Prominent ANS vs Maxilla projection : Class 2 Deepbite DJS Prep in France

[archiewannabe]

Wisdom teeth removed + soon decomp ortho with French ortho who works with my surgeon

- Im really conserned about my Nasale spine (ANS) who is really projected and make my mandible appear even more recessed
- Was thinking ~10mm mandible + ~4mm maxilla + little cw for reducing deep nasolabial fold as Im class 2 and deepbite but not too much since I have pretty narrow jaw from front, and I also think the maxilla is already pretty good

The real question is I've never seen anyone with the same nasale spine as me.

Pics of my profile and scan :




Here's a pic where Im jutting :




Pics of front with scan :



also wondering how to manage the projetion of my nose tip and my upper lip with this nasale spine

What do you think should I go with the planning?

really appreciate advices

 

[lurking truecel]

Subnasal spine leforte cut seems obv in your case

 

[archiewannabe]

Subnasal spine leforte cut seems obv in your case

like cutting just below the nasale spine

 

[Animepilled]

not sure it's necessary to touch the upper jaw at all. You need decomp+bsso.

 

[archiewannabe]

not sure it's necessary to touch the upper jaw at all. You need decomp+bsso.

ye you're right, but Im not shure if I can have a decomp thats more than 8 mm, so the bsso will be limited

 

[LEFORT17]

Subnasal spine leforte cut seems obv in your case

that or shaving it down

 

[lurking truecel]

that or shaving it down

Shaving is crazy

 

[LEFORT17]

Shaving is crazy

very common tho, even heard of getting subspinal lefort + shaving it down for aesthetics cuz of too much nasal spine projection and more controlled change, which OP would benefit from

 

[LEFORT17]

Shaving is crazy

david bell casually just removing the whole spine

 

[compost_]

that or shaving it down

Oh well hello there Dr. Alfi

 

[LEFORT17]

Oh well hello there Dr. Alfi

huh

 

[compost_]

huh

I was jus jokin

Alfi said in jawhacks podcast I believe that he goes n there n jus shaves it all down for that airway baby

Cuz he says it’s to add nasal volume

 

[LEFORT17]

I was jus jokin

Alfi said in jawhacks podcast I believe that he goes n there n jus shaves it all down for that airway baby

Cuz he says it’s to add nasal volume

crazy, slight adjustment would be fine to hear, but fully shaving it down aint it

 

[archiewannabe]

crazy, slight adjustment would be fine to hear, but fully shaving it down aint it

You think shaving it like 2-4mm would be good depending on the maxilla movement ?

 

[LEFORT17]

You think shaving it like 2-4mm would be good depending on the maxilla movement ?

something you should discuss with your surgeon

 

[compost_]

crazy, slight adjustment would be fine to hear, but fully shaving it down aint it

Yea I was speaking w some hyperbole idk if he completely n fully shaves it all down but considering how much he advances ppl, overly so, I can’t imagine he proceeds w too much restraint on the shaving

 

[archiewannabe]

something you should discuss with your surgeon

Yeah thanks I will

 

[Animepilled]

Yeah thanks I will

did you consult a surgeon? whatd he say

 

[archiewannabe]

did you consult a surgeon? whatd he say

I put the braces on in 3weeks. I already consulted him, he said we will see after decomp to know how much movement on the maxilla since it’s depend on the gap between teeth. We haven’t talked about the nasale spine

 

[Animepilled]

I put the braces on in 3weeks. I already consulted him, he said we will see after decomp to know how much movement on the maxilla since it’s depend on the gap between teeth. We haven’t talked about the nasale spine

yeah i was fucked up a little before. You niggas like to tilt your head to the moon so its hard to assess precisely. Your overbite is actually minimal so you will need a bimax for a noticeable result

 

[archiewannabe]

yeah i was fucked up a little before. You niggas like to tilt your head to the moon so its hard to assess precisely. Your overbite is actually minimal so you will need a bimax for a noticeable result

yeah np thanks for the advice. I hope decomp will do the job

 

[Lookologist003]

Your maxilla has a really good shape. Why are you cutting it? A prominent ANS is an attractive feature. I think you only need lower jaw surgery to get that thing a little bigger; your jutting looks like a morph. Save yourself the expense, and think of BSSO and genioplasty or implants for the jaw angles and the chin.

