jawsurgeryforums.com
Before/After Photos => Overbites => Topic started by: Tiny on August 03, 2013, 07:40:06 AM
-
Without further ado, I present....my cephs. Check out how tiny the ramus of the mandible is... :o The upper incisors are retroclined - maxillary incisal angle is around 90 degrees, in normal occlusion it is around 110. This is common in Class 2 people who have had orthodontic correction
(http://i14.photobucket.com/albums/a337/izzification/OPTsmall.jpg) (http://s14.photobucket.com/user/izzification/media/OPTsmall.jpg.html)
(http://i14.photobucket.com/albums/a337/izzification/latcephcrop.jpg) (http://s14.photobucket.com/user/izzification/media/latcephcrop.jpg.html)
And, as I see things, my 2 surgical options -
Decompensate upper incisors, followed by BSSO
(http://i14.photobucket.com/albums/a337/izzification/Plan1.jpg) (http://s14.photobucket.com/user/izzification/media/Plan1.jpg.html)
Rotational Le Fort 1 + BSSO
(http://i14.photobucket.com/albums/a337/izzification/plan2.jpg) (http://s14.photobucket.com/user/izzification/media/plan2.jpg.html)
-
Hey Celtic Girl. Has the Doctor told you which procedures he would recommend? How many consults have you had so far?
-
is your implant secured in place with a screw?
-
Hey Celtic Girl. Has the Doctor told you which procedures he would recommend? How many consults have you had so far?
1, I'm waiting for the full plan. Either decomp + BSSO or bimax with CCW rotation of the maxilla. The latter will give a slightly better result but obviously a tougher recovery. I am having at least 1 more consult.
is your implant secured in place with a screw?
Yes. I should take it out and get a genio really but it depends on how much more that will cost
-
I think you should go for the option which will give you A LOT more length. And a fairly aggressive genio (yes have the implant removed), potentially with a lengthening genio as well. Look up pictures of the actress Ahna O'reilly --I think you should use her jawline as a model for the type of look you'd like to achieve. Part of it is that her jaw angles are wider than yours, but bringing the jaws forward will give you some additional width as well. I'm usually in favor of more aggressive transformational changes, so take my advice with a grain of salt, but if you were aiming for perfection, I'd certainly advise the more aggressive solution. You need a lot more mandible, chin projection in my opinion.
-
I also favour a reasonably aggressive approach. The best way to lengthen would be to get a ramus BSSO but the problem with that is that the masseter muscle is so strong it pushes the jaw back up to original position
Ramus bsso -
(http://i14.photobucket.com/albums/a337/izzification/ramus.jpg)
-
you mean an inverted-L osteotomy?
-
IVRO also requires you to stay wired (~60 days for the bone to heal) since there isn't enough space for the plates or screws :-[
-
you mean an inverted-L osteotomy?
No, I don't - that's usually used in extreme cases where congenital disorders are involved. I mean a bsso in the ramus of the mandible like this -
(http://i14.photobucket.com/albums/a337/izzification/08F40805-973C-4DAD-91FF-1D55D0022F0A-536-0000005389CC14F0.jpg)
Or this, but it doesn't look as good for lengthening the ramus -
(http://i14.photobucket.com/albums/a337/izzification/9646E414-81E2-4D99-A08B-E430D3BA64B4-536-0000005294A74551.jpg)
-
Class II Division 2: The molar relationships are class II but the central are retroclined and the lateral teeth are seen overlapping the centrals.
Basically it's what you tend to get when you correct a deficient mandible with orthodontics rather than surgery
-
No, I don't - that's usually used in extreme cases where congenital disorders are involved. I mean a bsso in the ramus of the mandible like this -
(http://i14.photobucket.com/albums/a337/izzification/08F40805-973C-4DAD-91FF-1D55D0022F0A-536-0000005389CC14F0.jpg)
Or this, but it doesn't look as good for lengthening the ramus -
(http://i14.photobucket.com/albums/a337/izzification/9646E414-81E2-4D99-A08B-E430D3BA64B4-536-0000005294A74551.jpg)
a short-split ramus osteotomy is used to lengthen the ramus without stretching the muscles, but I highly doubt it would be indicated in your case
-
a short-split ramus osteotomy is used to lengthen the ramus without stretching the muscles, but I highly doubt it would be indicated in your case
Why not, given how short my ramus is?
