Bimax is better because you can get bigger movements . . . I'd imagine the jaw line would better because the movements begin further back which would stretch more soft tissue overall.
That totally makes sense to me. I'll be sure to ask the surgeon what he thinks of this idea.
Moves a retruded lower lip forward more and fills in a deep mentolabial fold.
Right, I forgot about that. I'm not sure if it'll be an issue in my case, but again, I’ll ask the surgeon what he thinks. If I were to just get a sliding genio I would probably need significant forward movement, but I definitely don't want that at the cost of a deep fold or pointy chin.
Also I’ll be away for the next few days and probably won’t be able to post as frequently until after my consultation on Monday, but I’ll still be around. After the consultation I’ll probably just make a new post, as I’ll have more details then and hopefully some other members will offer their insight then.
I’ve been working on a list of questions to ask Dr. Caminiti, and I guess I may as will just stick it onto the bottom of this post. It's a work in progress (!) but maybe someone in the future will find some value in it when preparing for their own first consultation. If anyone has any suggestions for the list, feel free to let me know.
Questions for Dr. Caminiti
Basic questionsWhat is causing my lower third to appear to lack shape/definition?
Does my throat and/or nose airway look narrow?
Bimaxillary advancement questionsAre my upper and lower jaws receded, meaning bimaxillary advancement would give optimal results?
And if bimax surgery is a consideration, would I need premolar extractions due to my biprotrusive teeth, or could extractions be avoided?
Are wisdom teeth always removed with this procedure?
Would proceeding with bimax without extracting biprotrusive teeth mean you would not be able to advance the jaw as much (otherwise risking lip incompetence or unsightly profile), or could biprotrusive teeth be used in addition to bimax to increase/mimic good forward jaw growth?
Does the fact that a bimax movement starts further back stretch more soft tissue to give better results than a sliding genio?
Sliding genioplasty questionsWith a sliding genioplasty, how high is the cut made (I’ve read that higher cuts can lessen the potentiality of a pointy chin, not sure if this is true)?
Is step-off mitigated somehow (for example, with hydroxyapatite paste or bone grafts)?
Are there any other aesthetic issues that can be caused by a sliding genioplasty (muscle strain, deep mentolabial fold)?
Will sliding genio even give me the substantial improvements I'm looking for?
General surgery questionsIs CT imaging used prior to surgery to predetermine the location of nerves that are at risk of being cut?
Do you take a hip bone graft or are there alternative options (for example, cadaver or bovine grafts)?
Who performs the actual surgery, and if it’s not you, is there any choice in the matter?