surgery plan

[confirmas]

visited surgeon yesterday, he told me that my upper palate is 5mm narrower than the lower and first of all i need to fix my occlusion, so i’ll get a SARPE this or next month
why not MARPE? Well, i already have wide bizygo compared to my ipd and bigonial.
Then, most likely in summer 2028 i’m doing bimax, or mb trimax with ccw rotation.
I do it mostly for functional benefits, but i hope that it’s going to impact the aesthetics too, since my side is much worse than my front.

If somebody reading that thread does have any personal experience of those surgeries, then please tell me if i’m wrong

 

[Oscaridk]

visited surgeon yesterday, he told me that my upper palate is 5mm narrower than the lower and first of all i need to fix my occlusion, so i’ll get a SARPE this or next month
why not MARPE? Well, i already have wide bizygo compared to my ipd and bigonial.
Then, most likely in summer 2028 i’m doing bimax, or mb trimax with ccw rotation.
I do it mostly for functional benefits, but i hope that it’s going to impact the aesthetics too, since my side is much worse than my front.

If somebody reading that thread does have any personal experience of those surgeries, then please tell me if i’m wrong

Maybe try rhinoplasty too, great job man you got this

 

[confirmas]

Maybe try rhinoplasty too, great job man you got this

maybe, i like my hump honestly, but from the front my nose looks pretty bad so that’s why

 

[Oscaridk]

maybe, i like my hump honestly, but from the front my nose looks pretty bad so that’s why

Ok man, aesthetically it's not ideal but you can decide for yourself I repped btw

 

[confirmas]

bump

 

[Animepilled]

dont need a bimax

 

[confirmas]

dont need a bimax

except my fucking flat downgrown face i have tmj dysfunction due to asym of my mandibule and ramuses, i have narrow airways and i have masked with dental retrusion class 3 underbite, what may be the reason for NOT doing bimax

 

[confirmas]

except my fucking flat downgrown face i have tmj dysfunction due to asym of my mandibule and ramuses, i have narrow airways and i have masked with dental retrusion class 3 overbite, what may be the reason for NOT doing bimax

 

[confirmas]

dont need a bimax

then what i do need?

 

[Animepilled]

except my fucking flat downgrown face i have tmj dysfunction due to asym of my mandibule and ramuses, i have narrow airways and i have masked with dental retrusion class 3 underbite, what may be the reason for NOT doing bimax

-you are not downgrown
-if anything it might only worsen a tmj disorder
-you need sleep studies to confirm narrow airways
-even if you have class 3 it's minimal
-the asymmetry is minimal, you are measuring it incorrectly cuz your whole skull is tilted
I doubt surgeons will agree to operate on you and even if someone does it will be extremely low roi

 

[confirmas]

-you are not downgrown
-if anything it might only worsen a tmj disorder
-you need sleep studies to confirm narrow airways
-even if you have class 3 it's minimal
-the asymmetry is minimal, you are measuring it incorrectly cuz your whole skull is tilted
I doubt surgeons will agree to operate on you and even if someone does it will be extremely low roi

1) even if i’m not downgrown, anterior projection of my bones is too low so my side will never look good
2) isn’t tmj the thing that should be fixed with djs?
3) doctor said that too, and yes i’ll do it. but i always notice that i breathe through my mouth, it’s just harder to breathe through nose
4) about the asym, i posted several threads with my face, and literally everyone said that the asymmetry nerfs me. my left ramus is noticeably longer that the right one and my occlusion plane is tilted, so idk how i measure it wrong
5) idk, surgeon said that this might be the only way to fix my clicking tmj, and also i guess that’s the only way i can achieve some forward growth

 

[confirmas]

1) even if i’m not downgrown, anterior projection of my bones is too low so my side will never look good
2) isn’t tmj the thing that should be fixed with djs?
3) doctor said that too, and yes i’ll do it. but i always notice that i breathe through my mouth, it’s just harder to breathe through nose
4) about the asym, i posted several threads with my face, and literally everyone said that the asymmetry nerfs me. my left ramus is noticeably longer that the right one and my occlusion plane is tilted, so idk how i measure it wrong
5) idk, surgeon said that this might be the only way to fix my clicking tmj, and also i guess that’s the only way i can achieve some forward growth

i honestly am in despair a little. i hope that it also might make my mfr better by rotating my jaws counterclockwise, because it’s long. and for sure i won’t make this surgery if i won’t be satisfied with the predicted facial changes, so my surgeon will scan my face and skull, and model the expected result

 

[confirmas]

applying side scan

 

[confirmas]

bump

 

[Lookologist003]

Then, most likely in summer 2028 i’m doing bimax, or mb trimax with ccw rotation.

Do you think you can get this (bellow)?

 

[confirmas]

Do you think you can get this (bellow)?
View attachment 5637679

No, not that much, but probably the direction is correct

 

[confirmas]

For sure i generally look for functional benefits, but i won’t do this surgery if it will make me look even worse than now

 

[confirmas]

b

 

[Lookologist003]

but i won’t do this surgery if it will make me look even worse than now

What do you expect to look like after your bimax? Your face is good now, and if you fuck up your face, there are damges beyond 10k and years in braces.

