4mm max genioplasty

[treevernal]

I've seen excellent results with large genioplasties and poor results from A/G where patients ended up with overprojected jaws and weak chins (e.g. http://i.imgur.com/dHywt.jpg). I think the 4mm max genioplasty rule is nonsense.

Well...for what that girl had to work with, her result is incredible.  Chin may seem a bit "off" but overall an amazing transformation.

[Heavyweight]

Well...for what that girl had to work with, her result is incredible.  Chin may seem a bit "off" but overall an amazing transformation.

I don't know -- I really think another surgeon could have done a better job. She had great features to start with (skin and hair especially), and I really think she could have ended up with a beautiful result if her lower jaw had been advanced a lot less and her chin a bit more.

[treevernal]

Looking at her xrays on her blog, her overjet was enormous so I think a jaw advancement that large may have been necessary to restore function.

[Lazlo]

I don't know -- I really think another surgeon could have done a better job. She had great features to start with (skin and hair especially), and I really think she could have ended up with a beautiful result if her lower jaw had been advanced a lot less and her chin a bit more.

I agree here with Heavyweight that the genioplasty could have been performed so as to have lead to a more aesthetically pleasing outcome. Actually, the surgeon I consulted with said that the genioplasty should lead to a slight S -shape in the chin to give projection and a slight undulation, but not too deep a suculus. He actually showed me this very pic of a model to show what he meant even though he said this model has quite a prominent lower jaw
her chin/jawline are the aesthetic ideal(given a certain standard of western beauty I realize, i don't want to get into that debate lol), but I do know that such a chin could have easily been achieved on the woman
Heavyweight shows, because it would have just required a bit of lower advancement and modelling with an HA graft or paste to give that S shape. She would have turned out much better IMO.




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[Marisama]

The redhead's jaw looks even more crooked after his genio.

[Lazlo]

The redhead's jaw looks even more crooked after his genio.

That's a good point actually and points to the need for actual jaw surgery! The genio probably had to stay in line with the jaw, but certainly it did do wonders for the guys profile and also made his nose look more in proportion to the rest of his face.

[Lazlo]

I'm not sure what "the soft tissue starts to thin" means exactly. Some people have very slack skin around their chin and neckline, so as for the Fialkov patients, the jawline area is firmed up after the genio --i.e. the tautness provided is welcomed. I may not understand what you mean by this. Sorry, English is not my first language if I am confused by this...

[treevernal]

I agree here with Heavyweight that the genioplasty could have been performed so as to have lead to a more aesthetically pleasing outcome. Actually, the surgeon I consulted with said that the genioplasty should lead to a slight S -shape in the chin to give projection and a slight undulation, but not too deep a suculus. He actually showed me this very pic of a model to show what he meant even though he said this model has quite a prominent lower jaw
her chin/jawline are the aesthetic ideal(given a certain standard of western beauty I realize, i don't want to get into that debate lol), but I do know that such a chin could have easily been achieved on the woman
Heavyweight shows, because it would have just required a bit of lower advancement and modelling with an HA graft or paste to give that S shape. She would have turned out much better IMO.

Guys, I really think you need to go to this girls blog and read about her case.  She did have a genioplasty in addition to upper and lower jaw surgery.  Also, she had truly severe functional problems (complete condylar resorption).  A&G are specialists in this and their focus was to give her a functional bite since she literally had no condyles.  Cosmetically, I think that is the best result she could have hoped for and A&G were her best option short of total joint replacement.

[Kristen]

Guys, I really think you need to go to this girls blog and read about her case.  She did have a genioplasty in addition to upper and lower jaw surgery.  Also, she had truly severe functional problems (complete condylar resorption).  A&G are specialists in this and their focus was to give her a functional bite since she literally had no condyles.  Cosmetically, I think that is the best result she could have hoped for and A&G were her best option short of total joint replacement.

What girls blog?

[streo]

Guys, I really think you need to go to this girls blog and read about her case.  She did have a genioplasty in addition to upper and lower jaw surgery.  Also, she had truly severe functional problems (complete condylar resorption).  A&G are specialists in this and their focus was to give her a functional bite since she literally had no condyles.  Cosmetically, I think that is the best result she could have hoped for and A&G were her best option short of total joint replacement.

Thank you.  Some on this forum seem to dismiss the fact that there is actual medicine being practiced in some of these doc's offices.

[Heavyweight]

Thank you.  Some on this forum seem to dismiss the fact that there is actual medicine being practiced in some of these doc's offices.

I don't see how her condition necessitated a 35mm advancement. Arnett probably based that number on what he thought was aesthetically ideal.

[streo]

I don't see how her condition necessitated a 35mm advancement. Arnett probably based that number on what he thought was aesthetically ideal.

AG have done these procedures thousands of times and have more experience with their planning skills than some of us have been alive.  To cut open someone through the mouth, break skull bone with saws/chisels, reset the bone, and then stitch that person up in the hopes that they will in many ways be better is not an easy task.  Posting comments on the internet - not so tough!

EDIT: I suppose I'm a bit agitated with the discussion on this thread mainly because another patient who has shared their experience is now being judged as far as their permanent results are concerned and this is probably happening without their consent or knowledge.  Stay classy people...

EDIT #2: I'm not interested in getting into a battle on these points, so I'm out of this discussion!

[Heavyweight]

AG have done these procedures thousands of times and have more experience with their planning skills than some of us have been alive.  To cut open someone through the mouth, break skull bone with saws/chisels, reset the bone, and then stitch that person up in the hopes that they will in many ways be better is not an easy task.  Posting comments on the internet - not so tough!

True, but thousands of other surgeons can do this. A surgeon's skill is obviously extremely important, but so is his aesthetic sense.

EDIT: I suppose I'm a bit agitated with the discussion on this thread mainly because another patient who has shared their experience is now being judged as far as their permanent results are concerned and this is probably happening without their consent or knowledge.  Stay classy people...

She made her pictures publicly available on the internet, and these analyses of surgeons' cases have been very helpful to me and, I'm sure, many others as well.

[Lazlo]

What girls blog?

yes, sorry I too am missing the link to her blog. please provide

[Lazlo]

Well, the cases on their website and in their articles are usually great, and some are amazing. However, the results I've seen on blogs haven't been too impressive. I was pretty much sold on A/G until I developed a better understanding of what kind of results I wanted.

Interesting, I'm open to skepticism and debate certainly as I am not yet committed to a surgeon. I have an appointment with Dr. Arnett in December to get a treatment plan from him to compare to the one my current surgeon has given me. I simply want to do as much research as possible. I too was under the impression that Dr. Arnett was the most skilled at the aesthetic outcome. But I too have seen several results which have also put that into question for me. So I'm cautiously optimistic but skeptical about their aesthetic expertise.