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

 

[FLYlowHIGHlow]

Bump

 

[zeref74]

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)

You've a flat maxilla, go for lefort 1

 

[FLYlowHIGHlow]

You've a flat maxilla, go for lefort 1

Sna is already ideal , will dogmax me

 

[Whirr22222]

You've a flat maxilla, go for lefort 1

Theres no point trying to make an asian maxilla unasian. Looks extremely uncanny.

 

[LEFORT17]

You've a flat maxilla, go for lefort 1

 

[zeref74]

Theres no point trying to make an asian maxilla unasian. Looks extremely uncanny.

It's gonna look uncanny regardless unless you don't have Robert Pattinson level hormony

 

[FLYlowHIGHlow]

It's gonna look uncanny regardless unless you don't have Robert Pattinson level hormony

real

 

[FLYlowHIGHlow]

should i extract upper premolars also to fix my flared teeth? marpe or expansion is not an option for me

 

[FLYlowHIGHlow]

@RealSurgerymax please help me a little

 

[FLYlowHIGHlow]

Bump

 

[RealSurgerymax]

@RealSurgerymax please help me a little

Ill help if youre my patient coming to Giant.

Otherwise, I am not here to help at all.

 

[lifemaxxer67]

Ill help if youre my patient coming to Giant.

Otherwise, I am not here to help at all.

what is your new venture about? it was surgerymax.cmf or smth?

 

[RealSurgerymax]

what is your new venture about? it was surgerymax.cmf or smth?

Giant Implants & my medical device company are separate but related.

The Medical Device company provides products directly to surgeons:
1. Surgical Planning & Design
2. Anatomic Models
3. Custom Titanium Implants, Plates, and Guides

All products mentioned are under my invention umbrella of over a dozen inventions and modifications (Unmatched Innovation.)

Giant Implants provides services directly to patients, and is NOT a med device company. It provides:
1. Professional Consultations consisting of looksmax-oriented Aesthetic Analysis & Soft- and Hard- Looksmaxxing Recommendations, set forth by my own discoveries & systems I created.
2. Commission-Free Referrals,
3. Planning and Design (powered by the med device company partnership),
4. Clinic Coordination, and
5. Surgical Support/Assistance in the Operating Room.

Giant basically brings all the best products & services together (Surgeons, Hospital, Design/Planning, Plates/Implants) to facilitate the highest level of hardmaxxing possible in this world at this time.

Giant has unmatched experience in hardmax planning and design (6 years high volume, which no one comes close to) and exclusive access to patent-protected plate & implant products which are advantageous for a better result.

 

[lifemaxxer67]

Giant Implants & my medical device company are separate but related.

The Medical Device company provides products directly to surgeons:
1. Surgical Planning & Design
2. Anatomic Models
3. Custom Titanium Implants, Plates, and Guides

All products mentioned are under my invention umbrella of over a dozen inventions and modifications (Unmatched Innovation.)

Giant Implants provides services directly to patients, and is NOT a med device company. It provides:
1. Professional Consultations consisting of looksmax-oriented Aesthetic Analysis & Soft- and Hard- Looksmaxxing Recommendations, set forth by my own discoveries & systems I created.
2. Commission-Free Referrals,
3. Planning and Design (powered by the med device company partnership),
4. Clinic Coordination, and
5. Surgical Support/Assistance in the Operating Room.

Giant basically brings all the best products & services together (Surgeons, Hospital, Design/Planning, Plates/Implants) to facilitate the highest level of hardmaxxing possible in this world at this time.

Giant has unmatched experience in hardmax planning and design (6 years high volume, which no one comes close to) and exclusive access to patent-protected plate & implant products which are advantageous for a better result.

So the difference is with company gigs you just design what doctors ask you to, right? No aesthetic fine tuning work by you unlike the personal service?

 

[FLYlowHIGHlow]

Ill help if youre my patient coming to Giant.

Otherwise, I am not here to help at all.

You used to give advice , sad that you stopped .
Good luck anyways

 

[PrimoMaxxer]

Sna is already ideal , will dogmax me

im also asian (half) and have 87.3 SNA. You should also do IPR for bimaxillary protrusion reduction or maybe more extractions. SNA is not indicative of dogmax in itself

 

[PrimoMaxxer]

also pretty sure you need your wisdoms removed, do that during your extractions

 

[FLYlowHIGHlow]

thats insane , alright ill ask for ipr for sure , but i am against extraction in upper jaw atleast? lower extractions and wisdoms will be removed i think

im also asian (half) and have 87.3 SNA. You should also do IPR for bimaxillary protrusion reduction or maybe more extractions. SNA is not indicative of dogmax in itself

 

[PrimoMaxxer]

thats insane , alright ill ask for ipr for sure , but i am against extraction in upper jaw atleast? lower extractions and wisdoms will be removed i think

Yeah just say you want to address the bimaxillary protrusion and ask if IPR is enough. If they upper extractions are better I'de go for it though. But if yours isnt too bad, IPR should be fine.

 

[FLYlowHIGHlow]

What my omfs said today is, my philtrum is perfect right now, extraction in upper would cause midface recession which is not ideal? Ill just ask for ipr to make the flaring not that much

Yeah just say you want to address the bimaxillary protrusion and ask if IPR is enough. If they upper extractions are better I'de go for it though. But if yours isnt too bad, IPR should be fine.

 

[PrimoMaxxer]

What my omfs said today is, my philtrum is perfect right now, extraction in upper would cause midface recession which is not ideal? Ill just ask for ipr to make the flaring not that much

might be correct, looks like you'll pass lip assessments after jaw surgery. Ask your ortho as well

 

[FLYlowHIGHlow]

might be correct, looks like you'll pass lip assessments after jaw surgery. Ask your ortho as well

Alright thanks for the help