Rate this bluepilled Bimax Result

[RecessedChinCel]

Why did they pull back the mandible instead of just advancing his upper jaw

Imaging going through braces, bimax, and brutal recovery just to be a recessed birdcel

 

[Deleted member 7725]

They didn't. They moved the upper jaw forward and the lower jaw back. It was a 15 mm underbite. If they did a 15mm lefort 1 he would look like he belonged in a zoo. He needs genio and jaw implants. His entire forehead is recessed as well so being gigaforward grown would look ridiculous.

 

[Deleted member 13332]

he is not meant to ascend
nothing can be done, bimax is not some miracle

 

[Lygodactylus]

he is not meant to ascend
nothing can be done, bimax is not some miracle

Nice Avi, can I fuck it

 

[Anchor_Ship]

Good result tbh

 

[Deleted member 13332]

Nice Avi, can I fuck it

yes fuck it

 

[Deleted member 19551]

LOL haven't seen a single bimax result that ascended more than 0.25 PSL on an average base man. I guess for deformed freakshows like this guy it's necessary anyway to get.

 

[Lygodactylus]

He can still get a wrap around implant

 

[materialistic]

The guy ascended.

 

[Darkthrone]

mexican

 

[FrenchareMedCucks]

Nice result from 2.75 trucel to 3.5 LTN ascension is legit 0.75 PSL. what did you expect from 2.5 to 5PSL?

 

[sergeant blackpill]

i dunno what underbite niggas complaining about, they got mogger jaws

 

[varbrah]

Generalized maxillary hypoplasia i.e. there’s little advancement to do without turning him into a flat nosed chimpanzee.

Conversely birdcels with normal nasomaxillary development will have enough nose to absorb large advancements and typically end up getting great results, given appropriate movements.

 

[Deleted member 7725]

Generalized maxillary hypoplasia i.e. there’s little advancement to do without turning him into a flat nosed chimpanzee.

Conversely birdcels with normal nasomaxillary development will have enough nose to absorb large advancements and typically end up getting great results, given appropriate movements.

He apparently got a 10mm lefort (according to his reddit post).

 

[Deleted member 8869]

Why did they pull back the mandible instead of just advancing his upper jaw

Imaging going through braces, bimax, and brutal recovery just to be a recessed birdcel

I would dramatically kill myself with the scalpell of the surgeon in front of his kids

 

[varbrah]

He apparently got a 10mm lefort (according to his reddit post).

I saw, sorry if unclear - wasn’t responding directly to OP’s question, just thoughts on the case.

But yeah, checks out with how excessively full the paranasal area is and the nose flattening. Way too big of an advancement in terms of aesthetics and likely done per standard OSA protocol given it’s +10mm exactly.

I can’t say it’s a bad result given his shit base though. Could do a bigger movement altogether to preserve the mandible and opt for hardcore nasal reconstruction after, but 10mm is already pushing the limit on advancement anyway, unless he were to opt for DO. Smaller movement = more off the mandible and his already looks like shit from losing just 5mm. Perfect LF2 patient but few would’ve operated on a non-syndromic.

 

[Deleted member 7725]

I saw, sorry if unclear - wasn’t responding directly to OP’s question, just thoughts on the case.

But yeah, checks out with how excessively full the paranasal area is and the nose flattening. Way too big of an advancement in terms of aesthetics and likely done per standard OSA protocol given it’s +10mm exactly.

I can’t say it’s a bad result given his shit base though. Could do a bigger movement altogether to preserve the mandible and opt for hardcore nasal reconstruction after, but 10mm is already pushing the limit on advancement anyway, unless he were to opt for DO. Smaller movement = more off the mandible and his already looks like shit from losing just 5mm. Perfect LF2 patient but few would’ve operated on a non-syndromic.

If he got lefort 2, wouldn't his nose project further than his forehead and look completely out of place? He already has a feminine nasofrontal angle.

 

[Deleted member 19499]

Still an improvement

 

[varbrah]

If he got lefort 2, wouldn't his nose project further than his forehead and look completely out of place? He already has a feminine nasofrontal angle.

Can probably throw in a little rotation to improve the naso-frontal no?

 

[Deleted member 7725]

Can probably throw in a little rotation to improve the naso-frontal no?

Possibly, but it would be a marginal improvement to what he got with lefort 1. I don't think he would be able to get much advancement at his nasal bone since it wouldn't take much for him to be at a 180 degree nasofrontal angle.

I think it's his frontal bone that's the issue tbh.

 

[varbrah]

Possibly, but it would be a marginal improvement to what he got with lefort 1. I don't think he would be able to get much advancement at his nasal bone since it wouldn't take much for him to be at a 180 degree nasofrontal angle.

I think it's his frontal bone that's the issue tbh.

Depends on what movement is appropriate and impossible to say w/o his scans. But due to the height of the maxilla (Nasion-to-ANS/U1 incisal tip, etc), with LF2 you should able to eek out a relatively large amount of advancement with a relatively small CCW rotation of the mobilized complex occuring at Nasion (this would decrease the Nasofrontal angle and increase nasal bone projection).

Ex., w/ simplifying assumptions (so the math works) and using my own measurements:

• Assume: Nasion, ANS, U1 incisal tip all lay perfectly along a vertical plane, w/ anatomy horizontal to arbitrary reference plane
• Assume: Flat occlusal plane (Mx Molar-U1 incisal tip parallel to arbitrary reference plane)
• Nasion-ANS distance = 60mm
• Nasion-U1 incisal tip distance = 90mm
• Mx Molar-U1 incisal tip distance = 24.5mm
• CCW about Nasion = 7 degrees

A-P change at ANS = 60*sin(7*pi/180) = +7.31mm
A-P change at U1 incisal tip = 90*sin(7*pi/180) = +10.97mm
Vertical change at ANS = 60-60cos(7*pi/180) = +0.45mm
Vertical change at U1 incisal tip = 90-90cos(7*pi/180) = +0.67mm
Change in occlusal plane angle = arcsin(0.67/24.5)*180/pi = -1.56 degrees (CCW)

Haven't done anything above 6th grade math since uni so highschool trigcels pls feel free to correct.