Surgery planning and advice

[mateus17]

Some dude made this morph of me.
I have a narrow upper jaw so I’m going to see a doctor on the 10th of April to see if I can get a sarpe.
Would a sarpe and then lefort 1 (make my maxilla more prominent) paired with a bimax and genio(fix my lower third) make this morph slightly possible? Ofc I know that it’s impossible to even replicate this morph irl. Just want your thoughts on the direction of procedures that could make it look similar .

 

[snowslayer]

Some dude made this morph of me.
I have a narrow upper jaw so I’m going to see a doctor on the 10th of April to see if I can get a sarpe.
Would a sarpe and then lefort 1 (make my maxilla more prominent) paired with a bimax and genio(fix my lower third) make this morph slightly possible? Ofc I know that it’s impossible to even replicate this morph irl. Just want your thoughts on the direction of procedures that could make it look similar .

100% bro sarpe with lefort plus if you throw a bimax and genio in there will give you that mogger jaw your going for

 

[mateus17]

100% bro sarpe with lefort plus if you throw a bimax and genio in there will give you that mogger jaw your going for

Can’t even tell if this is sarcasm cause people love trolling on this forum. But thanks anyway.

 

[geenk worg]

Sarpe is not a good operation

 

[mateus17]

Sarpe is not a good operation

Elaborate. From what I know it will fix my narrow upper jaw .

 

[geenk worg]

Elaborate. From what I know it will fix my narrow upper jaw .

Most of the time sarpe expands more at the front of the maxilla which does not look good aesthetically
Parallel expansion is very rare

 

[LEFORT17]

Some dude made this morph of me.
I have a narrow upper jaw so I’m going to see a doctor on the 10th of April to see if I can get a sarpe.
Would a sarpe and then lefort 1 (make my maxilla more prominent) paired with a bimax and genio(fix my lower third) make this morph slightly possible? Ofc I know that it’s impossible to even replicate this morph irl. Just want your thoughts on the direction of procedures that could make it look similar .

bimax with jaw angle implants

 

[kaydd]

Forgot to mention the jaw angle implants?

 

[mateus17]

Most of the time sarpe expands more at the front of the maxilla which does not look good aesthetically
Parallel expansion is very rare

Interesting. After the consultation I’ll know whether it’s worth it or not.

bimax with jaw angle implants

your correct I jus had a look at vertical implants that can help with my ramus length.

 

[mateus17]

Forgot to mention the jaw angle implants?

Yeah vertical jaw angle implants will definitely help.

 

[kaydd]

Yeah vertical jaw angle implants will definitely help.

That much verticality is really unrealistic

 

[mateus17]

That much verticality is really unrealistic

Yeah I’m not stupid . But it will help this morph is merely a guide.

 

[bossman]

The main issue is the ramus length. Implants alone would not be able to fix this without causing dehiscence and looking extremely uncanny.

The best solution in your case is a custom osteotomy, akin to these images, followed by wraparound jaw implants after the osteotomy has healed.

This should be very easy for a maxillofacial surgeon, but I can imagine that many would be too bluepilled to do it.

 

[fatfuckingchuud]

Some dude made this morph of me.
I have a narrow upper jaw so I’m going to see a doctor on the 10th of April to see if I can get a sarpe.
Would a sarpe and then lefort 1 (make my maxilla more prominent) paired with a bimax and genio(fix my lower third) make this morph slightly possible? Ofc I know that it’s impossible to even replicate this morph irl. Just want your thoughts on the direction of procedures that could make it look similar .

people who say you need lefort are dumb, if you need to get marpe/sarpe definitely get it but a lefort is not worth it for you, the money and the suffering and you probably will. not even find a doctor who is willing to do one

 

[kaydd]

Yeah I’m not stupid . But it will help this morph is merely a guide.

Then next time give an actual morph instead of misleading

 

[mateus17]

Then next time give an actual morph instead of misleading

I didn’t make it. But your right

 

[mateus17]

Lefort 1 isn’t that crazy. Lefort 2-3 I would definitely agree with you on finding a dr would be impossible.

people who say you need lefort are dumb, if you need to get marpe/sarpe definitely get it but a lefort is not worth it for you, the money and the suffering and you probably will. not even find a doctor who is willing to do one

 

[kaydd]

The main issue is the ramus length. Implants alone would not be able to fix this without causing dehiscence and looking extremely uncanny.

