Why chin wing is pointless

Whirr22222

Whirr22222

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When i first researched about getting maxfac surgery to correct jaw recession, i often kept coming back to chin wing thinking it was the perfect surgery that i needed, due to my teeth already being straight. This was BEFORE i had a consultation with a good maxfac surgeon who told me the best option is ALWAYS BSSO. Even if your teeth are straight. This can be corrected by around 8-12 months of orthodontics to decompensate first (Create overbite) and then perform BSSO.

Yes if ur teeth are already aligned, decompensation is alot more effort but trust me its the right way to go about it

A BSSO will provide greater oral volume, more widening, safer, and more natural looking.
 
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When i first researched about getting maxfac surgery to correct jaw recession, i often kept coming back to chin wing thinking it was the perfect surgery that i needed, due to my teeth already being straight. This was BEFORE i had a consultation with a good maxfac surgeon who told me the best option is ALWAYS BSSO. Even if your teeth are straight. This can be corrected by around 8-12 months of orthodontics to decompensate first (Create overbite) and then perform BSSO.

Yes if ur teeth are already aligned, decompensation is alot more effort but trust me its the right way to go about it

A BSSO will provide greater oral volume, more widening, safer, and more natural looking.
I started decompensation with ortho this week and will go to Ramieri that I already seen on visio back in October 2024

isn't Chin wing just a more invasive cut of genio ? a guy that had mini chin wing with Ramieri in 2019 had it done along regular BSSO

i think mini chin wing allows BSSO while regular chin wing don't

However with BSSO you can do Ramus widening and I don't think you can done it with mini chin wing
 
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I started decompensation with ortho this week and will go to Ramieri that I already seen on visio back in October 2024

isn't Chin wing just a more invasive cut of genio ? a guy that had mini chin wing with Ramieri in 2019 had it done along regular BSSO

i think mini chin wing allows BSSO while regular chin wing don't

However with BSSO you can do Ramus widening and I don't think you can done it with mini chin wing
mini ching wing is half way between a genio and chinwing ye, i dont personally ever see a reason to do it
 
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But usually bsso alone maybot be good hence combined with ujs
 
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Bump and reminder
 
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bro Chin wing is the only osteotomy to phisically lengthen the mandibule vertically
Bsso lengthen it horizontally
stupid ass
 
bro Chin wing is the only osteotomy to phisically lengthen the mandibule vertically
Bsso lengthen it horizontally
stupid ass
How incredibly retarded of you, of course u have that cringy faggot as ur pfp. BSSO can lengthen vertically its called 3 point landing
 
How incredibly retarded of you, of course u have that cringy faggot as ur pfp. BSSO can lengthen vertically its called 3 point landing
that is absolutely true and I admit I was wrong
 
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How incredibly retarded of you, of course u have that cringy faggot as ur pfp. BSSO can lengthen vertically its called 3 point landing
Bro i searched it again and you’re wrong
It doesn’t make sense. You can’t have a good bite and vertically lengthen your mandibule with bsso only.

That’s why chin wing exist

3 point landing is a way of fixating the jaw after the osteotomy to prevent relapse
 
Bro i searched it again and you’re wrong
It doesn’t make sense. You can’t have a good bite and vertically lengthen your mandibule with bsso only.

That’s why chin wing exist

3 point landing is a way of fixating the jaw after the osteotomy to prevent relapse
My maxfac surgeon surely just made it up for no reason then!
 
My maxfac surgeon surely just made it up for no reason then!
If he moved it vertically it’s just a tiny bit. Not enough if you have a high ramus or vertically small mandibule

Decomp and bsso is just a way to lengthen the face horizontally.

How could it be otherwise ?

You think your surgeon is going to vertically lengthen your lower jaw without a lefort downgraft cut ? Can’t be happening

Why ? Because both jaws have to be connected by the teeth. So if one jaw moves down or up the other one has to follow (if you have a good bite)
 
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If he moved it vertically it’s just a tiny bit. Not enough if you have a high ramus or vertically small mandibule

Decomp and bsso is just a way to lengthen the face horizontally.

How could it be otherwise ?

You think your surgeon is going to vertically lengthen your lower jaw without a lefort downgraft cut ? Can’t be happening

Why ? Because both jaws have to be connected by the teeth. So if one jaw moves down or up the other one has to follow (if you have a good bite)
1744625653795
 
Bro, it proves my point.

You can do lengthening bsso.
But you can’t do it if you have a good bite without downgrafting the maxilla

AI is cool and all but you have to prompt it good and then read the text it gives you. It won’t make up for your lack of IQ.
 