-
Why not, given how short my ramus is?
two reasons:
1.) a short split only cuts the ramus at the distal segment (to avoid stretching the pterygomandibular sling and pterygoid muscle), and is the rotated counterclockwise, so it's only indicated in open bites. given the current positioning of your maxilla you'd have to downgraft the posterior to create an open bite and then do the bsso. I doubt you'll find a surgeon willing to do it.
2.) I don't think it'd give you the aesthetic improvement you're looking for in a ramus-lengthening procedure
I too wish there was an effective ramus-lengthening procedure :(
-
two reasons:
1.) a short split only cuts the ramus at the distal segment (to avoid stretching the pterygomandibular sling and pterygoid muscle), and is the rotated counterclockwise, so it's only indicated in open bites. given the current positioning of your maxilla you'd have to downgraft the posterior to create an open bite and then do the bsso. I doubt you'll find a surgeon willing to do it.
This is what I've drawn in the pictures. CCW rotation of the maxilla to open the deep bite and then some kind of BSSO. It was suggested as a surgical options and I've seen other cases. It really lengthened the face signincantly.
In the future DO should be able to lengthen the ramus, all we can do now is get angle implants...
-
This is what I've drawn in the pictures. CCW rotation of the maxilla to open the deep bite and then some kind of BSSO. It was suggested as a surgical options and I've seen other cases. It really lengthened the face signincantly.
right, but the cuts are made along different parts of the ramus. It's not as cut and dry as the diagram you posted which as you said would likely lead to a high degree of relapse
In the future DO should be able to lengthen the ramus, all we can do now is get angle implants...
Yeah too little too late. as of now we're forced to make compensatory movements like cutting a normal maxilla up to rotate an underdeveloped mandible.
really unfortunate, so many occlusions could be solved so much more effectively via a ramus osteotomy. that's where the future of orthognathic surgery lies
-
Any idea why it's not possible to do DO in the ramus at the moment?
-
mainly the same issues as osteotomies, dealing with the counteractions of soft tissue. when we find a way to effectively grow the muscles, ligaments, etc. to accomodate the increased posterior length of the face, via stem cells or whatever comes up, then we can effectively lengthen the ramus.
-
only way to create the illusion of a low gonial angle is through a drop down Medpor implant and for this particular case (illusion of a low gonial) it has to be Medpor
jaw implants are icky though and all but 1 guy (out of 8 ) on lookyourbestuk had complications with their implants and ended up having it removed
-
It's been done for congenital defects -
https://www2.aofoundation.org/wps/portal/!ut/p/c1/04_SB8K8xLLM9MSSzPy8xBz9CP0os3hng7BARydDRwN3QwMDA08zTzdvvxBjIwN_I6B8JJK8haEFUD7U09nP2MkPqNSEgG4_j_zcVP2C3IhyADJvFMw!/dl2/d1/L2dJQSEvUUt3QS9ZQnB3LzZfQzBWUUFCMUEwRzEwMDBJNklGS05UMzIwTzI!/?redfix_url=&implantstype=Distraction%20osteogenesis%20of%20mandibular%20ramus&segment=Congenital&bone=CMF&classification=95a-HFM%2c%20Pruzansky%20IIa&approach=&showPage=redfix&treatment=Operative&method=Mandiubular%20ramus%20and%20condyle (https://www2.aofoundation.org/wps/portal/!ut/p/c1/04_SB8K8xLLM9MSSzPy8xBz9CP0os3hng7BARydDRwN3QwMDA08zTzdvvxBjIwN_I6B8JJK8haEFUD7U09nP2MkPqNSEgG4_j_zcVP2C3IhyADJvFMw!/dl2/d1/L2dJQSEvUUt3QS9ZQnB3LzZfQzBWUUFCMUEwRzEwMDBJNklGS05UMzIwTzI!/?redfix_url=&implantstype=Distraction%20osteogenesis%20of%20mandibular%20ramus&segment=Congenital&bone=CMF&classification=95a-HFM%2c%20Pruzansky%20IIa&approach=&showPage=redfix&treatment=Operative&method=Mandiubular%20ramus%20and%20condyle)
Abstract from a 1995 paper -
Mandibular Elongation and Remodeling by Distraction: A Farewell to Major Osteotomies
Molina, Fernando M.D.; Monasterio, Fernando Ortiz M.D.
