hey everyone,
Iv been a lurker for a few months now. I had tried numerous times to register here but it seemed like the admins werent accepting new members anymore. Someone was kind enough to lend me their account which is great.
Im new to all of this and would like some general insight. I need to know whether or not my concerns are logical and not completely derived from mental disorders.
Im going to share all that has been on my mind for the past year or so due to not being able to make an account. This is going to be long but bear with me.
A little background:
I have a class II overbite and a weak chin. Im undergoing a CW bimax advancement and a sliding genio.
I noticed that the jaw surgery would significantly weaken the upper portion of the midface (zygo/orbits) so I started looking into any osteotomies that would address that part of my face after the double jaw surgery. I have very weak orbits (especially to the outer corners) and also large orbital openings.
That is when i found out about this forum and consulted with a few doctors that would perform a modified lefort III. Im eventually going to have a modified lefort III, lamellar split(reverse L) and some lateral orbit advancement with Dr. S, after my jaw surgery.
Up until here, everything is sort of within reason, but there are some fundamental features of my face that I would like to change and Im not sure if it is even possible to do so. i have some concerns regarding my general face shape that I believe wont be easy to address.
unusual concerns:
Unfortunately, through my research, a big part of your facial balances is directly linked to your skull, and for me, that is not good.
basically, my whole head is just very narrow and small. the further away from the center of the face, the weaker my facial structure becomes. I have virtually no supraorbital rims. except that I have very big eyeballs. (you can spot this in my head CT where my eyes are closed).
My brows are close together and I would want them to potentially be wider set, in a strictly horizontal way. to reduce the arch.
there are no visible edges to my face, and that makes my face shape far from the desired square look.
Im not sure how exactly I should approach this. I know what I want, but im confused a bit.
is the answer to facial width an orbital box osteotomy? my eyes are a bit closed set but I dont think they need to move apart. I would like everything surrounding the eyes to move outwards.
I would like some of you to judge before bringing this up to sinn.
Im committed to achieving my aesthetic goals through any osteotomy possible. as long as its done by someone who knows what theyre doing and wouldnt cause blindness/death.
Heres a link to a couple of pics, A head CT, and a few images from different angles taken from a CBCT:
https://imgur.com/a/wD0GQr8am I correct about my aesthetic needs?
Any help/advice is highly appreciated.
(Lazlo, i need to see ur mod lefort 3 results)
ps: there are no financial limitations in my case.