General Category > Aesthetics
Professor in maxillofacial surgery told me there is nothing he can do for me
tim06:
I consulted a professor in maxillofacial surgery and he told me to cope with my looks and he can't do anything since my bite is correct.
What can I do now? He also told me further lengthening the chin would not be a good option.
Lestat:
If your bite is fine then chin wing would be a good option for you!
kavan:
I already told you what you had; protrusion to the Lefort 2 area which is HARD to correct. So for all intents and purposes an L2 setback is not going to be on the table. What I'm ultimately saying is that the aesthetic imbalance is protrusion to an area where hardly any doc is going to offer or suggest correction to it. The other option; isolated BSSO to mask the protrusion isn't on the table either unless you can engage a max fax to give you a class 3 dental relationship. What's left is the 'chin wings for everybody' doc. Although it could increase the anterior posterior distance of the whole lower jaw, for which you would probably have to get the chin implant removed to do it, to the best of my knowledge it's not going to take the LOWER LIP with it as would a BSSO so that the lips line up and/or mask the protrusion to where you have it.
tim06:
--- Quote from: kavan on January 03, 2018, 01:47:20 PM ---I already told you what you had; protrusion to the Lefort 2 area which is HARD to correct. So for all intents and purposes an L2 setback is not going to be on the table. What I'm ultimately saying is that the aesthetic imbalance is protrusion to an area where hardly any doc is going to offer or suggest correction to it. The other option; isolated BSSO to mask the protrusion isn't on the table either unless you can engage a max fax to give you a class 3 dental relationship. What's left is the 'chin wings for everybody' doc. Although it could increase the anterior posterior distance of the whole lower jaw, for which you would probably have to get the chin implant removed to do it, to the best of my knowledge it's not going to take the LOWER LIP with it as would a BSSO so that the lips line up and/or mask the protrusion to where you have it.
--- End quote ---
I don't have a chin implant, but a sliding genioplasty with 10 mm advancement in the past. The 'chin wings for everybody' doc would give me a chin wing, but that wouldn't really help me since like you mentioned it would just increase the size of the mandibular fold and make me look ridiculous.
Visor osteotomy of the anterior mandible as done by Triaca and Brusco seems to be the only option left.
kavan:
--- Quote from: tim06 on January 03, 2018, 02:13:44 PM ---I don't have a chin implant, but a sliding genioplasty with 10 mm advancement in the past. The 'chin wings for everybody' doc would give me a chin wing, but that wouldn't really help me since like you mentioned it would just increase the size of the mandibular fold and make me look ridiculous.
Visor osteotomy of the anterior mandible as done by Triaca and Brusco seems to be the only option left.
--- End quote ---
OK, thanx for clarification because i think you can still get chin wing with prior genio. But it won't take the lower lip with it. It's the lip line up that's more of a problem than the fold between lip and chin.
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