 

[confirmas]

What do you expect to look like after your bimax? Your face is good now, and if you fuck up your face, there are damges beyond 10k and years in braces.

like several millimetres of moving my maxilla and mandible forward, to breathe and look better. and less noticeable asym, which should also fix my tmj.
and lastly, i started to notice the thing that my lower jaw wants to sit more forward naturally, and the retrusion of my lower teeth won’t be enough to mask my underbite soon. I don’t know, i can’t even hold the tongue posture because there’s not enough place
I actually feel like fucking defected person because all of that shit with my health

 

[confirmas]

What do you expect to look like after your bimax? Your face is good now, and if you fuck up your face, there are damges beyond 10k and years in braces.

i feel like i already softmaxxed everything possible, except like my skin quality. and there’s no way to go much further without changing the structure of my bones and soft tissues. My base was way worse, now i get mtn ratings usually, but i still want to ascend
Like the shit stopping me are several ratios of my front, and literally everything about my side. Out of all surgeries i thought about, bimax or trimax are looking like the most worthy ones, and also they will be paid by my parents if i’ll decide

 

[Lookologist003]

and less noticeable asym, which should also fix my tmj.

I need to learn about how doctors fix asymmetries in the jaws. I don't understand how they can do that with a cant and bimax.

I don’t know, i can’t even hold the tongue posture because there’s not enough place

That does sound awful. But isn't the advice to use some sort of maxillary skeletal expander?

like several millimetres of moving my maxilla and mandible forward, to breathe and look better

Your face is kind of long. I remember that your midface ratio was no good.

I'm starting to think now that moving the jaws forward on a long face is not such a good idea, because it makes a long face longer. How much maxillary impaction can doctors do for you?

and also they will be paid by my parents if i’ll decide

Mogger parents.

 

[confirmas]

That does sound awful. But isn't the advice to use some sort of maxillary skeletal expander?

yeah it does, my tongue even starts to go between my teeth when i forget about that. I will most likely get SARPE, but i’ll also consider MARPE, if the simulated expected outcome will look good.

Your face is kind of long. I remember that your midface ratio was no good.

I'm starting to think now that moving the jaws forward on a long face is not such a good idea, because it makes a long face longer. How much maxillary impaction can doctors do for you?

my mfr is around 0,92 to 0,93 and that’s not fixable with lip lift bc my nose is quite long and ctp is alright i guess.
but i noticed, that since my jaws are retruded, the place behind my upper lip literally has no support, it’s not that bad now bc i have braces on now, but without them, my upper lip just hangs down.
I hope that some CCW rotation, might create that support for my upper lip to flip a liitle or something so my mfr could be at least 0,94 or 0,95

 

[confirmas]

I need to learn about how doctors fix asymmetries in the jaws. I don't understand how they can do that with a cant and bimax.

that’s somebody’s plan.
I was wrong about that they shorten one of ramus
However, this case looks a lot like mine

 

[confirmas]

How much maxillary impaction can doctors do for you?

first of all i should make my upper palate wider to get a correct occlusion, only after that they can tell me precise measurements and model expected result

 

[HelpMeAscend💔]

visited surgeon yesterday, he told me that my upper palate is 5mm narrower than the lower and first of all i need to fix my occlusion, so i’ll get a SARPE this or next month
why not MARPE? Well, i already have wide bizygo compared to my ipd and bigonial.
Then, most likely in summer 2028 i’m doing bimax, or mb trimax with ccw rotation.
I do it mostly for functional benefits, but i hope that it’s going to impact the aesthetics too, since my side is much worse than my front.

If somebody reading that thread does have any personal experience of those surgeries, then please tell me if i’m wrong

Im a grey can u tell me why exactly 2028?

 

[confirmas]

Im a grey can u tell me why exactly 2028?

Bimax is done only after 18, and i turned 17 3 days ago, so the next summer is also unavailable for me, and i don’t want to do
illegal surgery.

 

[Lookologist003]

it’s not that bad now bc i have braces on now, but without them, my upper lip just hangs down.

I have never heard of something like that before, but I'll take your word for it.

I will most likely get SARPE, but i’ll also consider MARPE, if the simulated expected outcome will look good.

What about this FME thing?

 

[confirmas]

I have never heard of something like that before, but I'll take your word for it.

I’m not completely sure, but that’s exactly how it feels, i will ask my surgeon about that

What about this FME thing?

I did a small research about that, FME also does widen bones connected to maxilla like marpe, but the main problem is that it’s very rare in my country and in my region especially, but i’ll go to ortho who works more with surgeon and ask that too

 

[confirmas]

I’m not completely sure, but that’s exactly how it feels

like i’ve just tried to put a little bit of tissue behind my upper lip and with that my mfr was like 0.945
I may be wrong and miss something, but it looks like it works

 

[Buterman]

Do you think you can get this (bellow)?
View attachment 5637679

impossible to achieve realistically speaking