I occlusion even Class I molars. If I were you, I would just get a genioplasty and call it a day. You won't ascend by even 0.1 PSL from any setback or anything on your maxilla, and even mandible advancement wouldn't be life changing. You have a very open mentolabial angle, which a genio would deepen, benefiting you along with giving you more chin projection. Plus, you don't have to deal with braces and don't risk numbness. And if you're really considering a setback, look at intraoperative videos of a maxillary downfracture. And I doubt that 88 SNA is accurate. the earlier 86 was probably right

 

[moneyfundsmoneys]

I mean, you have Class I occlusion even Class I molars. If I were you, I would just get a genioplasty and call it a day. You won't ascend by even 0.1 PSL from any setback or anything on your maxilla, and even mandible advancement wouldn't be life changing. You have a very open mentolabial angle, which a genio would deepen, benefiting you along with giving you more chin projection. Plus, you don't have to deal with braces and don't risk numbness. And if you're really considering a setback, look at intraoperative videos of a maxillary downfracture. And I doubt that 88 SNA is accurate. the earlier 86 was probably right

first things first thanks for the effort and I agree that pursuing maxillary setback is more of a headache. Furthermore, both of my parents have microgenia so I always knew that genioplasty was the thing I needed the most. About the 88 SNA, AudaxCeph AI landmark ing gave me 86 while the lab/university I contacted sent me back 88 but whatever it is I hope it's 86. thanks for the help doe

 

[moneyfundsmoneys]

Also with no doubt the primary movement of the genioplasty would be horizontal, but should I ask for vertical or is that unecessary?

 

[czechpsl]

Also with no doubt the primary movement of the genioplasty would be horizontal, but should I ask for vertical or is that unecessary?

Hard to tell without simulating the cut and having information about facial height after, but I like moving the genio in the same vector as the mandible to avoid step-off. I would aim for a 2.5:1 chin-to-philtrum ratio after that, as it's more masculine