What's the aesthetic difference between posterior impaction with anterior down graft and a global downgraft for clockwise rotation?

Z

ZZZaaa

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They both make the face longer but what's the overall difference in aesthetic results between these 2 ways to do down grafts for cw rotation?
 
  • Hmm...
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If you already have a long face impaction may work but it is removing a quite significant amount of bone which should be avoided imo unless there is no other way
 

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