Any Suggestions?

[ODog]

Think that looks way overdone, did another test what it could look like.

Is this achievable? How many mm of advancement would effect this change do you think ?

[Dogmatix]

Is this achievable? How many mm of advancement would effect this change do you think ?

I have no idea on both. What is achievable have to be answered by a surgeon. Everything is possible in photo edit where you don't have to consider anything. On the amount of mm, your guess is as good as mine, I don't have any way of measuring such.

[ODog]

I’m going to guess it can be done beccause we have seen plenty of examples of substantial transformations on this board.

[jusken]

While your chin is clearly too recessed, too much advancement will look out of balance with your forehead.  Careful with this!

In order to get the ideal amount of advancement, your forehead would also have to move forward (magically - sorry, there isn't a good solution to this). 

Attached is the ideal balance imo, but I would advise against against this kind of advancement otherwise...

[ProsfeR]

While your chin is clearly too recessed, too much advancement will look out of balance with your forehead.  Careful with this!
In order to get the ideal amount of advancement, your forehead would also have to move forward (magically - sorry, there isn't a good solution to this). 

Attached is the ideal balance imo, but I would advise against against this kind of advancement otherwise...

Thank you I really don't care about ideal I want my mouth to close to be able to breathe througth my nose and to just look normal u know. It sucks that I have such a weak brow ridge.

[ProsfeR]

While your chin is clearly too recessed, too much advancement will look out of balance with your forehead.  Careful with this!

In order to get the ideal amount of advancement, your forehead would also have to move forward (magically - sorry, there isn't a good solution to this). 

Attached is the ideal balance imo, but I would advise against against this kind of advancement otherwise...

Interested what you think about this case. Too much advancement?

[Dogmatix]

Interested what you think about this case. Too much advancement?

Looks good to me.

[jusken]

Interested what you think about this case. Too much advancement?

Given this case, with a retruded maxilla, it's probably a fine outcome.  His lower jaw in the after has a very aggressive balance now and his nose is slightly upturned and compacted. 

I can't see all the variables in your case, I'm just one of the more conservative people on here.  Your upper lip position is already at a good position relative to your other features.  I just want to caution you to not overdo it.

I've attached what I think would be the right balance for your forehead.

[ProsfeR]

Given this case, with a retruded maxilla, it's probably a fine outcome.  His lower jaw in the after has a very aggressive balance now and his nose is slightly upturned and compacted. 

I can't see all the variables in your case, I'm just one of the more conservative people on here.  Your upper lip position is already at a good position relative to your other features.  I just want to caution you to not overdo it.

I've attached what I think would be the right balance for your forehead.

Thank you. Good morph,looks so realistic, gives me hope. It's crazy how important chin is for well balanced face.

[ProsfeR]

Could someone explain to me what posterior maxillary downgraft actually means? Thank you

[Dogmatix]

Could someone explain to me what posterior maxillary downgraft actually means? Thank you

It means bringing the landmark PNS of the maxilla vertically down.
https://www.researchgate.net/profile/Johan_Jansma/publication/264936795/figure/fig1/AS:608686481346560@1522133574245/Cephalometric-landmarks-and-reference-lines-traced-on-lateral-cephalograms-The-following.png

[ProsfeR]

It means bringing the landmark PNS of the maxilla vertically down.
https://www.researchgate.net/profile/Johan_Jansma/publication/264936795/figure/fig1/AS:608686481346560@1522133574245/Cephalometric-landmarks-and-reference-lines-traced-on-lateral-cephalograms-The-following.png

So is CCW possible without posterior downgraft? If yes what difference would it make?

[Dogmatix]

So is CCW possible without posterior downgraft? If yes what difference would it make?

Yes, it would mean to bring ANS vertically up by anterior impaction instead.

[ProsfeR]

Yes, it would mean to bring ANS vertically up instead.

Thank you. I mean the difference in results? For example in my case?

[Dogmatix]

Thank you. I mean the difference in results? For example in my case?

Anterior impaction means moving ANS vertically up, which is  desired in cases with e.g gummy smile. Moving ANS up will decrease the teeth and gum show when smiling, why posterior down grafting or a combination may be preferred if such change is not desired.