D
Deleted member 18849
Kraken
- Joined
- Apr 7, 2022
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1] Fillers (cheap, shit, possibly migrate after some years)
2] Jaw Implants (can look uncanny or natural / risk of getting somewhat absorbed)
3] Side Wing Osteotomy
4] Lefort 1 CCW and as a result the mandible rotating and coming forward following the upper jaw therefore coming closer to the ‘observer’.
5] Ramus - gonions torquing out with BSSO/IMDO
6] This way is a fact of geometry, it has nothing to do with maxillofacial surgery or biology. Before you do 5) consider doing ramus lengthening surgery (distraction osteogenesis).
- Assuming that the limiting factor of how much they can widen the gonials area bone when doing the mandible split (torquing out) has to do with angle that you add by pulling the ramus outwards (otherwise TMJ issues).
Therefore longer ramus with the same angle means additional bigonial distance as a result of the mathematical formula s = r x θ.
Α normal torquing out bigonial width increase with regular IMDO/BSSO is about 5, or even 7mm if you push it enough. With the lengthened ramus it’s
s’ = r’ x θ (same angle = limiting factor).
So ramus lengthening is a surgery to consider not only because it’ll add dimorphism (ramus height) to your face, but because it will help you mandible widthmax.
2] Jaw Implants (can look uncanny or natural / risk of getting somewhat absorbed)
3] Side Wing Osteotomy
4] Lefort 1 CCW and as a result the mandible rotating and coming forward following the upper jaw therefore coming closer to the ‘observer’.
5] Ramus - gonions torquing out with BSSO/IMDO
6] This way is a fact of geometry, it has nothing to do with maxillofacial surgery or biology. Before you do 5) consider doing ramus lengthening surgery (distraction osteogenesis).
- Assuming that the limiting factor of how much they can widen the gonials area bone when doing the mandible split (torquing out) has to do with angle that you add by pulling the ramus outwards (otherwise TMJ issues).
Therefore longer ramus with the same angle means additional bigonial distance as a result of the mathematical formula s = r x θ.
Α normal torquing out bigonial width increase with regular IMDO/BSSO is about 5, or even 7mm if you push it enough. With the lengthened ramus it’s
s’ = r’ x θ (same angle = limiting factor).
So ramus lengthening is a surgery to consider not only because it’ll add dimorphism (ramus height) to your face, but because it will help you mandible widthmax.