Benefits of double jaw over chin wing?

[whatdo]

Still trying to wrap my head around double jaw surgery vs a chin wing as someone with no functional issues.
I've been doing some reading and correct me if I'm wrong, but it seems having double jaw surgery means a potential for some things:
-Tightening of the skin
-No more vertical lip
-Harmonious look between jaws (hard to explain but its like not a perma - jut I feel like I would have post chin wing)
-Nasolabial fold reduction

These are essentially what aren't addressed for a chin wing, right? A chin wing would address the lower jaw recession (meaning it would provide enough projection), right?

I guess what other benefits would double jaw surgery have (functional benefits aside) over a chin wing? Couldn't really find anything on chin wing relapse issues I'm guessing because there isn't enough data? Both surgeons I've spoken with seem to think chin wing is ideal since there is a small occlusion, but I am just not sure.

Really just trying to see if I can narrow down the double jaw surgery vs just a chin wing decision.

Edit: attaching ceph:  http://imgur.com/tE15gTA

[Milli_Meters]

In your specific case - I would suggest getting a CW and if not satisfied consider bimax.

[whatdo]

In your specific case - I would suggest getting a CW and if not satisfied consider bimax.

You can get bimax after a chin wing? How does that work? Wouldn't the chin wing make it much more difficult to advance the lower jaw?

[PloskoPlus]

Bigger airway.

[Milli_Meters]

In general yes. But What do has so far stated he has no airway issues iirc.

Go Chin wing Whatdo. 

[PloskoPlus]

In general yes. But What do has so far stated he has no airway issues iirc.

Go Chin wing Whatdo.

I really liked Gunson's morph. I don't think OP appreciates how good it is. Whether it will turn out like that is another matter.

[Milli_Meters]

Yeah but cost/(perceived) benefit ratio must be appraised. If hes not happy with 8 k cw , He can go Bimax.  But why make the 55 k investment first when maybe he can get an acceptable outcome with a CW.

From PMs it did  not seem like he just had the 55 k stashed under his bed.


just my 2 cents.

[whatdo]

I mean cost is a factor but I think having something done right and the "best option" is more important. It's really the issues (like soft tissue changes, relapse, etc) of jaw surgery that are holding me back from committing.


I want to come at this decision based solely on aesthetic benefit. If a chin wing comes within 90% of the bimax result and the 10% is something I can deal with, it seems a chin wing would be good but I am not sure. (hypothetical)

Would jaw surgery do anything that is crucial to looks? I can think the lip and fold help but anything else? Aging wise would more bone support be ideal? I can think the front profile after a chin wing with a slightly recessed maxilla would give a weird look to the lip area, no?


I just want to make the right decision. I know it relies on me ultimately, but the advice and opinions help.

[PloskoPlus]

Cheapest option - grow a beard.

[whatdo]

Cheapest option - grow a beard.

Lol. True, but I look even worse with a beard.

[Milli_Meters]

Tbh I do not think your jaws are your biggest issue. Ideally recessed/hypoplastic cases should do both. Bimax + A CW or 2.

[whatdo]

Tbh I do not think your jaws are your biggest issue. Ideally recessed/hypoplastic cases should do both. Bimax + A CW or 2.

Yeah, I figure a bimax and a chin wing would give good results but I don't know if I have that kind of motivation or even what the results will yield.

I mean I like the protrusive jaw look, I want to fix the recession but it comes back to the trade offs between just a chin wing and just bimax or even bimax + chin wing.

I think my eyes, jaws, nose, flat face/cheeks are my main issues. Although the more and more I look at my face and side profile I notice more and more issues.

[Milli_Meters]

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.

[ppsk]

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.

[ppsk]

Yeah but cost/(perceived) benefit ratio must be appraised. If hes not happy with 8 k cw , He can go Bimax.  But why make the 55 k investment first when maybe he can get an acceptable outcome with a CW.

From PMs it did  not seem like he just had the 55 k stashed under his bed.


just my 2 cents.

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.