The best solution in your case is a custom osteotomy, akin to these images, followed by wraparound jaw implants after the osteotomy has healed.


View attachment 4830563 View attachment 4830571


This should be very easy for a maxillofacial surgeon, but I can imagine that many would be too bluepilled to do it.

Cut could be done while bimax? Would a combination of jaw angle + bimax + that type of osteotomy be highly invasive/ aesthetic risk?

 

[mateus17]

The main issue is the ramus length. Implants alone would not be able to fix this without causing dehiscence and looking extremely uncanny.

The best solution in your case is a custom osteotomy, akin to these images, followed by wraparound jaw implants after the osteotomy has healed.


View attachment 4830563 View attachment 4830571


This should be very easy for a maxillofacial surgeon, but I can imagine that many would be too bluepilled to do it.

Brother let me tell you in the UK they are extremely blue pilled . Most of these procedures I will have to do abroad no doubt in my mind.

 

[fatfuckingchuud]

Lefort 1 isn’t that crazy. Lefort 2-3 I would definitely agree with you on finding a dr would be impossible.

maybe it isnt that crazy but it s still not worth it for him, life is too short to break your skull open for problems like his in my opinion but yk

 

[bossman]

Cut could be done while bimax?

Technically yes but not advised due to stability. Better to do the custom osteotomy, let it heal for 6-12 months and then do bimax.

Would a combination of jaw angle + bimax + that type of osteotomy be highly invasive/ aesthetic risk?

The best outcome is probably custom osteotomy, heal then bimax + implants which is fine to combine with an experienced surgeon.

This kind of custom osteotomy can be done very cheap with ease. But will not bring benefits to most bimax + jaw implant patients.

 

[mateus17]

Technically yes but not advised due to stability. Better to do the custom osteotomy, let it heal for 6-12 months and then do bimax.


The best outcome is probably custom osteotomy, heal then bimax + implants which is fine to combine with an experienced surgeon.

This kind of custom osteotomy can be done very cheap with ease. But will not bring benefits to most bimax + jaw implant patients.

Do you know any surgeons who you’d recommend for these procedures.

 

[kaydd]

Technically yes but not advised due to stability. Better to do the custom osteotomy, let it heal for 6-12 months and then do bimax.


The best outcome is probably custom osteotomy, heal then bimax + implants which is fine to combine with an experienced surgeon.

This kind of custom osteotomy can be done very cheap with ease. But will not bring benefits to most bimax + jaw implant patients.

I would not want to move an already half cut mandible forward within 6-12 months of doing that cut . But im not a surgeon either
I wonder why this didn't get mentioned once in @DonaldJTrump ‘s thread.
Thanks.
I don’t get why u recommended this to op tho, wouldn’t it carry around the same level of muscle dehiscence risk as a vertical implants?

 

[DonaldJTrump]

I would not want to move an already half cut mandible forward within 6-12 months of doing that cut . But im not a surgeon either
I wonder why this didn't get mentioned once in @DonaldJTrump ‘s thread.
Thanks.
I don’t get why u recommended this to op tho, wouldn’t it carry around the same level of muscle dehiscence risk as a vertical implants?

that osteotomy is barely done, too unknown and risky, often looks weird i think, just not worth it

 

[kaydd]

that osteotomy is barely done, too unknown and risky, often looks weird i think, just not worth it

i thought so too, but i dont wanna go agasint bossman

 

[Versipellis]

Some dude made this morph of me.
I have a narrow upper jaw so I’m going to see a doctor on the 10th of April to see if I can get a sarpe.
Would a sarpe and then lefort 1 (make my maxilla more prominent) paired with a bimax and genio(fix my lower third) make this morph slightly possible? Ofc I know that it’s impossible to even replicate this morph irl. Just want your thoughts on the direction of procedures that could make it look similar .

Your jaws are not recessed. What’s happening in the morph is lengthening of ramus. You need implants for that. No surgeon is going to do bimax for you that is retarded

 

[mateus17]

Your jaws are not recessed. What’s happening in the morph is lengthening of ramus. You need implants for that. No surgeon is going to do bimax for you that is retarded

They may not be recessed but it’s certainly has some downward growth I was thinking if I get a bimax (ccw) and they help the angle it will improve my side. Im not any kind of expert in these things so let me know if what I’m saying even makes sense but that’s how I’m viewing it.

