My post to which you are responding came in at same time another post came in. I have some more to add:
No way to tell what type of genio this guy is doing for you and I would establish how 'easy' this this is predicted to be for ANOTHER (unknown) doctor later down the line.
from what he told me, he'll advance 8mm forward and 2mm downward (since the cut chin bone has to be kept in contact with its matrix, that's the limit. otherwise, bone grafting will be required, and he wants to avoid that); he also said the style of the cut he will perform adds to the height even more, so let's assume the end result will be 3-4mm of vertical growth. no filler, for sure.
He has not told you WHAT type of genio this is and made it so 'SIMPLE' as to PRECLUDE you from even doing research on the type for which you would need a NAME of said type or a diagram of said type.
jawguy: i asked him a similar question, but he wanted to make things simple and didn't get into too much detail. since i still had many things to ask, he just said it would be easy to alter the genio advancement in case i decide to go for orthognathic surgery in the future. he's a professor at one of the most renowned universities in the country with a lot of international experience, so he must know a thing or two.
For WHOM will that be 'easier' for; HIM, someone whom we can assume is more ADVANCED than other doctors OR is he extrapolating on the capacities of a 'who knows who' other doctor later down the line. So ESTABLISH for WHOM he is speaking for, HIMSELF who will be DOING your surgery later down the line, the surgery INSURANCE will PAY for or is he extrapolating on the abilities of some UNKNOWN insurance doctor.
STOP! Ask YOURSELF if you are EXTRAPOLATING his abilities where it might be easy for HIM to adjust to another doctor (unknown to you and him at this point in time). Like why would you extrapolate his abilities (which relate to him, himself doing and undoing things with ease) to PREDICT how easy his work would be for another unknown doctor to undo?
He didn't explain to you what type of genio it was. So, you have NO INFORMATION as to the type NAME of the type of genio even to do your own research as to how 'easy' it is to undo. There are ways to simplify a general concept as I've done. So I would ask WHY a TEACHING professor would not do so. The art of teaching is being able to break down and simplify a complex concept. From what you convey, he hasn't done that and it does NOT simplify things for you to keep you in the lurch as to what type of genio it's called and to rely on the old: 'Because I'm the doctor and I said so.'
Disregard this question ONLY IF he is speaking for HIMSELF and HE will be the one DOING either your full maxfax surgery later down the line OR if he is offering to UNDO HIS surgery later down the line so the other doctor doesn't have to deal with revision genio OR he
demonstrates he has ample familiarity with which ever doctors who COULD be doing your surgery later down the line and enough so to PREDICT their capacities.
As to what is 'easy' for a maxfax doctor, later down the line perhaps one that the INSURANCE pays for in the even you later opt in favor of the full maxfax...you know what that is?
A VIRGIN FACE, virgin bone structure that does not need to be UNDONE to do something else.
ETA: ETA:
As far as what he told you about the chin wing procedure, he told you RIGHT. For example, for people with very STEEP mandibular plane angles (like banana type jaw) who also have little 'room' between the teeth roots and the border of the mandible, between which the NERVE traverses AND the cut is made, it gets more tricky to make a high angled cut through a small passage. Even if no nerve damage, it can just resolve to a glorified genio where one does not see much improvement at all to the back of the jaw area because they have a type of contour to begin with that does not lend itself to what they were hoping to get out of it.
thanks for the great answers, everyone.
kava, your post was very elucidating. people (myself included) usually confuse receding chin with receding jaw; now i see they are different things, both of which are traits i carry.
i'm in my late 20s. my ahi is 27.8, which is considered moderate. i've been told it'll get worse. a month ago i began practicing correct tongue posture and i'm pretty sure it helps and will help even more down the road to keep my apnea under control.
anyway, after reading so many comments here suggesting it, i started getting used to the idea of going through orthognathic surgery already.
it would make the decision easier for me though if i could just do it straight away instead of spending a year or more in preparatory orthodontics. i would rather take care of my teeth afterwards. do you guys know if and how much that could interfere with the result of the surgery? is that even an option? i will first try the genio nonetheless and see how that improves things.
fulcanelli, was your case similar to mine? would you mind sharing before and after pictures with me? i would be grateful!
