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Functional Surgery Questions / Re: Silly question but
« Last post by kavan on Today at 09:06:43 PM »
Thats crazy. Those results are amazing. Im assuming this is only performed by a few surgeons? So they can decrease the angle of the MP with just a lower jaw surgery? Do you think people specializing in CCW will be offering this in the future?

No idea if surgeons other than the authors of that paper do it. Although they also do an upper jaw surgery, the outcomes for this paper decrease the  MP angle more than CCW alone would seem to do. That's because a high MP angle can come from SHORT ramus and this surgery lengthens the ramus (drops it down) along with the forward movement it does. CCW isn't really a 'fancy' cut. This surgery is a 'fancy' cut.
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Functional Surgery Questions / Re: Silly question but
« Last post by shnk on Today at 08:56:39 PM »
It kind of looks like the new 'it' surgery which can address extreme hyperdivergence and recession at same time and also looks like it could be a good option/substitute for those who would get a BSSO and a 'chin wing' during same surgery.

Thats crazy. Those results are amazing. Im assuming this is only performed by a few surgeons? So they can decrease the angle of the MP with just a lower jaw surgery? Do you think people specializing in CCW will be offering this in the future?
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The VSP that is shown, was the plan the surgeon performed last year. It really just made my face even longer. Again, the surgeon never shared this with me prior to surgery. I would stay away from teaching hospitals as much as possible, but I can also see a staff member and not a surgeon who just completed his residency. The upper lip lift could be covered, but the cheek lift isn't, since it's purely cosmetic.

So this new technique that was described, is it this link?

http://www.sciencedirect.com/science/article/pii/S246878551630009X

What is the name for this new procedure? Just Vertical ramus elongation and mandibular advancement by endobuccal approach?
So it's possible to achieve greater ccw rotation than the inverted L- in all cases? Also would it be better for a patient who needs the bone grafts to use cadaver bone and not just hip bone self-harvested? I've read people who suffer long term pain from the latter approach.

I'm looking at the girl in the last case in general, and I see no functional airway increase, it seems as though it's really constricted? Actually I see no rotation in any of there cases, just the correction of the lower jaw. But the aesthetic look is substantial.

Yes, the new technique I saw is described in the link to the paper. I defer to the TITLE of the paper for the name of it. It certainly looks to me that significant elongation of ramus and forward advancement have been combined for a 'rotation' to the posterior mandible given that the mandibular plane angle is significantly LESS STEEP than a CCW at the maxilla alone would do.  Seeing a correction of lower jaw to significantly reduce the STEEPNESS to the MPA is in effect a 'rotation'. I am unable to answer questions for which the information regarding them is not in the article.
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The VSP that is shown, was the plan the surgeon performed last year. It really just made my face even longer. Again, the surgeon never shared this with me prior to surgery. I would stay away from teaching hospitals as much as possible, but I can also see a staff member and not a surgeon who just completed his residency. The upper lip lift could be covered, but the cheek lift isn't, since it's purely cosmetic.

So this new technique that was described, is it this link?

http://www.sciencedirect.com/science/article/pii/S246878551630009X

What is the name for this new procedure? Just Vertical ramus elongation and mandibular advancement by endobuccal approach?
So it's possible to achieve greater ccw rotation than the inverted L- in all cases? Also would it be better for a patient who needs the bone grafts to use cadaver bone and not just hip bone self-harvested? I've read people who suffer long term pain from the latter approach.

I'm looking at the girl in the last case in general, and I see no functional airway increase, it seems as though it's really constricted? Actually I see no rotation in any of there cases, just the correction of the lower jaw. But the aesthetic look is substantial.

True, last girl had no airway improvement, but the other 2 did. I wonder why.

Interesting technique anyways.
5
The VSP that is shown, was the plan the surgeon performed last year. It really just made my face even longer. Again, the surgeon never shared this with me prior to surgery. I would stay away from teaching hospitals as much as possible, but I can also see a staff member and not a surgeon who just completed his residency. The upper lip lift could be covered, but the cheek lift isn't, since it's purely cosmetic.

So this new technique that was described, is it this link?

http://www.sciencedirect.com/science/article/pii/S246878551630009X

What is the name for this new procedure? Just Vertical ramus elongation and mandibular advancement by endobuccal approach?
So it's possible to achieve greater ccw rotation than the inverted L- in all cases? Also would it be better for a patient who needs the bone grafts to use cadaver bone and not just hip bone self-harvested? I've read people who suffer long term pain from the latter approach.

I'm looking at the girl in the last case in general, and I see no functional airway increase, it seems as though it's really constricted? Actually I see no rotation in any of there cases, just the correction of the lower jaw. But the aesthetic look is substantial.
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Aesthetics / Re: chin wing relapse
« Last post by Lestat on Today at 01:24:35 PM »
Yes.  Muscles and ligaments are still pulling on the mandible.  Most commonly, some of the bone graft resorbs.

Really?! Who told you that?
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Functional Surgery Questions / Re: Silly question but
« Last post by kavan on December 09, 2017, 11:58:03 AM »
It kind of looks like the new 'it' surgery which can address extreme hyperdivergence and recession at same time and also looks like it could be a good option/substitute for those who would get a BSSO and a 'chin wing' during same surgery.
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General Chat / Re: Am I crazy? Possibly getting jaw surgery in 3 weeks
« Last post by mazilla on December 09, 2017, 08:34:38 AM »
Well it depends how deformed you are right now, we would need to see pics to tell you if jaw surgery makes sense in your case or if your jaws look fine and it is too much of a risk.

Also, if you are traveling alone and decide to go through with surgery, definitely hire someone to take care of you in Taiwan post op. You will feel like absolute shit, and you don't want to be by yourself in a hotel room. Get a nice Airbnb, hire someone to take care of you and stay for a couple weeks in Taiwan until you feel better to fly back home.
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General Chat / Am I crazy? Possibly getting jaw surgery in 3 weeks
« Last post by GinaKhan on December 09, 2017, 08:02:53 AM »
Surgery date is set for December 29th with Dr. Hsieh in Taiwan. I've been planning this for a year. I'm scared I'll regret it and be left with worse facial aesthetics and nerve pain. I'm having CCW rotation, maxillary impaction, sliding genioplasty, and maxillary widening (i forget what this is called). None of this is for functional reasons. I don't expect amazing, life changing results, just a nice improvement. Still, I'm going to a foreign country alone to have jaw surgery I technically don't need. Am I crazy?
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Functional Surgery Questions / Re: Silly question but
« Last post by startalk on December 09, 2017, 02:43:58 AM »
There is a new technique by some French max-faxs where they can decrease the mandibular plane angle much more than can be done with just CCW. It's like an 'inverted L' but more so. So, for someone with a really high MP slope, they can drop it down and advance. I'll find the paper later if anyone is interested.

ETA: http://www.sciencedirect.com/science/article/pii/S246878551630009X

Thank you very much!
Really nice work.
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