Before and after BSSO

[applejuice]

http://imgur.com/a/c5qiM

I think the lower jaw looks still recessed. A genio would probably deepen the sublabial fold. Better result possible with ccw rotation? Other thoughts?

[notrain]

you should have had premolars extracted in your lower jaw to create more overjet to get a larger advancement.

a premolar is 6-7mm wide, so you could have gotten 6-7mm more mandibular advancement which would have been spot on i think.

caveat: your bite would be worse than it is now, but you'd look better.

to be fair though: the surgery was a definite improvement looks wise and the function (bite) looks excellent on your ceph.

you could still get chin wing with a bone graft from the hip to fill the sublabial fold.

[applejuice]

Thanks again for opinion. Compromising the bite and risking relapse is probably not worth it if similar aesthetic improvement is (hopefully) possible with chin wing.

[ticktickatick]

Has your surgeon said a genio would deepen the fold on you or are you just predicting?

[applejuice]

He said the fold would probably stay the same, if i remember correctly.