 

[yussimania]

The morph looks ugly anyway

@vermicel remember what I said about the stomion and gonion relationship - some of these morphers ain't got a clue lol they just have a Jordan Barrett pfp

 

[mateus17]

The morph looks ugly anyway

@vermicel remember what I said about the stomion and gonion relationship - some of these morphers ain't got a clue lol they just have a Jordan Barrett pfp

yeah it’s bad. Some random did it for me

 

[bossman]

that osteotomy is barely done, too unknown and risky, often looks weird i think, just not worth it

i thought so too, but i dont wanna go agasint bossman

I respectfully disagree. Yes it is barely done and unknown. But no it is not risky and does not look weird. Whether it is worth it or not depends on the patient.

There is a small subset of capable maxillofacial surgeons who will use different cuts and osteotomies depending on the needs of each patient.

This is one example to fix asymmetry, by lengthening the jaw on one side

This is another example where this is done on both sides to create a masculine appearance of the jaw

As I said previously, there is very little that these types of osteotomies can achieve that bimax + implants cannot achieve. If you wish for a comprehensive advancement that addresses your entire lower face, then bimax is certainly the best option.

In the first example, this surgery was done because it was more cost-effective and carried less risk, and the only goal was to rectify the asymmetry. Some people just don't need a bimax.

I don't fully know the motivations behind the second example but it provides a better result than most jaw implants.

If you go to a maxillofacial surgeon who has experience with creative problem solving, and getting good results, you might be able to fix specific failos better, cheaper and safer than doing a bimax or implants. However, for people who require advancement and rotation of the maxilla, mandible and chin, a trimax is still the default option.

When it comes to ramuscels however, I still think this is the strongest option if you need an extreme amount of lengthening. Approximately 10mm of ramus lengthening is possible with implants, but if you need more, then you'll need an osteotomy that can provide more.

 

[Jgns]

I respectfully disagree. Yes it is barely done and unknown. But no it is not risky and does not look weird. Whether it is worth it or not depends on the patient.

There is a small subset of capable maxillofacial surgeons who will use different cuts and osteotomies depending on the needs of each patient.

This is one example to fix asymmetry, by lengthening the jaw on one side

View attachment 4833211

This is another example where this is done on both sides to create a masculine appearance of the jaw

View attachment 4833217
View attachment 4833218View attachment 4833219


As I said previously, there is very little that these types of osteotomies can achieve that bimax + implants cannot achieve. If you wish for a comprehensive advancement that addresses your entire lower face, then bimax is certainly the best option.

In the first example, this surgery was done because it was more cost-effective and carried less risk, and the only goal was to rectify the asymmetry. Some people just don't need a bimax.

I don't fully know the motivations behind the second example but it provides a better result than most jaw implants. I would still suggest well-designed jaw implants for most patients however.

If you go to a maxillofacial surgeon who has experience with creative problem solving, and getting good results, you might be able to fix specific failos better, cheaper and safer than doing a bimax or implants. However, for people who require advancement and rotation of the maxilla, mandible and chin, a trimax is still the default option.

When it comes to ramuscels however, I still think this is the strongest option if you need an extreme amount of lengthening. Approximately 10mm of ramus lengthening is possible with implants, but if you need more, then you'll need an osteotomy that can provide more.

second surgeon went crazy

 

[kaydd]

. Approximately 10mm of ramus lengthening is possible with implants, but if you need more, then you'll need an osteotomy that can provide more.

the facemetrics guy apparently got an inch of vertical height despite not having the worst ramus. Some people are just doomed to failure ig.


My main concern was the muscle dehiscence. Is it basically the same risk level as an implant? Or is it too case dependent and the surgeon should answer that.

 

[DonaldJTrump]

The main issue is the ramus length. Implants alone would not be able to fix this without causing dehiscence and looking extremely uncanny.

The best solution in your case is a custom osteotomy, akin to these images, followed by wraparound jaw implants after the osteotomy has healed.


View attachment 4830563 View attachment 4830571


This should be very easy for a maxillofacial surgeon, but I can imagine that many would be too bluepilled to do it.

what is this osteotomy called again