What surgery do I need?

[sqwertyl]

Hi guys,

My jaw has antegonial notch and I think my face is downward grown. I also have slight underbite and crossbite but can fix with Invisalign.

Do I need bimax with CCW or just braces?

My nose also has a slight hump due to recession. I've been trying to mew to fix it but it's only gotten slightly better.

I also have slight bimaxillary protrusion but I extracted my wisdom teeth which helped a bit. I still have some space back there so can pull teeth back further although not sure if that's the correct fix.

Please any advice? Do I need headgear or thumb pulling or belt pulling. Sorry I'm newbie. Is it even fixable?

Have a really short ramus and large gonial angle as well. Not sure if I can fix either.

Photo for reference:

Unbfrauded. Trying to keep neck straight:

Sorry for low quality photos also can't see jawline too clearly cuz kind of fat.

Anyways any tips would be appreciated.

Also how bad is it on scale of 1 to 10.

Thank you

 

[NZb6Air]

Lefort 2 + 1 + BSSO + Genio + Jaw angle implants

 

[sqwertyl]

So no CCW?

Also for the Genio would that help with the gonial angle or antegonial notch at all?

And instead of the Lefort 2 would infraorbital implants be enough with the Lefort 1?

Also would some kind of headgear protraction device give a similar result or totally different?

Same Q with belt pulling or thumb pulling, or would that only target the lower maxilla.

Thank you again.

 

[NZb6Air]

So no CCW?

possible

Also for the Genio would that help with the gonial angle or antegonial notch at all?

jaw angle implants/BSSO

And instead of the Lefort 2 would infraorbital implants be enough with the Lefort 1?

no cause they can't mimick nasion projection, i can't tell if u really need it tho

headgear protraction

useless in adults, the only thing i know is Dr Richard Ting saying headgear instantly after MSE can work

Same Q with belt pulling or thumb pulling, or would that only target the lower maxilla.

useless