Weak profile (with ceph)

[dantheman]

I'm deciding whether a sliding genioplasty is the best option for my case. The orthodontist I visited seemed to think so. My biggest concern is my lower jaw, which is weak and pushed back. While I wonder if mouth-breathing was a factor in all of this, the ortho said he was surprised at the good development of the ramus and the overall bite, which is usually also affected by mouth-breathing. I don't have a gummy smile, but I still wonder if a double jaw advancement could be considered. I have a consultation with a surgeon months away for my wisdom teeth and will ask about all this then.

What do you guys think? Anything else that stands out as abnormal? Thanks for the input

[dantheman]

Thanks for the input guys. I feel that its a mandibular length issue as well. I think the apparent degree of retrusion is worsened by the excessive subnasal soft-tissue projection and by the furled lower lip due to proclined mandibular incisors. My parents don't have these features, though I do recall longstanding issues with nasal congestion (at night). Not sure if this is related. Siblings seem to have similar features as well.

[CK]

aesthetically-speaking, without seeing your soft tissue no on can honestly say whether you'd objectively benefit from a genioplasty over jaw surgery.

[stupidjaws]

dante...you do not look recessed AT ALL to me.

At all.

[dantheman]

Not recessed?? I'm confused. I'll post some pics on the private forum soon. Easily 1cm retruded

[stupidjaws]

yeah, the soft tissue will help. post the profile shot in the private forum