Why BiMAX is a dumb surgery

Luke LLL

Luke LLL

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Why would you cut the maxilla in half and only move part of it forward? Lefort 3 is the only Lefort surgery that makes sense because you are moving the whole maxilla (with zygos) forward. Lefort 1 and 2 from my understanding are more for function than looks.
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Lefort 3 is really risky and expensive. High chance of numbing + infection + recovery is brutal
 
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True; but lefort 3 is only for disabled people. Best option is double jaw with sliding genio and orbital implants or lefort 2 instead of double jaw
 
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Lefort 3 is really risky and expensive. High chance of numbing + infection + recovery is brutal
That's why I feel bone-anchored face pulling is superior.
True; but lefort 3 is only for disabled people. Best option is double jaw with sliding genio and orbital implants or lefort 2 instead of double jaw
Fuck all that
 
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Lefort 3 is really risky and expensive. High chance of numbing + infection + recovery is brutal
Who cares, would you rather have one brutal surgery that ascends you 3 psl points or 5 surgeries that hardly ascends you
 
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That's why I feel bone-anchored face pulling is superior.

Fuck all that
Yea sure but it doesn't work well on adults and you'd have to wear it religiously for like 3 years to see results
 
Who cares, would you rather have one brutal surgery that ascends you 3 psl points or 5 surgeries that hardly ascends you
That's why I feel bone-anchored face pulling is superior.
Yea sure but it doesn't work well on adults and you'd have to wear it religiously for like 3 years to see results
There's gonna be some crazy stuff happening with face pulling in the next few years. This is the revolution.
 
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True; but lefort 3 is only for disabled people. Best option is double jaw with sliding genio and orbital implants or lefort 2 instead of double jaw
That's why I feel bone-anchored face pulling is superior.

Fuck all that
Double jaw with genio and orbital implants is much easier to get than lefort 3
 
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how do u do that
You have to make an appliance, then buy copeandropes face bow and then wear that for like 20 hours a day for 3 years
 
Wait, but MSE expands laterally? How can u force forward growth too
You have to make an appliance, then buy copeandropes face bow and then wear that for like 20 hours a day for 3 years
no i mean how do u anchor it to the bone like the mse is being installed
u do both at the same time?
 
Double jaw with genio and orbital implants is much easier to get than lefort 3
Your bones shape should not be changed most of the time. It’s the placement that’s the issue. That’s why I don’t like genio either.
Wait, but MSE expands laterally? How can u force forward growth too

no i mean how do u anchor it to the bone like the mse is being installed
u do both at the same time?
Yes, you can attach a face mask / puller to MSE
You have to make an appliance, then buy copeandropes face bow and then wear that for like 20 hours a day for 3 years
No, I said bone anchored.
 
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Yes, you can attach a face mask / puller to MSE
Would pulling forward and laterally have any side effect? Btw can the facemask hinder the expansion of MSE or theyll both work along
And how applicable would that be? Whats the general consensus of orthodontists about facemasks?
Any threads where I can educate myself on how the mse is being installed and how it can be modified to attach with a facemask?
 
Would pulling forward and laterally have any side effect? Btw can the facemask hinder the expansion of MSE or theyll both work along
I don’t see why not. I’d imagine it’s better because you’re pushing the zygos outward while pulling them. Ronald Ead also did this.
 
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I don’t see why not. I’d imagine it’s better because you’re pushing the zygos outward while pulling them. Ronald Ead also did this.
SO is making an appliance + fm cope? Would it be better for me to just get mse and then use copeandropes fp on top?
 
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I don’t see why not. I’d imagine it’s better because you’re pushing the zygos outward while pulling them. Ronald Ead also did this.
Ok so, Ronald says one of the reasons he didnt use a FM along his MSE was convenience. How much do u gotta wear it to make an impact?

Also really important question: Would it make sense to PULL below the occlusal plane to support further growth (at the expense of it being downward) if you plan to get maxxilary rotation surgery afterwards?
 
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SO is making an appliance + fm cope? Would it be better for me to just get mse and then use copeandropes fp on top?
No. If you’re young the appliance can still split your suture. MSE will always be superior, but if you’re on a budget the appliance is worth a shot before you pull the trigger on MSE.
Ok so, Ronald says one of the reasons he didnt use a FM along his MSE was convenience. How much do u gotta wear it to make an impact?
12-14 hours per day. If you can wear it for 24 then that’s excellent. Ronald is high inhibition so he never wore it in public, and that’s why he got no forward growth.
 