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Bro, it proves my point.

You can do lengthening bsso.
But you can’t do it if you have a good bite without downgrafting the maxilla

AI is cool and all but you have to prompt it good and then read the text it gives you. It won’t make up for your lack of IQ.
Guess my surgeon made it up bro. Ur right we are both wrong
 
I started decompensation with ortho this week and will go to Ramieri that I already seen on visio back in October 2024

isn't Chin wing just a more invasive cut of genio ? a guy that had mini chin wing with Ramieri in 2019 had it done along regular BSSO

i think mini chin wing allows BSSO while regular chin wing don't

However with BSSO you can do Ramus widening and I don't think you can done it with mini chin wing
How did you start decompensation ? Did ramieri gave you the plans first ?
Also asking to you @Whirr22222
 
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How did you start decompensation ? Did ramieri gave you the plans first ?
Also asking to you @Whirr22222
No he just tell me straight without X-rays that visually I was an overbite patient and that I needed to find an ortho in France and start decompensation with him

French ortho will contact Ramieri in 6 month after start , it's the same process as for bluepilled surgeons so it doesn't make a difference wether you chose Ramieri or not.
 
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No he just tell me straight without X-rays that visually I was an overbite patient and that I needed to find an ortho in France and start decompensation with him

French ortho will contact Ramieri in 6 month after start , it's the same process as for bluepilled surgeons so it doesn't make a difference wether you chose Ramieri or not.
Do you know where I can get a CBCT scan in paris tho ? A lot of them only do it for the teeth these stupids cucks
 
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Do you know where I can get a CBCT scan in paris tho ? A lot of them only do it for the teeth these stupids cucks
Actually they also all refused to do it unless for teeth implants

You need a referral with a french maxillo surgeon that also do jaw implants like the one in Marseille I don't remember his name

Then tell them to give DICOMs files to you

Personally I will do then once I meet Ramieri in Rome in his clinic
 
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Guess my surgeon made it up bro. Ur right we are both wrong
Hey Maybe I was wrong. I think you're right.

I'm in a similar position as you. Teeth straight. But my lower jaw / chin is slightly recessed. And I lack oral volume.

I'm starting the processus of contacting surgeon etc will get my scan this month
 
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Why get only bso and not bimax tho ?
 
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@Whirr22222 You’re only gonna react with a stupid face ? Bro ok
 
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@Whirr22222 You’re only gonna react with a stupid face ? Bro ok
your points look completely reasonable. no prove to pointlessness of chin wing tho. @Whirr22222 could you elaborate what is your case? with photos if possible, what was the answer of the surgeon exactly

A BSSO will provide greater oral volume, more widening, safer, and more natural looking.
sure it is but:
>safer
BSSO always ends in inferior alveolar nerve injury with 15% chance of permanent damage (about 10% for <30 y.o.) - https://www.sciencedirect.com/science/article/pii/S2096691124000888

>more oral volume
why would you need more "oral volume" if you have enough space for straight teeth?

>widening
BSSO can't provide widening bcos it only moves mandible forward. I surmise widening is achieved by long chin wing when the bone split in 2 and radially rotated. BSSO + chin wing is common combo

Anyway, even with BIMAX/TRIMAX there is almost always a chin wing, at least short one. It gives the significant amount of ascension
 
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your points look completely reasonable. no prove to pointlessness of chin wing tho. @Whirr22222 could you elaborate what is your case? with photos if possible, what was the answer of the surgeon exactly


sure it is but:
>safer
BSSO always ends in inferior alveolar nerve injury with 15% chance of permanent damage (about 10% for <30 y.o.) - https://www.sciencedirect.com/science/article/pii/S2096691124000888

>more oral volume
why would you need more "oral volume" if you have enough space for straight teeth?

>widening
BSSO can't provide widening bcos it only moves mandible forward. I surmise widening is achieved by long chin wing when the bone split in 2 and radially rotated. BSSO + chin wing is common combo

Anyway, even with BIMAX/TRIMAX there is almost always a chin wing, at least short one. It gives the significant amount of ascension
What are u talking about? chin wing is like never used anymore anything ur viewing that uses that is very outdated. Wtf are u talking about a chin wing split in 2 also pahaaha no surgeon on earth does that except maybe Giant or that australian guy that lost his lisence now.

