What surgery would I need?

[BUHbeet]

I have a. appointment coming up with my ortho soon and I’m gonna ask about possible surgery because my maxilla is definitely recessed and i have an edge to edge bite.

I was thinking I’d need a 3 piece lefort 1 (to advance my maxilla and widen my palate), BSSO to line up my bite, and a smal CCW rotation of both jaws. I’m curious as to what you guys have to say though and what movements (and amount of advancement) you think I’d need.

 

[geenk worg]

send ceph.

 

[lurking truecel]

View attachment 4363387
I have a. appointment coming up with my ortho soon and I’m gonna ask about possible surgery because my maxilla is definitely recessed and i have an edge to edge bite.

I was thinking I’d need a 3 piece lefort 1 (to advance my maxilla and widen my palate), BSSO to line up my bite, and a smal CCW rotation of both jaws. I’m curious as to what you guys have to say though and what movements (and amount of advancement) you think I’d need.

Set back no cap

 

[zaebalsya]

Set back no cap

Set back with just bsso or no?

 

[satangoy]

View attachment 4363387
I have a. appointment coming up with my ortho soon and I’m gonna ask about possible surgery because my maxilla is definitely recessed and i have an edge to edge bite.

I was thinking I’d need a 3 piece lefort 1 (to advance my maxilla and widen my palate), BSSO to line up my bite, and a smal CCW rotation of both jaws. I’m curious as to what you guys have to say though and what movements (and amount of advancement) you think I’d need.

I feel like ur jutting

 

[lurking truecel]

Set back with just bsso or no?

I mean could do a combo so the setback is less. But if he doesnt srt back he will look ogreish

 

[BUHbeet]

I feel like ur jutting

lmao what is jutting

 

[BUHbeet]

I mean could do a combo so the setback is less. But if he doesnt srt back he will look ogreish

can you explain why a set back? (not disagreeing just curious the reasoning)

 

[tyler1234]

can you explain why a set back? (not disagreeing just curious the reasoning

U don’t need a setback in the pic ur posture is just bad

 

[BUHbeet]

U don’t need a setback in the pic ur posture is just bad

yeah thats what i was thinking too. i wasn't paying attention to my posture tho, i honestly think i need a 3 piece lefort 1

 

[hrdcappedltn]

lmao what is jutting

Jutting is pushing your lower jaw forward to align better and look like it has proper growth (recessed mandible cope)

 

[BUHbeet]

Jutting is pushing your lower jaw forward to align better and look like it has proper growth (recessed mandible cope)

im def not jutting, my mandible is too strong compared to my maxilla

 

[satangoy]

lmao what is jutting

frauding ur jaw

 

[BUHbeet]

send ceph.

just got it back today

 

[geenk worg]

View attachment 4515588just got it back today

Definitely not counterclockwise rotation. Probably just correct the proclination of your upper teeth and get lefort 1 advancement (possibly a little bit of downward movement) . also your chin seems to be prognathic by itself, could use a chin setback.

 

[Cinnamon fan64]

Yeah get lefort 1 it looks like u got a slight underbite
And maybe fat grafting to both lips