Thank you for the quick reply. I feel a bit lost right now, especially since the doctor is wanting to do surgery as soon as next week.
The surgeon is covering the expense for the revision. I actually havent brought up with him the "maxilla advancement" option. I guess it wouldnt just be a maxilla solution as the mandible needs to be adressed either way. So it would essentially be a double jaw surgery vs. a mandibular set back.
The surgeon didnt explain to me what caused the cant to the right. I will have to ask him, but it was apparent directly after surgery and increased in appearance as the swelling went down.
He told me the relapse was caused by my strong muscles and the flexible fixation of the maxilla.
I believe the surgeon prefers to perform a mandibular setback as its the easier fix for the problem. But right now I am trying to figure out whether maxillary advancement is an option (as it was the original plan).
The entire surgery was very ambitious. I had a significant posterior downgraft CCW and an anterior downgraft performed. I believe 1,5cm posterior downmovement and 5mm anterior. So yeah, naturally not the most stable movement.
I have pre and post OP CBCTs. I attached a pre OP ceph and generated a post OP ceph from the CBCT (7 weeks PO). Right now my SNA is 82, SNB is 83,5 vs pre OP SNA 74 and SNB 74. I mention this to highlight the skeletal deficiency pre OP. Right now in the post OP situation my SNA is normal. But eventually, soft tissue is what matters most in assessing an outcome.
Are the pictures in the previous album not sufficient? I have some more in case.
CEPHS
https://imgur.com/gallery/RnGbwh6