Thoughts on surgical plan?(BiMax+Genio+CCW)

[ddohcfun]

Wanted to get thoughts and advice on surgical plan, even tho there would be an improvement I’m still recessed in the after and doctor said that will be the case and any more movement is not possible. Surgery is in a week

 

[LEFORT17]

Wanted to get thoughts and advice on surgical plan, even tho there would be an improvement I’m still recessed in the after and doctor said that will be the case and any more movement is not possible. Surgery is in a weekView attachment 3994288View attachment 3994289View attachment 3994290View attachment 3994295

did you decompensate your bite fully? ur getting the most movement from your genio, almost 12mm. 10 degree ccw looks good too, its just the jaw movement, which isnt the most. This are still very big movements in total. A lot ccw, huge genio, ask your surgeon/ortho if theres anything u can do to max the jaw movements, in perticular the lower jaw since your upper one has already good projection, guessing ur black

 

[ddohcfun]

did you decompensate your bite fully? ur getting the most movement from your genio, almost 12mm. 10 degree ccw looks good too, its just the jaw movement, which isnt the most. This are still very big movements in total. A lot ccw, huge genio, ask your surgeon/ortho if theres anything u can do to max the jaw movements, in perticular the lower jaw since your upper one has already good projection, guessing ur black

If I’m not mistaken yes. My ortho had to fix a different orthos mistake and bring my teeth back to where they should be. And yeah the movements are big, just feel like my before and after aren’t the same as others who seemed to be as recessed as me. And yeah I’m black.

So maxilla movements are fine just need to see what else can be done for the lower jaw?

 

[LEFORT17]

If I’m not mistaken yes. My ortho had to fix a different orthos mistake and bring my teeth back to where they should be. And yeah the movements are big, just feel like my before and after aren’t the same as others who seemed to be as recessed as me. And yeah I’m black.

So maxilla movements are fine just need to see what else can be done for the lower jaw?

23mm pog is gonna be a huge improvement for you. if surgery is in a week, go for it. if your lower jaw still bothers you after your bimax, you can do another genio 6-12 months after. whose your surgeon?

 

[ltn_looksminner]

Huge W , can u ask the surgeon to give you more bigonial width ?

 

[geenk worg]

Are you asian or black?

 

[ddohcfun]

23mm pog is gonna be a huge improvement for you. if surgery is in a week, go for it. if your lower jaw still bothers you after your bimax, you can do another genio 6-12 months after. whose your surgeon?

Understood. Just wanted to make sure there wasn’t anything I was missing or should be asking for, I appreciate the advice. Also some local Dr in Atlanta that accepts my insurance.

 

[ddohcfun]

Are you asian or black?

black

 

[ddohcfun]

Huge W , can u ask the surgeon to give you more bigonial width ?

Appreciate it bro! How would I even ask for that? Just say it like you did here?

 

[LEFORT17]

Appreciate it bro! How would I even ask for that? Just say it like you did here?

ramus widening is the thing u can ask for

 

[ddohcfun]

ramus widening is the thing u can ask for

Definitely wouldn’t hurt to ask however due to the TMJ OA on my right side it’s probably not possible .

 

[tweaqo]

Mirin the huge movement.

Good luck bro.

 

[ltn_looksminner]

ramus widening is the thing u can ask for

isn’t that harder to do than increasing gonial width

 

[LEFORT17]

isn’t that harder to do than increasing gonial width

how would u increase gonial width then if it isnt ramus widening

 

[LEFORT17]

Definitely wouldn’t hurt to ask however due to the TMJ OA on my right side it’s probably not possible .

thats fine, the 10 degree ccw will make ur jaw look wider anyways

 

[ddohcfun]

thats fine, the 10 degree ccw will make ur jaw look wider anyways

Yeah definitely. Dr. said the 10 degree ccw is why he wasn't able to get more chin projection so I'll just see how i land in the end.

 

[ddohcfun]

Mirin the huge movement.

Good luck bro.

preciate it bro

 

[ltn_looksminner]

how would u increase gonial width then if it isnt ramus widening

 

[Foreverbrad]

This is ok since you are black. You can go back for round 2 of chin implant (or second Genio) and jaw implants if still not satisfied, or maybe a small amount of fillers would even do it.

 

[LEFORT17]

.

 

[tweaqo]

@ltn_looksminner
BSSO with custom plates can widen.

Pagnoni explained this to me

 

[LEFORT17]

@ltn_looksminner
BSSO with custom plates can widen.

Pagnoni explained this to me

isnt that ramus widening?