chin wing is ironically the worst when its used for what it was actually designed for IMO - as a camoflage treatment for bites corrected purely through orthodontics....
When its used purely for aesthetic benefit like lowering jaw angles or vertically enhancing chin, I think it's best. Its not a good substitute for what bimax does IMO, and realizing this is probably why surgeons like Z do them together if the patient wants.
The problem with using it as a profile correction is its only correcting the lower border of the mandible... you will still have a recessed mouth area.
By not a good substitute you are referring to functional corrections from bimax, right? The recessed mouth area would mostly be lip incompetence, right?
If you have to travel to get a chin wing, you might as well enquire with those same surgeons in europe about bimax. It should not cost anything close to 55k.... even someone Raffaini is only something like ~20k euro all included (which is about 22k usd) for bimax CCW and that is a surgery first approach which is ideal for someone with no bite/functional issues.
I have asked about bimax w/ ccw from surgeons but I get a toss up. Two local surgeons said they only suggest the lower jaw. Gunson said both, two European docs suggested just a chin wing given there is no big occlusion. It really just leaves me back at square one wondering if undergoing, not from so much a cost perspective, but an aesthetic one, if jaw surgery is worth it vs a chin wing.
I did not mean to infer you have any ginormous "issues" that MUST be cured.
However if you are interested in improving your looks , your jaws will likely just reap marginal - mild rewards because they are not so recessed/bad.
Just ask Gunson if he will do a bimax after a CW. iDk why not.
I know. I don't think they are "huge" issues, but I want to fix my appearance yet at the same time, make the right choices.
To me, it seems like if I did go down the bimax route, I would later find my upper third has recession and needs fixing as well in order to compensate for the jaws being moved forward.
All good advice from ppsk.
Just , not sure if this guy is that recessed.
Also , about the bimax + CW in Europe approach , that is obvious but unless I am mistaken the surgeon indicated he would not do Bimax on whatdo. But I am not sure.
I posted my ceph before and can again if it helps. The surgeons in Europe didn't flat out say no, just suggested a chin wing instead when I inquired about a recommendation of bimax or chin wing.
