What exactly is "Bimaxillary rotation advancement"?

[pekay]

the after picture is heavily shopped though. it doesn't look completely natural either.

[sooq]

wow, that is a very feminised face he ended up with. Not sure the improvements with jaw projection can outweigh the surgical look of his face - the michael jacksonesque scooped out nose and unnatural cheekbones. Just looked on his website and it seems like Sailer often manages to make his female patients more masculine and males more feminine :-/ Check out the bottom 2 photos on the page below.
 http://www.sailerclinic.com/en/aesthetische_chirurgie/kieferwinkelaufbau.html

What is it with this cookie-cutter approach where each person's face is contorted into what he deems an ideal beauty? I do not agree with his aesthetic anyway, but even if it were a sound ideal, it should never be any surgeon's goal to remove the individual quality of a person's face. He is not interested in what is right for them, but forcing them into his mould. You can see this really clearly with his 'reverse facelift':
http://www.sailerclinic.com/en/aesthetische_chirurgie/facelift.html

Although I deeply dislike most of the work he does, there is one good result shown on his site of asymmetry correction (the young blonde girl):
http://www.sailerclinic.com/en/dysgnathie/asymmetrie.html

Not really enough to persuade me to enter his lair though...

[MrFox]

Hmm I hadn't noticed cheek implants on him... I'm not totally sure that he does have them.
The slight shadow you see under his zygomatic arch is probably due to different angle and lighting.


There's nothing wrong with this result surely?

[PloskoPlus]

Wow, how old is this man?

[MrFox]

Not sure how old he is, there's a video of him talking about the surgery.

https://www.youtube.com/watch?v=RNFs5cGX4CI&hd=1

[PloskoPlus]

BSSO advancement after age 40 is a big deal. The possibility of permanent numbness is very high.

[sooq]

yes, it is a good result, but it doesn't sway me. Maybe it works better on the older patients because when he suddenly brings in a lot of jaw projection there isn't a stretching of the skin as with the young ones. Rather the sudden projection is simply filling in what was previously baggy?? Who knows. Still wouldn't go with him. I already have a anteface, and I don't like it. I would de-project both jaws if I could, but alas, I would just end up with saggy skin. I would actually be fascinated to hear what Sailer would recommend for me, bearing this in mind. If he wanted to ramp up the anteface even more I would be in danger of entering equine territory 

PloskoPlus - I hear that a lot about age and nerve damage. I am currently 37(and a half), and worry that by the time I had had braces and found a surgeon etc I would be very close to 40. Do you think I am crazy for still considering surgery? I would be having CW rotation of both jaws and correction of asymmetry/cant. Is there nobody else on the board in their late 30s, or am I the board pensioner?

[PloskoPlus]

I'm your age. Ante face too.  I'll be getting upper jaw advancement only. The surgeon said BSSO has a higher risk of permanent numbness at my age, but he was really nonplussed by it all.  One orthodontist that I saw said he sliced the nerves at the tip of his finger when making wires. It's permanently numb now.  He thought he wouldn't be able to workwith this fInger, but after 6 months he stopped noticing. Most people seem not to be bothered.  I tell you what really creeps me out.  The very remote possibility of either permanent loss of sensation or constant pain in the tongue due to lingual nerve damage during wisdom teeth extraction.  It's highly unlikely, but it has happened.

[sooq]

oh hell yes. lingual nerve damage seems like a nightmare. i remember reading about it when i started to look up wisdom tooth removal, and then being relieved that mine was an upper jaw tooth. There is no way in hell I would have let my dentist do it, even if it wasn't strictly a surgical case and a lower risk upper jaw one. The lingual damage ones I read about online were all done by dentists as opposed to an oral/max specialists/surgeons. Not to say that it doesn't happen to the surgeons too.

Do you need wisdom tooth removal before your jaw surgery?

[PloskoPlus]

o. hell yes. lingual nerve damage seems like a nightmare. i remember reading about it when i started to look up wisdom tooth removal, and then being relieved that mine was an upper jaw tooth. There is no way in hell I would have let my dentist do it, even if it wasn't strictly a surgical case and a lower risk upper jaw one. The lingual damage ones I read about online were all done by dentists as opposed to an oral/max specialists/surgeons. Not to say that it doesn't happen to the surgeons too.

Do you need wisdom tooth removal before your jaw surgery?

I think upper wisdom teeth will be removed at the time of the surgery.  Dunno why.  I think all my wisdom teeth are functional.