Plastic and Reconstructive Surgery . September 1995
Abstract
Servicio de Cirugia Plastica y Reconstructiva Hospital "Manuel Gea Gonzalez" Calzada de Tialpam 4800 Mexico, D.F. 14000
A modified technique for mandibular distraction is reported: An oblique corticotomy is made in the external cortex of the mandible at the level of the gonial angle. Two intraosseous stainless steel pins are inserted and are joined by a softer distraction screw. We make two corticotomies, one horizontal and one vertical, and insert three pins to achieve bidirectional distraction when the mandibular body and the ascending ramus are hypoplasic. This procedure has been used in 87 patients with unilateral hemifacial microsomia and 19 patients with bilateral mandibular hypoplasia. A mean elongation of 19 mm was obtained in the unilateral group. In the bilateral cases a mean vertical elongation of [7.5 mm and a mean horizontal elongation of 14 mm were obtained. A great improvement of the facial asymmetry was achieved in all the patients. The follow-up in this series varies from 3 months to 31/2 years (mean, 19 months in unilateral cases and 12 months in bilateral cases). No relapses have been observed. (Plast. Reconstr. Surg. 96: 825, 1995.)
(C)1995American Society of Plastic Surgeons
-
regarding the inverted-L osteotomy: http://www.head-neck.com/Digital-case2.pdf (http://www.head-neck.com/Digital-case2.pdf)
-
regarding the inverted-L osteotomy: http://www.head-neck.com/Digital-case2.pdf (http://www.head-neck.com/Digital-case2.pdf)
that is a damn good result
Wolford has like 3 before/after floating online as well (on teeneagers) and they are just as good
i believe this A&G patient had it as well
(http://i4.photobucket.com/albums/y117/Agentdemon/arnettgunson.png)
-
Ah I remember seeing this. Nice example of CCW rotation of the maxilla, although surprising how little his nose changed. The inverted L osteotomy looks pretty brutal in terms of the cutting and movements - but he had a crazy steep occlusional plane. I don't think it's a good option in my case - I will probably have to make do with a BSSO as far back as possible on the body
I am going to check with Mommaerts that he definitely can't do DO in the mandibular ramus. It's been done before and the main issue mentioned seemed to be lack of space inside the mouth for the DO apparatus and external apparatus leaves scars.
-
that is a damn good result
Wolford has like 3 before/after floating online as well (on teeneagers) and they are just as good
i believe this A&G patient had it as well
(http://i4.photobucket.com/albums/y117/Agentdemon/arnettgunson.png)
Wow, that's a great result. It seems so brutal, though. It wasn't suggested as an option by Johnson
-
i believe that's a gunson surgery.
-
Wolford/Pitta one
(http://i.imgur.com/LaapsiG.jpg)
-
this one too or no?
(http://img29.imageshack.us/img29/6577/wolfordgirl.jpg)
-
Uh, great results and all, but do we really think my case is bad enough to require an inverted-L?? :o :o :o I know I look a little like a mouse but....
-
Uh, great results and all, but do we really think my case is bad enough to require an inverted-L?? :o :o :o I know I look a little like a mouse but....
I don't even know what you look like ;D
but you said that you would like your ramus to be vertically longer and I merely pointed that an inverted L addresses that issue
-
I don't even know what you look like ;D
Apparently, a little mouse-like, or so I am told. But kindof...in a cute way. I think the the way everything goes backwards from the nose tip makes the face look a little snout-like. The big eyes and chubby cheeks contribute to the general mouse-like visage. ;D ::)
I think I know what to go as for hallowe'en now.
-
I thought in those Wolford cases he used total joint replacement. Are people saying these are all inverted L osteotomies now?
I think this woman had a joint replacement surgery with Wolford, but you're saying the others are inverted L osteotomies?
(http://ars.els-cdn.com/content/image/1-s2.0-S0278239109005357-gr9.jpg)
-
Uh, great results and all, but do we really think my case is bad enough to require an inverted-L?? :o :o :o I know I look a little like a mouse but....
