What surgical technique do I need? Images included.

[Framboise]

Some surgeons do not clockwise rotation but mimic the movement with anterior extrusion with less extrusion at the back or even a posterior impaction. Thus, the nose is not ruined.

[JigJaw_:/]

Some surgeons do not clockwise rotation but mimic the movement with anterior extrusion with less extrusion at the back or even a posterior impaction. Thus, the nose is not ruined.

Interesting.
Surely it-too also changes the nose on some level?
Is one technique less stable than the other?
I'm afraid that doing the Leforte without also moving the mandible will possibly create a more sunkin' look for me (increased soft tissue problems). Even with a genioplasty, when the maxilla comes down...both jaws will rotate inward. Maybe I'm wrong, but, still...I'd really like to not move my mandible.

[JigJaw_:/]

Okay, would appreciate opinions on my imaging. Below is a link to 4 different outcomes to my Genioplasty, all are side by side lateral of current/after. In my case, the current (before) already includes a mal positioned implant which is riding high close to the tooth roots. I was told that 2 of the images would involve about  10 mm forward and 4 mm vertical, except for the first image which will get a little less vertical and the third image a little more vertical. I'm between image 2 and image 4. Which one would you pick?



https://imgur.com/a/LvwMm

[kavan]

If the surgery you are getting is a bone cutting genio to advance forward and also to elongate then, the same 'technique' would be used. A choice amoung the varied displacements that can be made does not change the 'technique'.

As to the morphs, the first one is sufficient.