Why does the nose get wider during bimax? How to avoid it?

[Deleted member 2729]

I've heard it even gets wider when the lefort movement ain't really big. Why is that? How can I avoid it?

 

[Deleted member 17829]

Why does the femur get wider during leg lengthening? How to avoid it?​

I've heard it even gets wider when the LON device ain't really big. Why is that? How can I avoid it?

 

[Deleted member 18879]

bone pressing against soft tissue = soft tissue stretches including nose

no way to avoid it other than rhinoplasty to adjust after surgery

 

[Pumanator]

Don't know kinda curious myself. on its website of Alfaro it says:
The most frequent soft tissue changes associated with maxillary surgery occur in the nasal tip, the nasolabial angle, the width of the alar base, the height of the upper lip, the position, and the nasofrontal angle.

Changes in the nose after orthognathic surgery - Instituto Maxilofacial

Orthognathic surgery aims to improve occlusal relationship and facial symmetry; However, with the performance of these surgical procedures, secondary changes may occur in the nasal projection and the angular relationship of the nose with the face. It is important to keep in mind that the...

www.institutomaxilofacial.com

The only thing I found is the muscle and changes in the nose area, but I am too low IQ to fully understand it.

It is very common that the nostril base width will increase after a maxillary osteotomy due to the release of the facial musculature from the wide subperiosteal undermining done across the maxilla. This can be corrected (restored) at the time of your rhinoplasty through either an internal alar cinch procedure or external nostril narrowing. Now that you are six months after your facial osteotomies, you can proceed with your rhinoplasty at any time.

Rhinoplasty wide-flat nose after double jaw surgery. (Photo)

Hello doctors! Last summer I underwent a double jaw surgery and my face has changed. Also my nose has changed. I didn't really like it before but now I don...

www.realself.com

Could only find this answer that was more in-depth, I am too low IQ to properly read medical studies.

The most likely explanation for this is the elevation of the periosteum of the anterior surface of the maxilla, together with the muscles and ligaments stabilizing the alar region

Review of nasal changes with maxillary orthognathic surgery

This article reviews the literature on nasal changes with maxillary orthognathic surgery. Understanding such changes is vital for surgical planning and for obtaining appropriate informed consent, and there are medico-legal implications. During orthognathic ...

www.ncbi.nlm.nih.gov

 

[Lars]

rhino is the only thing that will fix it i guess

 

[Deleted member 2729]

Why does the femur get wider during leg lengthening? How to avoid it?​

I've heard it even gets wider when the LON device ain't really big. Why is that? How can I avoid it?

Stop annoying me

bone pressing against soft tissue = soft tissue stretches including nose

no way to avoid it other than rhinoplasty to adjust after surgery

Does that mean with only lefort rotation 7 degrees resulting in 2mm advancement of the ANS I am more or less safe from nose fuckups?

Don't know kinda curious myself. on its website of Alfaro it says:
The most frequent soft tissue changes associated with maxillary surgery occur in the nasal tip, the nasolabial angle, the width of the alar base, the height of the upper lip, the position, and the nasofrontal angle.

Changes in the nose after orthognathic surgery - Instituto Maxilofacial

Orthognathic surgery aims to improve occlusal relationship and facial symmetry; However, with the performance of these surgical procedures, secondary changes may occur in the nasal projection and the angular relationship of the nose with the face. It is important to keep in mind that the...

www.institutomaxilofacial.com

The only thing I found is the muscle and changes in the nose area, but I am too low IQ to fully understand it.

It is very common that the nostril base width will increase after a maxillary osteotomy due to the release of the facial musculature from the wide subperiosteal undermining done across the maxilla. This can be corrected (restored) at the time of your rhinoplasty through either an internal alar cinch procedure or external nostril narrowing. Now that you are six months after your facial osteotomies, you can proceed with your rhinoplasty at any time.

Rhinoplasty wide-flat nose after double jaw surgery. (Photo)

Hello doctors! Last summer I underwent a double jaw surgery and my face has changed. Also my nose has changed. I didn't really like it before but now I don...

www.realself.com

Could only find this answer that was more in-depth, I am too low IQ to properly read medical studies.