I don't know what you look like either, but in my experience the pain of having bad aesthetics is a hundred times worse than the pain/trauma of surgery. I've never had surgery before, I just feel this to be true.
Maybe your case is not so bad, but in that case why are you planning surgery at all? If a job is worth doing it's worth doing well, otherwise not at all.
-
Maybe your case is not so bad, but in that case why are you planning surgery at all? If a job is worth doing it's worth doing well, otherwise not at all.
I guess have what you might describe as a 'cute overbite'. But IMO, I am not a child and have no desire to look cute. I am 26 and look about 21/22 and own and run a business in a rather female-unfriendly environment and am finding it hard sometimes to be taken seriously. (all my clients are male)
I am doing the surgery as 3/4 orthos, 2/2 surgeons and 2/2 dentists I have consulted so far have recommended it, and have said that if I don't do it now then I will likely have to do it in 10 years anyway. My bite is really pretty messed up (deep bite, overjet, crossbite, posterior open bite) and as a result I will almost certainly lose my lower incisors in the next 10-15 years. They were pushed into an unnatural position (upwards and outwards) via earlier orthodontics to close the overjet and as a result of this and the current bite the gum recession is very bad and getting worse. I will also end up with massive teeth wearing at an early age. I also have asymmetry in in my lower face (whole thing is about 2mm off-center)
I don't think being generally OK looking is less reason to have the surgery if your bite is messed up. My profile is considerably worse than others I've seen who got surgery
-
I don't know what you look like either, but in my experience the pain of having bad aesthetics is a hundred times worse than the pain/trauma of surgery
disagree. unless you are like deformed looking.
@cav
your asymmetry is completely normal. 2mm is nothing.
-
your asymmetry is completely normal. 2mm is nothing.
OK, I didn't measure it exactly, but it's significant! You can see quite clearly that my chin and lips are different on both sides and that my entire lower face isn't symmetric, and I have a cross bite...oh, and to add a little fun to the mix my eyes are different colours too ::) My nose is asymmetric as it's never been the same after the kickboxing accident I had. I was hoping that it would be straighter after the rhino but unfortunately it's still off-center. Maybe I slept on my side too soon or something.... :'( Anyway, jaw surgery won't fix that issue, I have to live with the squinty nose :(
The dentist I spoke to today had done a decent amount of maxfac rotation and he told me that if I were not non-resident I'd very likely to be able to get at least a BSSO on the NHS. That surprised me. If it's bad enough that the NHS would cover the surgery then I think my parents aren't going to object as much.
I am not worried about the pain of the surgery, TBH. I had the original kickboxing nose-break (anaesthetic and painkiller free, obviously!...)and then the septo- rhino so I kindof know what recovery will be like. Jaw surgery will be worse in terms of swelling, duration, total area and eating but I know what the sensations, congestion, not sleeping etc. will feel like.
My body has inflicted far more intense pain and unpleasantness on me naturally than I have ever experienced via a surgical procedure anyway. Also, you don't know pain until you've tried threading your upper lip :o
-
Also, you don't know pain until you've tried threading your upper lip :o
I am going to agree with this 100%- this is the mother of all torture and I've had surgery and fairly high tolerance for pain.
-
I am going to agree with this 100%- this is the mother of all torture and I've had surgery and fairly high tolerance for pain.
phewf, this makes me feel a lot better frankly....
-
NO THANK YOU! I've had my eyebrows waxed and that was painful enough, i've heard threading is next level...
Come ON LAZLO!! Take one for the team, they'll look so perfectly arched and groomed ! I agree with miss CCG I've only had my eyebrows threaded so Im kind of immune to the pain, but the upper lip that is worse than any body wax almost on par with epilating. Love how this conversation went from class 2 cephs to hair removal, God bless ADD ! :o ;D
-
oh my god i hadn't read the first few pages of this thread before, the complexity of all this with regards to ramus osteotomy etc. etc. is frightening. I thought I knew a fair bit about this but I feel clueless now.
-
Updating this now that I have my surgical plan from Mommaerts
It was a very quick, and not very thorough consultation (all of 10 minutes) but I can't really complain too much because I only paid $100 for it (and that was to open a file as well). The good thing though is that he identified all of the issues (deep bite, cross bite, posterior open bite, overbite, short ramus, weak chin) in about 10 seconds.