Oral volume is the only thing that matters for jawline visibility and good submental area

Also BSSO does provide widening by definition but it depends on the starting shape of the mandible how much it widens by
 
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>never used anymore
google "chin wing %country_name%". sometimes its called "sliding genio / short chin wing / mini chin wing", i imply it as mini CW here

>split in 2
i'm pretty sure i saw an op where a cut was also made as on the attached pic with rotating bones outwards, thus creating more prominent angles
1752775887691


>Oral volume is the only thing that matters for jawline visibility and good submental area
jawline visibility is based on skin stretching over the bone and soft tissue. you could have small oral volume and still have defined jawline and vice versa. you're mixing up things here

>BSSO does provide widening by definition
explain how this leads to widening of a jaw

1752776316971
 
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>never used anymore
google "chin wing %country_name%". sometimes its called "sliding genio / short chin wing / mini chin wing", i imply it as mini CW here

>split in 2
i'm pretty sure i saw an op where a cut was also made as on the attached pic with rotating bones outwards, thus creating more prominent angles
View attachment 3928906

>Oral volume is the only thing that matters for jawline visibility and good submental area
jawline visibility is based on skin stretching over the bone and soft tissue. you could have small oral volume and still have defined jawline and vice versa. you're mixing up things here

>BSSO does provide widening by definition
explain how this leads to widening of a jaw

View attachment 3928931
Go ahead and get it instead of BSSO and decomp, im not stopping u bro
 
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I had a chin wing and I went from potato face to mogger jaw, so it worked well.

It's a versatile surgery. Besides what's well known about it, you can also incorporate a side wing with it which widens the mandible border near the gonions. And with a chin shield you can extend the chin further than a normal genioplasty so there isn't an unsightly deep mentolabial fold. It also increases the ramus height.

Of course, it not replacement for a bimax. But not everyone wants a bimax - think of all the people that get just a sliding genioplasty done. Chin wing is basically a sliding genioplasty on steroids.

In my case I already had a perfect bite and my maxilla wasn't retrusive. So I went with a chin wing, thinking I could always do more jaw surgery later if needed. But as it turned out I was surprised how much the chin wing changed my face for the better.
 
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I had a chin wing and I went from potato face to mogger jaw, so it worked well.

It's a versatile surgery. Besides what's well known about it, you can also incorporate a side wing with it which widens the mandible border near the gonions. And with a chin shield you can extend the chin further than a normal genioplasty so there isn't an unsightly deep mentolabial fold. It also increases the ramus height.

Of course, it not replacement for a bimax. But not everyone wants a bimax - think of all the people that get just a sliding genioplasty done. Chin wing is basically a sliding genioplasty on steroids.

In my case I already had a perfect bite and my maxilla wasn't retrusive. So I went with a chin wing, thinking I could always do more jaw surgery later if needed. But as it turned out I was surprised how much the chin wing changed my face for the better.
not really into cw, who are typical candidates for this type of chin osteotomy. does it give horizontal advancement and jaw width?
 
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I had a chin wing and I went from potato face to mogger jaw, so it worked well.

It's a versatile surgery. Besides what's well known about it, you can also incorporate a side wing with it which widens the mandible border near the gonions. And with a chin shield you can extend the chin further than a normal genioplasty so there isn't an unsightly deep mentolabial fold. It also increases the ramus height.

Of course, it not replacement for a bimax. But not everyone wants a bimax - think of all the people that get just a sliding genioplasty done. Chin wing is basically a sliding genioplasty on steroids.

In my case I already had a perfect bite and my maxilla wasn't retrusive. So I went with a chin wing, thinking I could always do more jaw surgery later if needed. But as it turned out I was surprised how much the chin wing changed my face for the better.
can you show before / after photos? by side wing do you mean cut and rotations as on my pic?
1752907350102
 
I had a chin wing and I went from potato face to mogger jaw, so it worked well.

It's a versatile surgery. Besides what's well known about it, you can also incorporate a side wing with it which widens the mandible border near the gonions. And with a chin shield you can extend the chin further than a normal genioplasty so there isn't an unsightly deep mentolabial fold. It also increases the ramus height.

Of course, it not replacement for a bimax. But not everyone wants a bimax - think of all the people that get just a sliding genioplasty done. Chin wing is basically a sliding genioplasty on steroids.

In my case I already had a perfect bite and my maxilla wasn't retrusive. So I went with a chin wing, thinking I could always do more jaw surgery later if needed. But as it turned out I was surprised how much the chin wing changed my face for the better.
Did your vertical chin height increase?
 
