Would this surgery improve my appearance [x-ray included]

[kaikomai]

I'm considering getting BSSO + Lefort 1 (with CCW rotation - i believe downgrafted?) to improve sleep apena.
But I'd be lying if I didn't also want to fix my flat mid-face, longer gonial angles, and jaw asymmetry.

Was offered genioplasty by two surgeons but so far not considering it because I'm fine with my chin as is.

Ive gone to several surgeons and they have all basically recommended some version of the above, but they are all saying that because of sleep apena/functional issues. I want to also ensure that I get the best result for aesthetics as well. Would love yall's opinions.

X ray attached (ignore wisdom teeth - they have since been removed)

 

[crosshold]

it definitely will

you have classic downward and recessed growth

 

[kaikomai]

Another note: Biggest fear is my lack of cheekbones. Most surgeons said it would be improved through soft tissue support (especially with forward movement of maxilla) but I have below average zygo projection, and i am a little worried that just moving everything forward + CCW will make me look like a chimp/monkey. I don't really want to get implants either... considering getting bone grafting, but could be convinced either way.

 

[DrOtaku]

You're mouth breathing in the X-ray

whatever you decide to do, Keep in mind that if you don't fix your mouth breathing and posture, surgery will just be a temporary solution in the longer game.

 

[StolenDays]

you might look like a monkey after LeFOrt 1, because the supposed soft tissue changes are not noticeable really

 

[kaikomai]

You're mouth breathing in the X-ray

whatever you decide to do, Keep in mind that if you don't fix your mouth breathing and posture, surgery will just be a temporary solution in the longer game.

lol dr said completely relaxing tongue/lip would help case with insurance. but i am definitely a mouth breather

 

[DrOtaku]

Another note: Biggest fear is my lack of cheekbones. Most surgeons said it would be improved through soft tissue support (especially with forward movement of maxilla) but I have below average zygo projection, and i am a little worried that just moving everything forward + CCW will make me look like a chimp/monkey. I don't really want to get implants either... considering getting bone grafting, but could be convinced either way.

Your zygos do that because of the downward growth from mouth breathing and posture. This is the only reason I don't like surgery as much as fixing things with gradual pressure. Pressure allows bones to bend back into shape. (actual pressure) not just sucking your tongue.

lol dr said completely relaxing tongue/lip would help case with insurance. but i am definitely a mouth breather

Your doctor said that!? MY BOY, you got yourself a good dr

 

[kaikomai]

Your zygos do that because of the downward growth from mouth breathing and posture. This is the only reason I don't like surgery as much as fixing things with gradual pressure. Pressure allows bones to bend back into shape. (actual pressure) not just sucking your tongue.

Your doctor said that!? MY BOY, you got yourself a good dr

Yup the surgeon is also sending me to a myofunctional therapist for improving the tongue posture and mouth breathing.

At this point its mostly about making sure I get the exact right surgery to improve looks, and then getting approval from insurance.

 

[crosshold]

i say just get it and assess where you're at when the time comes. if you look like a monkey there are definitely procedures to fix that

 

[kaikomai]

i say just get it and assess where you're at when the time comes. if you look like a monkey there are definitely procedures to fix that

what procedures?

 

[crosshold]

what procedures?

zso, paranasal implants, lefort 2 depending on your issue