The plan is
- decomp 1 year
- BSSO
- paste on the low mandible
- minor fat removal on one side of the jawline (I'm asymmetric)
- potential genio and removal of implant depending how it looks.
I am not sure how much it's going to cost me, because I'm getting it done in a public hospital and it's slightly subsidised by the government. In any case it will be less than Europe. Now I just have to hope that the cost of living doesn't get so utterly ridiculous that I have to leave before a year is up!
I will meet with the ortho soon to get braced up...looking forward to that - not!!!
I am curious to see how my lip shape will change. I think the bottom will get smaller (because at the moment it's quite significantly everted) and the top will get bigger (because my retroclined incisors are making it collapse inwards)
-
hey ccg,
I was looking on his website for international patients but the link doesn't seem to work. Would you know if he does e-mail consultations? I have e-mailed his office but have no heard back. Awesome that you are moving forward with your treatment!
-
hey ccg,
I was looking on his website for international patients but the link doesn't seem to work. Would you know if he does e-mail consultations? I have e-mailed his office but have no heard back. Awesome that you are moving forward with your treatment!
I think he does but his office seem really really bad at organising it
-
Updating this old thread now that I have my basic plan from Prof Pelo. This is based only on my pictures and cephs. I really hope to meet him in person soon
He advised
- fixing the crossbite with orthodontics by "stripping the dental elements of the lower arch" - I think this means filing? I will confirm this with him, as my entire lower jaw is off center not just my teeth
- upper (Le Fort 1) with some CCW and overall downgraft (posterior and anterior) of the maxilla - this is to lengthen the philtrum and midface and create more tooth show (I currently have very little and a curved, short philtrum)
- lower advancement with some CCW. Did not specify what kind
Anyway, suffice to say that I am much happier with this plan than what I was suggested by Mommaerts. ;D
Am I the first person on this board to get recommended a maxillary downgraft? It does make some sense to me - my philtrum is already very short and curved despite the retroclined incisors, so if they did ortho+CCW it could curl my lip out a ridiculous amount!!
-
Is he going to do any HA grafts on you?
-
Did you get a cost estimate? I seem to recall that stupidjaws said his bimax cost around 20k euros.
-
Did you get a cost estimate? I seem to recall that stupidjaws said his bimax cost around 20k euros.
I didn't but I don't feel this surgery is something you can skimp on. I will get the best I can afford. 20k euros is OK. Unfortunately, taking at least a month off work after the surgery means I need to save a lot extra, because I'm self employed.
I really don't get why Paul Johnson is so cheap compared to others, given his reputation and experience....I mean he quoted me 8k GBP which is...12k euros. Seems crazy. I will consult him again when I am further down the line with ortho and if he gives me a great surgical plan then I'd definitely still go for it.
But I am noting that Prof Pelo straight away said 'bimax with CCW' whereas PJ said 'BSSO and maybe bimax if we can't advance enough'. I might go to Italy next week and see him in person.
-
Just realised I hadn't put any pictures on this thread, so here we are -
(http://i14.photobucket.com/albums/a337/izzification/3profiles.jpg) (http://s14.photobucket.com/user/izzification/media/3profiles.jpg.html)
It is obvious in these pictures how far my lower lip is behind my upper - which is why I really don't think a BSSO and a ~5mm advancement is going to cut it. he philtrum is also very short and curved, and this is in spite of my pulled-in incisors. When I've been decompensated I am literally going to look like a duck
My profile is pretty bad, but I look OK from the front if I keep my bite open.
My rhino was not terribly well done, the tip is way too bulky/bulbous compared to the bridge so I will be having a revision which of course, is very common with rhinos.
-
I honestly think you look better now than in the morph.
-
The morph looks so much better.
-
morph looks great, jaw is truly important in attractiveness. the picture before you had the chin implant looks horrible to be honest :( .
-
morph looks great, jaw is truly important in attractiveness. the picture before you had the chin implant looks horrible to be honest :( .
Oi, that's not fair. I think CCG looks good in profile. She looks a bit like Emily Blunt in some of the other pictures she posted.
