Rate my bimax 3D planning

[zlatan65]

Planning my revision bimax to get more advancement and CCW :
The surgeon told me I get +7.4mm forward on the upper first incisors with this planning, and 2mm down on the mollars.
He didn't gave me other measurements unfortunately.

He is planning to get rid of my left side jaw angle implant and mitigate the assymetry with a bone graft between left ramus and mandibular.

Do you think it's enough or I should ask for a little bit more advancement ?

 

[zlatan65]

My recessed face :

 

[lurking truecel]

My recessed face : View attachment 3919093

What happend with the first one ?

 

[zlatan65]

What happend with the first one ?

Not advanced enough, very conservative movements

 

[zlatan65]

Do you think I should get a setback genio as well ?

 

[lurking truecel]

Do you think I should get a setback genio as well ?

Nah not really

 

[ltn_looksminner]

Not advanced enough, very conservative movements

Wow i noticed that’s the case with like 90% of people having a revision , btw do you get a discount when doing a revision ?

 

[zlatan65]

Wow i noticed that’s the case with like 90% of people having a revision , btw do you get a discount when doing a revision ?

No because it was not the same surgeon, the first one was in a public hospital so I paid nothing but they are way too conservative.

 

[ltn_looksminner]

No because it was not the same surgeon, the first one was in a public hospital so I paid nothing but they are way too conservative.

Oh i see , most of the free stuff is conservative

 

[AustrianMogger]

Do you think I should get a setback genio as well ?

Probably leave chin be or advance slighty.
However you should cut down hard you look quite obese

 

[zlatan65]

Probably leave chin be or advance slighty.
However you should cut down hard you look quite obese

I'm actually not fat at all, I'm 80kg for 1m90. It's just my forward head posture and recessed jaws that create a fat pad

 

[AustrianMogger]

I'm actually not fat at all, I'm 80kg for 1m90. It's just my forward head posture and recessed jaws that create a fat pad

Very fat. Cut down to 70 or 65kg

 

[zlatan65]

65kg for 1m90 lol bro you want me to be a skeleton ? The bimax will solve a lot of this problem, my jaws are too far back for now and pinching against my neck.

 

[LEFORT17]

No because it was not the same surgeon, the first one was in a public hospital so I paid nothing but they are way too conservative.

Didnt u do 3d planning and talking about movements before?

 

[Vannen1234]

jaw is literally clenching ur neck advance it a bit more

 

[zlatan65]

Didnt u do 3d planning and talking about movements before?

No it was public hospital they don't care what you ask and disdain your requests, they don't even want to show you the movements.
They think because you get it for free they don't have to make any efforts towards you and do the bare minimum...

 

[zlatan65]

jaw is literally clenching ur neck advance it a bit more

I thought as well but my front incisors are already past my nose bridge bone... I fear advancing more would lead to the dreaded chimp lips don't you think ?

 

[LEFORT17]

No it was public hospital they don't care what you ask and disdain your requests, they don't even want to show you the movements.
They think because you get it for free they don't have to make any efforts towards you and do the bare minimum...

huge mistake

 

[monecel]

The torquing of the TMJs seems overdone, you don't want a jaw that wide, ideally you want it like 88-92% of the bizygomatic width on the high end, it doesn't look ideal imo

 

[zlatan65]

The torquing of the TMJs seems overdone, you don't want a jaw that wide, ideally you want it like 88-92% of the bizygomatic width on the high end, it doesn't look ideal imo

Yes you are right, the surgeon has already planned to trim a bit the gonions to avoid TMJs, I forgot to mention it.

 

[geenk worg]

you're trying to get dogmaxxed my dude.

 

[geenk worg]

My recessed face : View attachment 3919093

your head is tilted downwards. you're not nearly as recessed as you think you are

 

[zlatan65]

your head is tilted downwards. you're not nearly as recessed as you think you are

Yes I do consciously tilt my head down in this picture to make my Frankfurt plane horizontal.
Because I have a bad forward head posture, I always tilted my head up because I couldn't even breathe through my nose before the first bimax... My jaws are still recessed if I have proper neck and head posture, such as in the picture.

So yes I tilt my head down to make my head horizontal actually. I hope the new surgery will help me maintain proper head posture.

 

[zlatan65]

For example right now I cannot sleep flat on my back, my jaws clenching my neck will make me choke and wake me up. I am still recessed for sure, I asked him for a bit more advancement : +10mm on the maxila that's a big movement actually but my face is very retruded anyway

 

[geenk worg]

Yes I do consciously tilt my head down in this picture to make my Frankfurt plane horizontal.
Because I have a bad forward head posture, I always tilted my head up because I couldn't even breathe through my nose before the first bimax... My jaws are still recessed if I have proper neck and head posture, such as in the picture.

So yes I tilt my head down to make my head horizontal actually. I hope the new surgery will help me maintain proper head posture.

This photograph isn't even close to frankfort horizontal plane. if you do that plan you're gonna end up looking like a dog.