Planning for lower jaw surgery - need help

[FLYlowHIGHlow]

I’m currently mid-way through decompensation for orthognathic surgery and wanted to get some opinions on my OMFS’s current surgical plan.


Planned procedure:

• Extraction of two lower premolars (no upper extractions)
• BSSO advancement
• Genioplasty

Ceph analysis shows:

• SNA: 82.1°
• SNB: 76.6° → retrusive mandible
• ANB: 5.5° → Class II skeletal pattern
• Wits: +8.5 mm → skeletal Class II tendency
• MP-SN: 27.7° → skeletal deep bite
• Interincisal angle: 111.9° → proclined incisors
• Upper & lower lips: both protrusive relative to E-line
• Mandibular plane: low (brachyfacial type, strong musculature)

 

[geenk worg]

seems fine. asian?

 

[FLYlowHIGHlow]

Yeah