Ola everyone!!
I've been following the jaw surgery forums for a while but only now I decided to post. I'm confused to whether I need "mild" jaw surgery, implants/fat transfer, I see my self as cute and I don't have a very noticeable problem thought.
I was supposed to have jaw surgery (Osteotomy retrusion + genioplasty) about 7 years ago. I had a Class III, my incisors touched flared edge to edge. Instead I had 4 bicuspid removed and just braces cuz I was giving the impression by another orthodontist that we could also fix it without surgery cuz back then I wasn't as informed
which I deeply regret now cuz even if that orthodontist did an amazing job at camouflaging it, I think I would have had a much better result
fixing the problem,
I see my mid-face a little dish in / flatter, flared incisors and narrower V arch, maxillofacial/plastic surgeons also told me that my paranasal area mid face doesn't project much either and this is what some of them recommended:
-Braces+Surgery, having 2 cuts behind my fangs to bring biprotusion backwards and make arch shape wider.
-Braces/invisalign a few months to close the gaps, and later get cheek and chin implants (maybe paranasal too?)
-Fat transfer from the side of my cheeks to the front per say, get braces too.
-Braces+surgery, just moving my lower jaw back
-I look fine, even my flared biprotusion looks good or he didnt even see the biprotusion / lower jaw I'm talking about
-Get the teeth straight by braces first and we'll talk about the getting either surgery or fat transfer / implants after braces treatment ¿?
Confusing right!? I don't want to make this a super long post no one wants to read lol, but I'd appreciate if you could check my pics and a few posts where I have more detailed info about all this in my blog if you got time.
http://thestoryofmyteeth.wordpress.com/My main concern is giving my mid-face projection and have nice cheeks like I used to had but I'm not too keen on implants, and fat transfer is not permanent and you cant put that on the paranasal area, I'd love to have a much wider U or C smile like before too, I read about reopening the bicuspid extractions spaces, but everything seems like so much work to undo when everything would had been easier had i done it before.. it also seems like a steep gonial angle in some pictures but my oclusion is more horizontal, or maybe is a narrow vertical ramus or narrow jaw? uggh
Here's some pic from before, now, and a few modifications, bigger size at my website
http://thestoryofmyteeth.wordpress.com/my-pictures/My case is so mild borderline so I wasn't sure if I had to post this on a plastic surgery board or jaw since it might be a bit of both, have I lost my chance of having the "nice face I wanted" because I didn't had surgery when I was supposed to?
This is what my very detailed exam report said:
A little maxillar hypoplasia,
Mandibular hyperplasia,
Mesodolichofacial skeletal pattern, lower third augmented,
Augmented vertical height (long face?)
Jaw deviation to the left I guess from asymmetrical condolys and asintomatic TMJ which made my jaw a little canted (one gum shows more on one side than the other)
Right maxilla side crossbite, small lip incompetency,
Right middle line shifted
Flat chin
Tons of things even if I didn't look bad!! that's why I'm worried if I'll still have an underlined jaw issue or future problems or do you think it kinda has it been "corrected"?
Thanks!! ps. sorry english its not my first language