Surgery in 3 months. I've been given two options: LJS or DJS. Which is the best for me?

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wdfkjdksf

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Details:
Option 1: Lefort 1+ BSSO + Genioplasty with widening of the upper jaw to correct a narrow palate along with the forward movement. No mention of what rotation would occur in this scenario.

Option 2: BSSO + Genioplasty with a minor and likely unnoticeable amount of clockwise rotation of the lower jaw to align after the forward movement.

I have no details as to exact movement amounts yet, that is decided after my x-rays in an upcoming appointment.

My Current Perspective:
I worry that I have a recessed midface and that a DJS would give me a "left behind" look as my infraorbital area and zygomatic bone are going to have their recession accentuated.
I also worry there may be widening of my nose to a degree that may not be entirely solveable by rhinoplasty due to the forward movement + palate expansion, and that my nose is in my perspective nice as is.
Because of these concerns my current opinion is that LJS is the better option out of the two, as it corrects my most deficient aesthetic area with minimal risk of breaking the "harmony" of a face I'm largely happy with.

However this is a huge and costly decision and I want to make sure I'm making the right one. I am second guessing my thoughts often and worry that I am just used to my face and not seeing problems that are obvious to others. I posted my face to reddit and the top comment is recommending a DJS.

Any input and opinions here are appreciated.
 
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Lefort 1+ BSSO + Genioplasty + Infraorb-zygo implants
 
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1
 
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Thank you guys for the input. Are you thinking my concerns around a recessed midface are unfounded? I also worry that even with infraorbital/zygomatic implants that my eyes themselves would be a bit sunken in. This example of someones simulated results is I think a good example of my concern:
N6bc4ov88bv81
 
But on both reddit and this forum now its been largely DJS suggestions so I'm going to heavily consider this option if the forward movement he proposes isn't too extreme.
 
Thank you guys for the input. Are you thinking my concerns around a recessed midface are unfounded? I also worry that even with infraorbital/zygomatic implants that my eyes themselves would be a bit sunken in. This example of someones simulated results is I think a good example of my concern:
View attachment 3156464
these are incredibly hard to fix even with saddle its not much of falio unless someone just stares at ur side profile 99% of time
 
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Thank you all for the feedback. I don't think I wouldn't have done DJS without getting a push from an external source and I'm glad I made a thread to get my concerns challenged.

Surgery is November 6th.

4mm upper jaw forward movement.
10-13mm lower jaw foward movement.
Some degree of widening upper jaw + general counterclockwise rotation.
3-5mm genioplasty.

Will come back and share results months down the line once things settle.
Screenshot from 2024 10 31 13 56 55
Screenshot from 2024 10 31 13 56 42
 
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recovery update?
 
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Wake up from surgery, chad!
 
Everything went great, my movements appear to be exactly as planned. Its no immediate ascension but a clear upgrade.

Recovery incredibly rough the first week, constant pain and swelling and a feeling of really low energy. Swelling/pain dropped to totally manageable levels the second week. The usual jaw surgery experience.

My surgeon was Doctor Bobek in Seattle WA and without insurance, using his private clinic for the procedure, the total cost would have been only 20k (I was insured so went with a 100k hospital stay that was covered) so I intend to wait till 3-6 months for swelling to go all the way down and then do a comprehensive before/after post about the experience here because the expertise and price will probably really appeal to others.
 

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