I just wanted to add something I forgot which is a drawback, it leaves a step-off at the bottom corners of your mandible ridge near the gonion area. In my case, the surgeon bone-grafted over it to mask it somewhat. Now, I don't know if it's due to the bone graft or just my soft tissue distribution, but it's not actually visible to the naked eye in any photos in my case, even at low body fat. However if I press my fingers into the area I can feel it a little bit. I've seen a case where it is visible.

It's important to go to one of the top surgeons for a chin wing who has done a large volume of them. I spoke to someone privately here (steph4gr, he's now deleted his account) who shared their results with me and imo the surgeon did a bad job with it. The surgeon didn't even do any bone grafting over the step-offs on the chin or jaw. Steph had a major problem with the step-offs, he was having a melt down over it tbh. If you're having more than just sliding the mandible border forwards (e.g. dropping it down a bit or a side wing) this is extra important - you need someone who's had a lot of practice in knowing what the outcome will look like.

not really into cw, who are typical candidates for this type of chin osteotomy. does it give horizontal advancement and jaw width?
Yes and yes.

can you show before / after photos? by side wing do you mean cut and rotations as on my pic?View attachment 3933909
I've not seen that cut before. I did some googling now to find the image in my mind and noticed there's more variety in chin wing cuts than a few years ago.

The chin wing picture below shows the side wing I was referring to. Besides jaw dropping down you can see the side wing cut widens it either side. You'll note though in this picture it's not advancing the chin forward which is something important - there is a ton of variation with the chin wing. For example you might not want to drop the jaw down much like in this diagram and instead just want to move the chin forwards.

1752914291082


Did your vertical chin height increase?
Yeah a bit. But I was very chin deficient before. But the surgeon can easily combine it with a vertical lengthening osteotomy of the chin (or a chin widening one as well).
 
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I just wanted to add something I forget which is a drawback, it leaves a step-off at the bottom corners of your mandible ridge near the gonion area. In my case, the surgeon bone-grafted over it to mask it somewhat
1752915849804
step off you mean here right (red circle)? what about step-off created by moving chin forward, did you use graft there too? (blue circle)

Sorry for a ton of a question but you are valuable source of knowledge for us, all we'll be grateful if you can answer them

What material did you use for bone graft? If your own one - is it was taken during the same op or a separate? Did it require general sedation too?

Do you remember country where steph was from / whats the surgeon name? What was the name of your surgeon?

How's your osteotomy going, is it solid jaw as before surgery or still with holes? Did you have fixtures removed?
 
View attachment 3934053step off you mean here right (red circle)? what about step-off created by moving chin forward, did you use graft there too? (blue circle)

Sorry for a ton of a question but you are valuable source of knowledge for us, all we'll be grateful if you can answer them

What material did you use for bone graft? If your own one - is it was taken during the same op or a separate? Did it require general sedation too?

Do you remember country where steph was from / whats the surgeon name? What was the name of your surgeon?

How's your osteotomy going, is it solid jaw as before surgery or still with holes? Did you have fixtures removed?
Yes near that red circle, but in that image it's not a good example because the mandible wasn't moved forwards so you have to visualize it in your mind.

Blue circle, yes, grafted there as well in combination with what's known as a "chin chield".

Primary graft was autologous from the iliac crest (hip area). There may have been additional grafting material used as well.

I was banned from here recently for sharing negative information about a surgeon. I managed to get unbanned, but because of this I'm being more careful sharing specific names, so I'm not going to name or hint who Steph's surgeon was. My surgeon was Dr Zarrinbal.

Aesthetically my result still stands very good. No problems aesthetically. I've had lingering nerve damage though.
 
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I've had lingering nerve damage though.
for how long already and what are the symptoms?

Primary graft was autologous from the iliac crest (hip area). There may have been additional grafting material used as well.
did they take graft the same op CW was done or separate one? if separate, did they do it under general anesthesia as well?

Aesthetically my result still stands very good. No problems aesthetically
By osteotomy i mean do you have bone grown already in the place of cuts? Did you have fixtures removed?

so I'm not going to name or hint who Steph's surgeon was
sure, i understand. guess just naming the country is not against the rules tho
 
When i first researched about getting maxfac surgery to correct jaw recession, i often kept coming back to chin wing thinking it was the perfect surgery that i needed, due to my teeth already being straight. This was BEFORE i had a consultation with a good maxfac surgeon who told me the best option is ALWAYS BSSO. Even if your teeth are straight. This can be corrected by around 8-12 months of orthodontics to decompensate first (Create overbite) and then perform BSSO.

Yes if ur teeth are already aligned, decompensation is alot more effort but trust me its the right way to go about it

A BSSO will provide greater oral volume, more widening, safer, and more natural looking.
High iq
 
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