What movements should I request the surgeon to perform? [Trimax]

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Surgerymaxxingcel

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I'm about to consult a surgeon for Trimax and I don't really know what kind of movements I should insist, since surgeons often have different approaches. I'm obviously recessed af (especially on the right side of my face) with a small lower third, a subhuman concave shit profile when I laugh making my nose droop down and and the chin kinda go up. Would downgrafting be better than cw rotation? Idfk hopefully you can help me out
 

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Lefort 1 Osteotomy with CCW rotation. BSSO (mandibular advancement) GENIOPLASTY. Midface impaction,
 
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Ask for movements to be advanced to their fullest potential, closest to ideal. Show an image of the ideal side profile
 
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Im sorry for being retarted, but why exactly CCW? Wouldn't it result in less tooth show or something?
 
Ask for movements to be advanced to their fullest potential, closest to ideal. Show an image of the ideal side profile
Im sorry for being retarted, but why exactly CCW? Wouldn't it result in less tooth show or something?
 
Idk but bump nigga
 
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