Sliding Genioplasty -- Morphs -- update.

[dantheman]

If you have symptoms of allergies I would just use a non-sedating antihistamine (speak with your pharmacist). Benadryl will dry your mouth out and give you a hangover.

I have dark under eye crescents with no fluid buildup. Unfortunately once you've had the issue for many years, the discoloration becomes next to impossible to treat.

Allergies can be subtle - post nasal drip, mild congestion etc. Seasonal allergies can produce the typical sneezing, watery eyes, and itchiness, but perinneal allergies often have symptoms that are less classic.

Oh, and consider a Neti pot.

[dantheman]

I'm looking at your pictures in detail now. The other posters are incorrect I believe. You have a very weak chin. The reason they are confused is that in your front picture the convex profile is being masked by your upturned face. People naturally try and level the plane of the chin and upper lip when looking forward, both to open the airway and for psychological reasons. You need to level the face by rotating it downwards so the line between the top of the ear canal and the lower orbit of the left eye is parallel to the ground, which you've done in your first picture. That's called the Frankfort Horizontal Plane. There you can see that you need quite a lot of advancement for your mandible to catch up to your maxilla. I'd venture that you suffer from the same problems as the rest of us long faced people, which may include the following: steep occlusal plane, narrow arches, underdeveloped cheekbones w/negative vector, posterior crossbite, gummy smile, narrow nasal aperture, steep mandibular plane, hypertrophied turbinates from nasal congestion, and nose deformities including humps and narrow aperture and poor valve support, joint problems. Given the health issues involved, I'd say imaging and evluation by several oral surgeons is warranted to determine how bad your case really is. Unfortunately, there haven't been enough studies done to determine how much is too much, to determine when double jaw surgery should be done over aesthetic procedures like sliding genioplasty to avoid joint damage and sleep apnea later on in life but at some extremes you'll find near consensus either direction.

Yes, I would agree. Getting a ceph is crucial. I can see mentalis strain. You would probably benefit from bimax with rotation.

[trojans101]

I'm looking at your pictures in detail now. The other posters are incorrect I believe. You have a very weak chin. The reason they are confused is that in your front picture the convex profile is being masked by your upturned face. People naturally try and level the plane of the chin and upper lip when looking forward, both to open the airway and for psychological reasons. You need to level the face by rotating it downwards so the line between the top of the ear canal and the lower orbit of the left eye is parallel to the ground, which you've done in your first picture. That's called the Frankfort Horizontal Plane. There you can see that you need quite a lot of advancement for your mandible to catch up to your maxilla. I'd venture that you suffer from the same problems as the rest of us long faced people, which may include the following: steep occlusal plane, narrow arches, underdeveloped cheekbones w/negative vector, posterior crossbite, gummy smile, narrow nasal aperture, steep mandibular plane, hypertrophied turbinates from nasal congestion, and nose deformities including humps and narrow aperture and poor valve support, joint problems. Given the health issues involved, I'd say imaging and evluation by several oral surgeons is warranted to determine how bad your case really is. Unfortunately, there haven't been enough studies done to determine how much is too much, to determine when double jaw surgery should be done over aesthetic procedures like sliding genioplasty to avoid joint damage and sleep apnea later on in life but at some extremes you'll find near consensus either direction.

Wow, thanks for the post. That was really helpful. I can't wait to have my consultation next month to really find out what needs to be done. And as you mentioned. i'm pretty scared at whats going to be recommended. I personally don't have many issues right now, seems like i'm a pretty healthy guy. Smile is nice. breathing seems fine, etc. My dad has a weak chin just like me, but my face is a tad bit longer. So I thought it was mainly  a lack of chin bone, but i still could be wrong. Hence my i am so antsy to have my consultation. Thanks again for the post. Id be willing to post a couple more images in the postion you want, if it'll help you get a better picture.

[trojans101]

Hey all,

I recently had my consultation and have updated morphs. I wanted to get any feedback before I move forward with the surgery. Here are the before and afters:

Don't worry about my eyes, bad day that morning 

Here are the links, I hope these work!

http://imgur.com/dRUioIc - Jaw Surgery

http://imgur.com/vyObw4A - SG

http://imgur.com/A1u30FI - my own morph

http://imgur.com/Q8nT3Pj - profile before

http://imgur.com/Unanr7O - front picture

My bite is fine, and was told that I can live the rest of my life without having an issues. That said, I wanted to get input as to whether you all think this is worth it. In terms of being worth it, I'm mainly looking to improve my self confidence by improving my profile. I was also told that my lip incompetence would be improved as well as my mentalis strain. So I think when I close my lips my chin would look normal rather than pulling on the muscle.

As for the jaw surgery, he said that would be ideal as I could use a slight rotation of my jaw... but really don't think its worth going through with the jaw at this point in my life. Both from a financial and personal perspective.

THOUGHTS?

[kjohnt]

Your pics don't work.

Only you can decide if going all in is worth it to you.  The way I see it, you're thinking about it, and if you only go genio, you may regret it down the road.  But if you get the full bimax, in 10 years, you'll probably never even think about your surgery at that point because your form and function will be aesthetic and healthy.  It's s**ttier in the short term but better for the long term.  If it's me, I set myself for maximum long-term happiness and figure out a way to go bimax if that's what is recommended.

[trojans101]

Here are the links, I hope these work!

http://imgur.com/dRUioIc - Jaw Surgery

http://imgur.com/vyObw4A - SG

http://imgur.com/A1u30FI - my own morph

http://imgur.com/Q8nT3Pj - profile before

http://imgur.com/Unanr7O - front picture

[needadvancement]

I'm in the same boat as you. I'd say go for the SG, and if it's not sufficient enough for you then you can still go for the full jaw surgery later. That's my view on it.

[trojans101]

Yea I agree. The difference is pretty minimal, and my bite is pretty much fine.

Thanks!

[terry947]

Do you have any airway issues? If you do you might have to go the JS route.

[trojans101]

Do you have any airway issues? If you do you might have to go the JS route.

No airway issues, mine are actually bigger than average, so jaw surgery wouldn't do much there. Seems like everything is leaning toward just going with the SG. I think I am going to schedule it this week. Pretty nervous though.