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12-14 hours per day. If you can wear it for 24 then that’s excellent. Ronald is high inhibition so he never wore it in public, and that’s why he got no forward growth.
Holy crap, i wouldnt wear that shit in public too ngl, prob ill have to schedule it so i wear it in summer. Im a neet so ill be able to wear it 24hours a day then.

btw
Also really important question: Would it make sense to PULL below the occlusal plane to support further growth (at the expense of it being downward) if you plan to get maxxilary rotation surgery afterwards?
 
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Holy crap, i wouldnt wear that shit in public too ngl, prob ill have to schedule it so i wear it in summer. Im a neet so ill be able to wear it 24hours a day then.

btw
I could wear it 24/7 but would be a bit hard at work considering i work in a lively supermarket
 
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Also really important question: Would it make sense to PULL below the occlusal plane to support further growth (at the expense of it being downward) if you plan to get maxxilary rotation surgery afterwards?
forgive me if question is bad
Schematic of the occlusal plane orientation diverging with the Camper plan in Class II

So whats the optimal way to pull. Does the 3rd one grant more growth? Ronald is pulling upward here
Screenshot 2


I dont wanna look like an ape afterwards tho. I already got an overbite and my occlusal plane "line" is already negative if im getting this right. Before learning about MSE i was planning to get bimax with ccw rotation.
 
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Holy crap, i wouldnt wear that shit in public too ngl, prob ill have to schedule it so i wear it in summer. Im a neet so ill be able to wear it 24hours a day then.
I could wear it 24/7 but would be a bit hard at work considering i work in a lively supermarket
Ascend or die mirin
 
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forgive me if question is bad
View attachment 253965
So whats the optimal way to pull. Does the 3rd one grant more growth? Ronald is pulling upward here
View attachment 253966

I dont wanna look like an ape afterwards tho. I already got an overbite and my occlusal plane "line" is already negative if im getting this right. Before learning about MSE i was planning to get bimax with ccw rotation.
bump @nelson
Can actually pulling in negative angle make your eye area worse?
 
forgive me if question is bad
View attachment 253965
So whats the optimal way to pull. Does the 3rd one grant more growth? Ronald is pulling upward here
View attachment 253966

I dont wanna look like an ape afterwards tho. I already got an overbite and my occlusal plane "line" is already negative if im getting this right. Before learning about MSE i was planning to get bimax with ccw rotation.
Honestly I don’t think it will affect forward growth at all. Someone recently showed me a genius idea to pull at 2 different angles at the same time, and that makes a lot more sense. So basically imo if you want a more compact midface and no ape face then pulling above the plane makes the most sense.
bump @nelson
Can actually pulling in negative angle make your eye area worse?
Yes, this is possible as well. Pulling at a negative degree has never made sense to me.
I see mike mew 26th feb do you think he’d give me mse?
I have no association with Mike lol, I don’t know.
 
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No amount of facepulling will give u bimax levels of movement in the lower third. Lefort 3 is insane to suggest for a non-syndrome patient because of the huge risk of blindness (even from a looks perspective, it'll destroy soft tissue).
 
Honestly I don’t think it will affect forward growth at all. Someone recently showed me a genius idea to pull at 2 different angles at the same time, and that makes a lot more sense. So basically imo if you want a more compact midface and no ape face then pulling above the plane makes the most sense.
If you got the time elaborate on that 2 different angles method, if not i dont mind.

What im really curious about is if theres any case that pulling in higher angle doesnt affect your zygomatic/orbitals area?

Maybe what im asking is giga autistic and doesnt make sense but the purple is the area that receives the most pressure, thats how i visualize it in my brain i mean , but does the pressure move higher in the skull when we pull at a higher angle? Im just afraid that the lower maxilla (the the purplel) will just push against the upper skull so there wont be any effect higher in your maxilla, does what i ask make any sense?
Screenshot 3

Thats the last question im asking hope u reply @nelson
* I mean for sure we know that we cant rotate just by pulling in higher degree, because where will the actual bone in your higher maxillla go. Bone from your lower maxilla can only be removed via surgery in order for a more compact face to be aquired right?
*inb4 @nelson caging with my questions jfllllll
 
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If you got the time elaborate on that 2 different angles method, if not i dont mind.

What im really curious about is if theres any case that pulling in higher angle doesnt affect your zygomatic/orbitals area?

Maybe what im asking is giga autistic and doesnt make sense but the purple is the area that receives the most pressure, thats how i visualize it in my brain i mean , but does the pressure move higher in the skull when we pull at a higher angle? Im just afraid that the lower maxilla (the the purplel) will just push against the upper skull so there wont be any effect higher in your maxilla, does what i ask make any sense?
View attachment 253989
Thats the last question im asking hope u reply @nelson
* I mean for sure we know that we cant rotate just by pulling in higher degree, because where will the actual bone in your higher maxillla go. Bone from your lower maxilla can only be removed via surgery in order for a more compact face to be aquired right?
Here is the 2 pulling angles theory:
Maybe rather to have only 2 elastics we should have 2+2 who pull at differebts angles to attack the maxilla 2 time stronger but in a different position .

