trimax confirmed - need help with planning

[nishka]

hey guys i will be doing trimax in a month i need help with the planning

this the current plan surgeon said 2mm maxilla foward at ANS and 4mm at upper teeth is this too low?
and then genio to match




what i really want is that

my class 3 lip assessment to be fixed but also without causing chimp lip / flat upper lip


so i was wondering if 4mm at ans and 6 mm at upper teeth will be too much

would love to thank @yussimania for his help too
thank you for the help
video:

another thing i noticed is that my upper teeth are slightly flared forward:

surgeon said surgery first is fine tho

 

[yussimania]

hey guys i will be doing trimax in a month i need help with the planning View attachment 4531173


this the current plan surgeon said 2mm maxilla foward at ANS and 4mm at upper teeth is this too low?
and then genio to match

what i really want is that View attachment 4531176 my class 3 lip assessment to be fixed but also without causing chimp lip / flat upper lip


so i was wondering if 4mm at ans and 6 mm at upper teeth will be too much

would love to thank @yussimania for his help too
thank you for the help

don't do more than 4 + 6 i think you could end up chimped

I'm not good with movement numbers tho tbh

 

[yussimania]

also did the other surgeon get back to you?

 

[nishka]

also did the other surgeon get back to you?

bro is ghosting me lmao he still has to send me the entire plan
but from what i remember his plan was also very similar to the current one

 

[nishka]

don't do more than 4 + 6 i think you could end up chimped

I'm not good with movement numbers tho tbh

yes the real question is 2 mm at ANS + 4 mm at upper teeth vs 4 mm at ans + 6 mm upper teeth
i really just want the lip assessment to be fixed lmao

 

[nishka]

gemini is saying decomp first would be better. thoughts on this?

 

[LackEmpathyTherefor]

you’re doing it solely for the lip assessment right ?
You think it’s worth the money and recovery ?

Your front will barely change too

 

[LEFORT17]

whose the surgeon

 

[yussimania]

whose the surgeon

blah blah blah

 

[LEFORT17]

Orion Haas

uhhhh one of the surgeons on my list. saw the ramus widening and thought of ram or pag but haas had some cases too and hes does the sub nasal cut everytime

 

[yussimania]

you’re doing it solely for the lip assessment right ?
You think it’s worth the money and recovery ?

Your front will barely change too

genio will change front slightly but the main part is the side - i think the lip failo and philtrum from the side is pretty brutal imo

wdyt of his movements @LEFORT17 ?

 

[nishka]

you’re doing it solely for the lip assessment right ?
You think it’s worth the money and recovery ?

Your front will barely change too

yeah so basically the genio will be the main thing from front
also i am 25 and i am full sending it lol i dont wnat to keep thinking about it and going crazy

 

[nishka]

uhhhh one of the surgeons on my list. saw the ramus widening and thought of ram or pag but haas had some cases too and hes does the sub nasal cut everytime

is he doing the ramus widening in my plan too? and is he also doing the sub nasal cut?

 

[LEFORT17]

genio will change front slightly but the main part is the side - i think the lip failo and philtrum from the side is pretty brutal imo

wdyt of his movements @LEFORT17 ?

the rotation and chin advancement for lower lip support could help. movements are def good. op doesnt need more than that

 

[nishka]

the rotation and chin advancement for lower lip support could help. movements are def good. op doesnt need more than that

you like 2mm at ANS + 4 mm upper teeth or 4 mm at ANS + 6 mm upper teeth?

 

[nishka]

@yussimania maybe dm teh surgeon name inb4 bro starts charging 33k euros like pags

 

[LEFORT17]

is he doing the ramus widening in my plan too? and is he also doing the sub nasal cut?

yup both i instantly recognised the sub nasal cut. you can see it from the front when he shows the plan, the ANS (anterior nasal spine) gets cut around to avoid nasal changes. he also does ramus widening which u can see from under when the back proximal segment of the mandible (ramus part) gets widened.

 

[yussimania]

@yussimania maybe dm teh surgeon name inb4 bro starts charging 33k euros like pags

no one will go there anyway, Brazil has always been mentioned on the forum

plus Brazil is a poorer country therefore will charge less

 

[nishka]

no one will go there anyway, Brazil has always been mentioned on the forum

plus Brazil is a poorer country therefore will charge less

yeah for me he is going to do it in mexico
lets hope i dont get kidnapped lmao

 

[LEFORT17]

you like 2mm at ANS + 4 mm upper teeth or 4 mm at ANS + 6 mm upper teeth?

i dont think u need 6mm upper incisors movement. ur not hard recessed in that area. its also the part of the jaw plan where people can get chimp philtrum. ur fine with 4mm

 

[geenk worg]

Not worth it imo. get a genio instead
Your lip misalignment is most likely caused by soft tissue.

 

[LEFORT17]

yeah for me he is going to do it in mexico
lets hope i dont get kidnapped lmao

 

[nishka]

Not worth it imo. get a genio instead
Your lip misalignment is most likely caused by soft tissue.

the thing is i defo have an underbite its just hidden so if we wanna do things right bimax is required

 

[nishka]

is he still 25k for trimax?

let me dm you

 

[yussimania]

Not worth it imo. get a genio instead
Your lip misalignment is most likely caused by soft tissue.

his maxillary incisors are flared in the CT scan so I'd imagine it would be a worse lip allignment before orthodotnics was done

 

[nishka]

his maxillary incisors are flared in the CT scan so I'd imagine it would be a worse lip allignment before orthodotnics was done

you think i can get better result with decomp? my bite is stable rn but i am just wondering if i can get even better result with decomp

 

[yussimania]

you think i can get better result with decomp? my bite is stable rn but i am just wondering if i can get even better result with decomp

decomp = more advancement + it's generally just cleaner to do so

I don't think you need more advancement you will get a satisfactory result from the plan currently

instead of spending money on ortho u can get fat grafting done for the eyes

 

[yussimania]

btw ur philtrum looks way better in the after than before since it's really flat and unaesthetic

Thread 'Columnella-philtrum transition curve and reason for it' https://looksmax.org/threads/columnella-philtrum-transition-curve-and-reason-for-it.1623972/

 

[nishka]

btw ur philtrum looks way better in the after than before since it's really flat and unaesthetic

Thread 'Columnella-philtrum transition curve and reason for it' https://looksmax.org/threads/columnella-philtrum-transition-curve-and-reason-for-it.1623972/

i dont think it will look like that tho right? the simulation is maybe getting it wrong?