The most likely explanation for this is the elevation of the periosteum of the anterior surface of the maxilla, together with the muscles and ligaments stabilizing the alar region

Review of nasal changes with maxillary orthognathic surgery

This article reviews the literature on nasal changes with maxillary orthognathic surgery. Understanding such changes is vital for surgical planning and for obtaining appropriate informed consent, and there are medico-legal implications. During orthognathic ...

www.ncbi.nlm.nih.gov

Mirin high IQ will read at home

rhino is the only thing that will fix it i guess

So I gotta pay pagnoni thousands just so he fucks up my nose to fix my jaw so then I need to pay him again to fix my nose?

 

[Deleted member 2729]

Bump

 

[hypergamy]

You should talk to your surgeon about it.

 

[Deleted member 2729]

You should talk to your surgeon about it.

Ofc they would try to sell me their product what's the point of that

 

[hypergamy]

Ofc they would try to sell me their product what's the point of that

Then find a new surgeon.

 

[Deleted member 2729]

Then find a new surgeon.

It's a world class surgeon

 

[hypergamy]

It's a world class surgeon

Then he wouldn’t shill a nose job to potentially ruin a paying customer relationship.

 

[Deleted member 2729]

Then he wouldn’t shill a nose job to potentially ruin a paying customer relationship.

You think Dr. Pagnoni can ascend me?

 

[dakchuh]

the nose cartilage can only flex a certain amount from forward jaw movement so your nose will widen because the alars have to go somewhere

 

[Deleted member 2729]

the nose cartilage can only flex a certain amount from forward jaw movement so your nose will widen because the alars have to go somewhere

What if my ANS is only advanced by 2mm?

 

[dakchuh]

What if my ANS is only advanced by 2mm?

u will have to judge if u need nose job after bimax

 

[Deleted member 2729]

u will have to judge if u need nose job after bimax

Do you know alot about bimax maxxing?

 

[hypergamy]

You think Dr. Pagnoni can ascend me?

Maybe. There was a user here who had a great result with him and pretty sure a user who got botched. IMO go with Ramieri.

 

[hypergamy]

the nose cartilage can only flex a certain amount from forward jaw movement so your nose will widen because the alars have to go somewhere

Hey man I got a few questions about bimax. Can i shoot u a pm?

 

[dakchuh]

Do you know alot about bimax maxxing?

Hey man I got a few questions about bimax. Can i shoot u a pm?

i dont know much about bimax beyond what i read on this forum lol. you can try pming sixcry or acromegaly_chad

 

[Deleted member 2729]

i dont know much about bimax beyond what i read on this forum lol. you can try pming sixcry or acromegaly_chad

Already talked to them

 

[WagedandReady]

Already talked to them

Late af but even VSP gets soft tissue projections wrong by a few millimeters, especially when djs is the proposed course of treatment.

If you’re only interested in hedging your bets, I guess go for the minimum/most conservative movements according your surgeon’s plan. Water suggestion but there’s not much else to say.

 

[DoctorLooksmax]

The alar base will get wider (could be a good or bad thing depending on your current nose). But the actual nasal bridge shouldn’t change. Imo it’s not always that noticable if your only had minor Lefort 1 advancement

 

[Deleted member 2729]

Late af but even VSP gets soft tissue projections wrong by a few millimeters, especially when djs is the proposed course of treatment.

If you’re only interested in hedging your bets, I guess go for the minimum/most conservative movements according your surgeon’s plan. Water suggestion but there’s not much else to say.

The alar base will get wider (could be a good or bad thing depending on your current nose). But the actual nasal bridge shouldn’t change. Imo it’s not always that noticable if your only had minor Lefort 1 advancement

Maxilla will only get rotation and thus 2mm advancement

 

[DoctorLooksmax]

Maxilla will only get rotation and thus 2mm advancement

Personally I can’t imagine such a small advancement causing a big effect on the nose but you will just have to get it and see.


If you need a nose job afterwards - it should be just a simple alar base reduction rather than any osteomy so I wouldn’t stress too much

 

[Deleted member 6764]

there's a literatue review on changes to the nose after bimax. take a look:

Review of nasal changes with maxillary orthognathic surgery

This article reviews the literature on nasal changes with maxillary orthognathic surgery. Understanding such changes is vital for surgical planning and for obtaining appropriate informed consent, and there are medico-legal implications. During orthognathic ...

www.ncbi.nlm.nih.gov