mvp2v1
Show me your bones & I will show you ur destiny
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I see it everywhere. This pattern of growth wherein those with idea growth have what looks like this compressed upper maxilla but large and tall lower maxilla. I sort of alluded to this idea in this post. Some examples of what I mean:
(Low effort comparison but you get the idea: Mike mew has a short nasal aperture consistent with the right skull (a pattern consistent with old well grown skulls) wheras Ronald (JawHacks) has a long nasal aperture and "down swung orbitals" (my concept))
P.S. When measuring midface length its best to measure from eyes to tip of nose. Its just more accurate when we want to talk about midface lengths, as you can have a long midface due to various factors (long philtrum but relatively shorter nasal aperture (anterior open bites), or long nasal aperture but short philtrum (deep bites)), a long nasal aperture is what creates (its always associated with downswing orbitals) the ugly flat midface look.
Some implications: Downgrafting is not enough and will often just make you look even worse. to correct the misharmony that has come about due to our downgrown melted faces we need to fix the proportions which we can only do by reducing the vertical height of the nasal aperture and orbitals, and of course we would then need to increase the vertical height of the lower maxilla which can easily be done with lf1.
Here is a theoretical way to achieve this:
Step 1:
By implanting an anchor and using protraction at certain angle we may be able to achieve this movement which if I remember the analysis I did a long time ago the height of the nasal aperture as shown in this picture decreases (apparently no change to orbitals though), notice that the occlusion now sit further up in space, meaning the face become shorter overall, probably too short...
Step 2:
Lefort 1 downdraft. unfortunately the lefort 1 cut will increase the nasal aperture again. Assuming there is no other way of performing lf1 so that we may get growth of the yellow area without impacting the nasal aperture then we could potentially resort to some kind of implant(?) that could bring reduce its height back to pre lefort levels.
Obv this wouldn't do anything for our downswing orbitals and all the other shit wrong with out face... but this is a problem/aspect that I don't see anyone talking about.
P.S. When measuring midface length its best to measure from eyes to tip of nose. Its just more accurate when we want to talk about midface lengths, as you can have a long midface due to various factors (long philtrum but relatively shorter nasal aperture (anterior open bites), or long nasal aperture but short philtrum (deep bites)), a long nasal aperture is what creates (its always associated with downswing orbitals) the ugly flat midface look.
Some implications: Downgrafting is not enough and will often just make you look even worse. to correct the misharmony that has come about due to our downgrown melted faces we need to fix the proportions which we can only do by reducing the vertical height of the nasal aperture and orbitals, and of course we would then need to increase the vertical height of the lower maxilla which can easily be done with lf1.
Here is a theoretical way to achieve this:
Step 1:
Step 2:
Lefort 1 downdraft. unfortunately the lefort 1 cut will increase the nasal aperture again. Assuming there is no other way of performing lf1 so that we may get growth of the yellow area without impacting the nasal aperture then we could potentially resort to some kind of implant(?) that could bring reduce its height back to pre lefort levels.
Obv this wouldn't do anything for our downswing orbitals and all the other shit wrong with out face... but this is a problem/aspect that I don't see anyone talking about.
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