Why Giant seems to be against using anterior impaction?

[Fairytale]

In all of @RealSurgerymax bimax cases he uses posterior downgraft.
Like f.e here where patient prob has gummy smile

But isn't anterior impaction better in such cases? Anterior impaction would be def better for facial height shortening, flattening mandibular plane and help making midface looking more compact.
Like with someone whos skeletal structure looks like this

Posterior downgraft wouldn't change that insanely steep plane and entire face that points downwards.

 

[RealSurgerymax]

Patient doesn’t have gummy smile

Patient needs facial height

Short face syndrome is ugly

Downgraft is aesthetic

Look at Raffaini results & plans

Would use anterior impacting when needed.

 

[ShawarmaFilth]

Patient doesn’t have gummy smile

Patient needs facial height

Short face syndrome is ugly

Downgraft is aesthetic

Look at Raffaini results & plans

Would use anterior impacting when needed.

Where can i find your before and afters on your patients?

 

[RealSurgerymax]

Where can i find your before and afters on your patients?

Zoom

Discords where patients want to share them if they trust you

A few posted on my instagram

 

[Fairytale]

Patient doesn’t have gummy smile

Patient needs facial height

Short face syndrome is ugly

Downgraft is aesthetic

Look at Raffaini results & plans

Would use anterior impacting when needed.

Yeah I know short face syndrome looks bad but when someone has really steep mandibular plane angle anterior impaction will be better choice to flatten it than posterior drop.
that patient doesn't need dramatic flattering by looking at his profile but someone with m.p.a. like this cephalographic drawing.

Or there are other ways to adress this issue that I don't know; I mean you have far bigger knowledge after all.

 

[Deleted member 32803]

Patient doesn’t have gummy smile

Patient needs facial height

Short face syndrome is ugly

Downgraft is aesthetic

Look at Raffaini results & plans

Would use anterior impacting when needed.

how short is a short face?

 

[ShawarmaFilth]

how short is a short face?

Midface above 1 to 1 or poor philtrum to chin ratio

 

[BlackpillRemedy]

In all of @RealSurgerymax bimax cases he uses posterior downgraft.
Like f.e here where patient prob has gummy smile
View attachment 2868709

But isn't anterior impaction better in such cases? Anterior impaction would be def better for facial height shortening, flattening mandibular plane and help making midface looking more compact.
Like with someone whos skeletal structure looks like this
View attachment 2868718
Posterior downgraft wouldn't change that insanely steep plane and entire face that points downwards.

Because anterior impaction is ONLY indicated for vertical maxillary excess.

Only people like Austin butler would benefit: