Planned hardmaxxes

[Deleted member 63681]

Full orthodontic de-comp (9–12 mo pre-op)

Trimax
Le Fort I straight advance + impaction forward and up Micro-rotation CCW (only if CBCT airway < 100 mm² or lower face slightly long)
BSSO mandibular advance forward with a focus on Minimizing lateral cortex burring at the gonion
Sliding genioplasty forward and vertical changes

Implants
Custom one piece supra/infra-orbital + malar mask implant
Mandibular-angle implants for better Gonial flare

Soft Tissue
rhinoplasty de proj or proj trims set backs or forward or whatever, radix graft only if needed after 3d simulations show
If Philtrum still > 15 mm post-impaction ill get a sub-nasal lip-lift

Limb lengthening
My clavicles are average in width not narrow but not mogger tier so im thinking of getting 20mm lengthening each side
Femur lengthening with precise 2.2 method by Paley

 

[lurking truecel]

Full orthodontic de-comp (9–12 mo pre-op)

Trimax
Le Fort I straight advance + impaction forward and up Micro-rotation CCW (only if CBCT airway < 100 mm² or lower face slightly long)
BSSO mandibular advance forward with a focus on Minimizing lateral cortex burring at the gonion
Sliding genioplasty forward and vertical changes

Implants
Custom one piece supra/infra-orbital + malar mask implant
Mandibular-angle implants for better Gonial flare

Soft Tissue
rhinoplasty de proj or proj trims set backs or forward or whatever, radix graft only if needed after 3d simulations show
If Philtrum still > 15 mm post-impaction ill get a sub-nasal lip-lift

Limb lengthening
My clavicles are average in width not narrow but not mogger tier so im thinking of getting 20mm lengthening each side
Femur lengthening with precise 2.2 method by Paley

Not happening fag

 

[NuclearGeo20]

seems reasonable