-
Just realised I hadn't put any pictures on this thread, so here we are -
(http://i14.photobucket.com/albums/a337/izzification/3profiles.jpg) (http://s14.photobucket.com/user/izzification/media/3profiles.jpg.html)
It is obvious in these pictures how far my lower lip is behind my upper - which is why I really don't think a BSSO and a ~5mm advancement is going to cut it.
The morph looks more like a 15mm+ advancement, compared to the before surgery image. I don't think a 5mm advancement would make such a noticeable difference. It doesn't seem like a very scientific prediction, more like a photoshopped impression of what your face would look like with your jaws in the ideal positions. It's basically the equivalent of putting some clothes on a mannequin and telling someone that that is what they would like like in those clothes. It's not realistic.
-
It doesn't seem like a very scientific prediction, more like a photoshopped impression of what your face would look like with your jaws in the ideal positions.
That's because it is a photoshopped impression...I wasn't going for accuracy. It's just a schematic as such
Yes, I think I need about 15mm total advancement. 12 at a minimum. I've got about 4 or 5 from the chinplant so I'm looking at a BSSO of 8mm - at an absolutely minimum, 10mm would be better.
And yes, I looked pretty bad before the lipo and implant. I'm lucky that the upper part of my face is reasonably pretty, which offsets the awfulness of the lower
-
Oh, you made it yourself. I thought a doctor had done it for you.
-
Ccg, any dark circles under the eyes? Mine are horrendous and was wondering whether other c2/d2 people had them. Seems like a mixed bag from what I've seen. I can see why you want to have further surgery, but I don't think your pics are as bad as you make them out to be :)
-
Ccg, any dark circles under the eyes? Mine are horrendous and was wondering whether other c2/d2 people had them. Seems like a mixed bag from what I've seen. I can see why you want to have further surgery, but I don't think your pics are as bad as you make them out to be :)
No, not significantly...but I have decent cheekbones and fat levels in my face. My issues cosmetically (apart from the chin/jaw stuff) is premature cheek sagging and the resulting jowling, nasolabial and marionette lines.
I always thought that eyebags were related to orbital rim and midface deficiency
-
Oi, that's not fair. I think CCG looks good in profile. She looks a bit like Emily Blunt in some of the other pictures she posted.
x2
I think you look pretty currently and in your morph.
Are you going for bimax CCW rotation?
My issues are similar, and I'm wondering if CCW bimax can lengthen the maxilla as well as mandible?
-
Are you going for bimax CCW rotation?
My issues are similar, and I'm wondering if CCW bimax can lengthen the maxilla as well as mandible?
CCW and a downgraft of the maxilla (vertical lengthening, no advancement)
BSSO to lower
-
Additional image
(http://i14.photobucket.com/albums/a337/izzification/newmorph_zps7b7681c9.jpg) (http://s14.photobucket.com/user/izzification/media/newmorph_zps7b7681c9.jpg.html)
Yes, it's just photoshop!
Really hoping I can get into braces soon. I wasn't able to see Pelo in April so have to wait until July (which is my next trip to Europe) and may also consult Sneddon in the UK. I'm kindof done obsessing over this and just want to move forward with it now!
Ccg, any dark circles under the eyes? Mine are horrendous and was wondering whether other c2/d2 people had them. Seems like a mixed bag from what I've seen. I can see why you want to have further surgery, but I don't think your pics are as bad as you make them out to be :)
Actually I did have really bad circles, I just never noticed how bad they were! I just had them filled - perfectha deep injected down under the muscle, (0.5ml each side) and perfect derm in the superficial dermis on top (0.25ml each side). It looks great and perfectha deep lasts for about 12-18 months - I don't think it's related to my bite though as my midface projection is fine.
What I do have (although you can't tell from this picture because of the lighting) because of the jaw structure combined with a full face, is premature jowling, nasolabials, marionette lines and sagging in the lower face - which often tends to see when the lower jaw is recessed, as the face lacks bony support
-
You look flatter in the face in the second picture (the morph). You also look slightly more angry for some reason. ???
Do you know a reliable way to contact Pelo?
-
You look flatter in the face in the second picture (the morph). You also look slightly more angry for some reason. ???
there's only so much you can do with photoshop ;)
Do you know a reliable way to contact Pelo?
