What do you guys think, can I get a result close to the second picture in which I have my teeth edge to edge (some jutting involved)
The third pic is when I jut even more and pull my skin back and the results is that straight jawline which is the dream scenario.
If I do my surgery it will be in Europe. My first choice is in Spain at Dr Birbes clinic. He has a good rating on whatclinic.com and seems trustworthy (maxillofacial surgeon)
I am thinking about 8mm vertical lengthening maximum (8mm is how much my chin is vertically lengthened in pic 2 as I measured my teeth) and I'm not sure about what horizontal advancement should be yet.
What do you guys think, am I realistic?
More pictures of me below
I'll tell you what a typical realistic surgical correction for deep bite is, especially so with some surgeons in Spain (including yours) using high tech VSP (virtual planning software).
Even though you might have reasons NOT to go through with the full surgical correction, knowing what it is should help you understand better that what you are doing in the mirror, does NOT mimick a genio (type to both bring forward the chin and and also make vertically longer) but RATHER what you are doing in mirror mimicks more closely the full surgical correction for deep bite.
Firstly, NOTE what you are doing in order to advance out your chin/jaw.
Q: Are you able to do it when your teeth are in occlusion?
A: Answer for deep biters is usually 'NO'. The upper incisors PREVENT bringing jaw forward when in occlusion. In order for a deep biter to bring the jaw forward, they first have to LOWER it until they get the front teeth edge to edge.
Q: When your front teeth are edge to edge, is there a SPACE between the upper and lower BACK teeth?
A: Answer for deep biters is usually; 'YES'.
That said, even though your chin goes both forward and down when you LOWER your JAW in order to JUT it out, what's making you look good in the mirror is MORE than ONLY the chin going down and forward. What you are doing is creating 'FACE SPACE' that a genio ALONE (even one that advances the chin in addition to elongaging it) just WON'T do. It won't give you the look you are wanting in the mirror.
Here is what they would need to do for you to get CLOSE to the FACE SPACE you are creating when you do what you're doing in the mirror:
1: Extended period of braces (can be close to a year or so) in preparation for the surgery. One of the aims is to 'buck out' the upper front teeth. This is because it's common for people with deep bite to have the upper front teeth either positioned vertically or retro-clined (as opposed to them being angled forward). The vertical or retro inclination of the upper incisors tends to act as a 'clasp' as to prevent the lower jaw comming forward and could obstruct forward movement of lower jaw if not 'bucked out' in preparation for surgery. They act as clasp to keep the lower jaw in a backward position.
2: 3 piece Lefort 1. Usually needed displace the front part of upper jaw INDEPENDENTLY from BACK part of upper jaw. The back part comes DOWN for more elongation to that area. (so there isn't a space between the upper and lower BACK teeth). The front part can be rotated up and/or outwards. Both of these together is 'CCW' rotation, usually involving a posterior down graft.
3: #2 above allows for #3 which is bringing the WHOLE lower jaw FORWARD via a BSSO which also brings the chin more forward.
4: Since #3 brings your chin forward with the BSSO, the direction of the genio for deep biters is usually DIAGONALLY DOWNWARD. This is because deep biters usually have what's called 'short chin' which refers to it's vertical deficiency.
Again, you may not want to pursue the full surgical correction for deep bite--for what ever personal reasons-- but genio with advancement plus elongation WILL NOT do for you what you are doing in the mirror.