The mass of your jaw is the difference between you looking like bratty punk and male model.

 

[archiewannabe]

Your maxilla has a really good shape. Why are you cutting it? A prominent ANS is an attractive feature. I think you only need lower jaw surgery to get that thing a little bigger; your jutting looks like a morph. Save yourself the expense, and think of BSSO and genioplasty or implants for the jaw angles and the chin.

The mass of your jaw is the difference between you looking like bratty punk and male model.

I agree with you, but maybe the decomp won't be enough to create a large enough shift to advance the mandible by 1cm like when I’m jutting. I would prefer not to touch the maxilla, but I'm not sure if that's possible if I want a 10mm advancement of the mandible.

 

[archiewannabe]

Your maxilla has a really good shape. Why are you cutting it? A prominent ANS is an attractive feature. I think you only need lower jaw surgery to get that thing a little bigger; your jutting looks like a morph. Save yourself the expense, and think of BSSO and genioplasty or implants for the jaw angles and the chin.

The mass of your jaw is the difference between you looking like bratty punk and male model.

Also forgot to ask you. Do you think a genio will be a good idea for the deep nasolabial fold ?

 

[LEFORT17]

Also forgot to ask you. Do you think a genio will be a good idea for the deep nasolabial fold ?

yeah u need downward rotation genio

 

[Lookologist003]

to advance the mandible by 1cm like when I’m jutting.

Did you measure it? Are you absolutely sure you need 10mm in lower jaw advancement to have that jutting look without jutting?

Do you think a genio will be a good idea for the deep nasolabial fold ?

Your chin is like a letterbox or tip of a pencil at it's most anterior point. Some volume with bone cements just above it or however surgeons deem best is how they can solve it. There needs to be volume in that area. I've attached an edited picture of your CT in frontal profile to show you what needs to be added. Genioplasty won't help when your chin has a chisel tip. It looks like you could ice a cake with your chin, or do calligraphy, or keep a door open with it. The mentolabial fold that you dislike is caused by a concavity inside the current bounds of your jaw that experienced surgeons can fix easily, and can do it while in conjunction with a genioplasty that increases the tallness of your chin.

(It's a bit over the top , but along those lines is the resolution you seek.)

 

[archiewannabe]

yeah u need downward rotation genio

like this one, and so without or a little advancement on the genio ?

 

[archiewannabe]

Did you measure it? Are you absolutely sure you need 10mm in lower jaw advancement to have that jutting look without jutting?


Your chin is like a letterbox or tip of a pencil at it's most anterior point. Some volume with bone cements just above it or however surgeons deem best is how they can solve it. There needs to be volume in that area. I've attached an edited picture of your CT in frontal profile to show you what needs to be added. Genioplasty won't help when your chin has a chisel tip. It looks like you could ice a cake with your chin, or do calligraphy, or keep a door open with it. The mentolabial fold that you dislike is caused by a concavity inside the current bounds of your jaw that experienced surgeons can fix easily, and can do it while in conjunction with a genioplasty that increases the tallness of your chin.

View attachment 5071454
View attachment 5071455
(It's a bit over the top , but along those lines is the resolution you seek.)

Ah yeah, I had never noticed this problem with my chin. So, like you said, I need volume to be added just above the bottom of the chin. Thanks for the image. For the mandible advancement, no, I'm not sure it needs to be 10mm, that's just an estimate. I see you really don't like my sharp chin . And so with the volume added, do I steel need downward rotation too on the chin ? Thanks for the advice

 

[Lookologist003]

I need volume to be added just above

Above. I wish I could tell you what surgeons can help you, but I don't know that much. But volume in that area above your chin is what you need to ask them to do.

And so with the volume added, do I steel need downward rotation too on the chin ?

No genioplasty is needed to eliminate the mentolabial fold. But to win a taller chin a genioplasty is needed.

I see you really don't like my sharp chin

No! It must be very useful to have a place to hang your coats

 

[archiewannabe]

Above. I wish I could tell you what surgeons can help you, but I don't know that much. But volume in that area above your chin is what you need to ask them to do.


No genioplasty is needed to eliminate the mentolabial fold. But to win a taller chin a genioplasty is needed.


No! It must be very useful to have a place to hang your coats

np you have already helped me a lot. I will tell my surgeon when i will see him. Thanks