No, sometimes they reply to emails and sometimes they don't
-
No, sometimes they reply to emails and sometimes they don't
What's his e-mail address though?
-
I like the new morph, it's classically proportioned and elegant without being too overdone...saying that though, you've lost the 'cute' look that you've got going on now.
I bet a lot of guys will probably prefer how you look now...
-
I like the new morph, it's classically proportioned and elegant without being too overdone...saying that though, you've lost the 'cute' look that you've got going on now.
Yes - personally I'm not a fan of the cute look. In many respects I have a very child-like face - round eyes, full cheeks, totally smooth/domed forhead, tiny chin/lower face. I'm also very petite so it's no surprise that I get called "cute" a lot - and I don't like it. Puppies are cute. Children are cute. As an independent adult woman who runs a business, it's not something I aspire to.
The only good thing about it is that I look super young (I get asked if I'm still at university) However, because of the lack of bony support I'm already seeing sagging in my cheeks and lower face and it's not really a skin laxity skin, because I have no wrinkles and take great care of my skin. And sagging skin/tissue are is much to 'fix' than wrinkles
I bet a lot of guys will probably prefer how you look now...
Maybe? To be honest I think most of them are looking at what's going on below the face. ::) ::) I'm not undergoing surgery to appeal to more men so I don't give a crap if guys prefer my face now - it's how I feel that's important. My aim is to fix my bite and teeth and bring balance to my face
-
I'm not undergoing surgery to appeal to more men so I don't give a crap if guys prefer my face now - it's how I feel that's important. My aim is to fix my bite and teeth and bring balance to my face
Is the correct response! ;D
-
Do what makes you feel happy and confident. With that said, I think you have some great features. You're a 9/10 ;).
-
How's it going Tiny? Have you met Pelo yet? Any decisions?
-
Yes - personally I'm not a fan of the cute look. In many respects I have a very child-like face - round eyes, full cheeks, totally smooth/domed forhead, tiny chin/lower face. I'm also very petite so it's no surprise that I get called "cute" a lot - and I don't like it. Puppies are cute. Children are cute. As an independent adult woman who runs a business, it's not something I aspire to.
The only good thing about it is that I look super young (I get asked if I'm still at university) However, because of the lack of bony support I'm already seeing sagging in my cheeks and lower face and it's not really a skin laxity skin, because I have no wrinkles and take great care of my skin. And sagging skin/tissue are is much to 'fix' than wrinkles
Maybe? To be honest I think most of them are looking at what's going on below the face. ::) ::) I'm not undergoing surgery to appeal to more men so I don't give a crap if guys prefer my face now - it's how I feel that's important. My aim is to fix my bite and teeth and bring balance to my face
I don´t think cute is the right term to describe it. It is much more feminine in the before IMO. I believe there is a possibility to have a strong bone structure and still look feminine at the same time. Maybe the morph I made can describe it better...Anyways you seem to look very pretty even without surgery...
[attachment deleted by admin]
-
I don´t think cute is the right term to describe it. It is much more feminine in the before IMO. I believe there is a possibility to have a strong bone structure and still look feminine at the same time. Maybe the morph I made can describe it better...Anyways you seem to look very pretty even without surgery...
Threads 2 years old. I think she may have already sorted it by now ;D
-
she sure has. hope everything went well. thought it might be helpful for others who deal with the same issue. ☺️
-
Decompensate upper incisors, followed by BSSO
(http://i14.photobucket.com/albums/a337/izzification/Plan1.jpg) (http://s14.photobucket.com/user/izzification/media/Plan1.jpg.html)
What does Decompensate upper incisors mean and how is it done? Ive looked it up but I cant follow all these dental school terms.
-
The upper incisors have a range of normal angulation. They can be naturally compensating for a bad bite, by ethier tipping fowards or backwards outside of the normal range, Retruded or protruded. I think there is also variations vertically, but I'm less familiar with this. The angles are worked out from cephs, by drawing lines between landmarks like sna, a point b point etc and measuring the angles and also striking arcs.
-
oh my god i hadn't read the first few pages of this thread before, the complexity of all this with regards to ramus osteotomy etc. etc. is frightening. I thought I knew a fair bit about this but I feel clueless now.
I thought it was just me!!!