Like on this shitty non realistic drawing :

View attachment 253717

Basically this represent. A pulling angle of 45° and an another one of 60-65°

Or maybe it can be 20°+60° i dont know...broscience as allaways.
Sorry I can’t answer the other question fully right now, I almost fell asleep writing this. Think about facepulling as a tree stump being pulled out of the ground.
 
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Here is the 2 pulling angles theory:

Sorry I can’t answer the other question fully right now, I almost fell asleep writing this. Think about facepulling as a tree stump being pulled out of the ground.
Y it makes sense if i imagine it correctly. Ok bro take a rest, thanks for ur answers. Im gonna ask u about my last question when i see u online again jfl
 
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forgive me if question is bad
View attachment 253965
So whats the optimal way to pull. Does the 3rd one grant more growth? Ronald is pulling upward here
View attachment 253966

I dont wanna look like an ape afterwards tho. I already got an overbite and my occlusal plane "line" is already negative if im getting this right. Before learning about MSE i was planning to get bimax with ccw rotation.
If you were pulling to retract your lower third and expand your upper jaw (underbite), would it be better it to pull #1, #2 or #3?

I am currently pulling at #2.
 
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If you were pulling to retract your lower third and expand your upper jaw (underbite), would it be better it to pull #1, #2 or #3?

I am currently pulling at #2.
I really dont know. #2 seems like a "safe" way to pull i guess?

When @nelson can i wish he replies to this
If you got the time elaborate on that 2 different angles method, if not i dont mind.

What im really curious about is if theres any case that pulling in higher angle doesnt affect your zygomatic/orbitals area?

Maybe what im asking is giga autistic and doesnt make sense but the purple is the area that receives the most pressure, thats how i visualize it in my brain i mean , but does the pressure move higher in the skull when we pull at a higher angle? Im just afraid that the lower maxilla (the the purplel) will just push against the upper skull so there wont be any effect higher in your maxilla, does what i ask make any sense?
View attachment 253989
Thats the last question im asking hope u reply @nelson
* I mean for sure we know that we cant rotate just by pulling in higher degree, because where will the actual bone in your higher maxillla go. Bone from your lower maxilla can only be removed via surgery in order for a more compact face to be aquired right?
*inb4 @nelson caging with my questions jfllllll
 
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I really dont know. #2 seems like a "safe" way to pull i guess?

When @nelson can i wish he replies to this
I agree it's definitely the safest way. That's what the orthodontist recommended as well.
 
Why would you cut the maxilla in half and only move part of it forward?
because the end result is super aesthetic
1580745902317
1580745952388
1580746006777
1580746012564
 
What im really curious about is if theres any case that pulling in higher angle doesnt affect your zygomatic/orbitals area?

Maybe what im asking is giga autistic and doesnt make sense but the purple is the area that receives the most pressure, thats how i visualize it in my brain i mean , but does the pressure move higher in the skull when we pull at a higher angle? Im just afraid that the lower maxilla (the the purplel) will just push against the upper skull so there wont be any effect higher in your maxilla, does what i ask make any sense?
View attachment 253989
Thats the last question im asking hope u reply @nelson
* I mean for sure we know that we cant rotate just by pulling in higher degree, because where will the actual bone in your higher maxillla go. Bone from your lower maxilla can only be removed via surgery in order for a more compact face to be aquired right?
*inb4 @nelson caging with my questions jfllllll
Why wouldn't the bone in the higher maxilla move forward as well?
 
Midface implants instead of orbital and i agree
You would need both a custom implant to augment the malar eminence and paranasal area + lateral and infraorbital rim implants to achieve the same result as a Lefort 3.

You could get a designed custom implant to cover the whole area, like this one:
Custom-Infraorbital-Maxillary-Malar-Implants-thicknesses-color-mapping-Dr-Barry-Eppley-Indianapolis-300x189.jpg
 
You would need both a custom implant to augment the malar eminence and paranasal area + lateral and infraorbital rim implants to achieve the same result as a Lefort 3.

You could get a designed custom implant to cover the whole area, like this one:
Custom-Infraorbital-Maxillary-Malar-Implants-thicknesses-color-mapping-Dr-Barry-Eppley-Indianapolis-300x189.jpg
Move bones or die mirin
 
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Bimax isn’t a dumb surgery because if you’re like me with a big nose moving lower third forward and also having a genio makes a huge difference
 
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Do you have negative iq?
 

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