Just out of curiosity, i wonder how others see me in the morphed version, since i think i look really really weird and not in a good way but when i crop those photos to show only the lower third, i think the morphed version is 10x better and looks good for a double jaw result.
So i thought to myself that it is the cheek augmentation thing that is making me look weird but is it just me and might it be because it is a photo of me and i look so different?
And yeah, i really hope moving the upper jaw will rotate my nose like that, i mean right now it looks pressed down/down turned and when i smile or laugh it highlights and i look like a troll.
I see the morph as a suggested 'add-on' or 'toss-in' in the absence of it being made CLEAR to you why it's been thrown in to you your morph.
You have very good aesthetic self perception and observational ability.
The lower '1/3rd', area from base of nose to base of chin, is certainly improved in the morph. That area would get advanced in bimax.
Now the area above base of nose, and the paranasal area (lower medial cheek area next to sides of nose) would also get advanced as to yield a better slope to the whole nose.
Downward rotated nose tip/base (which you have) is common thing to see with maxilla recession.
When base of nose is advanced in cases like that, there is 'de-rotation' to it which is in reverse direction of what ever rotation it has. An overly downward rotated nose (often consistent with maxilla retrusion) can get a better slope to nose profile from the advancement. Sunken cheek areas beside lower 1/2 of nose can get better curvature.
Another way to say this, is that you effectively get a 'FREE' rhino and even though the base of nose is advanced with the Lefort 1, together with the area beside nose, that also gets advanced, the nose will look not only straighter on the face, but also LESS prominent.
Now, I know that and they know that as to BONUS rhino effect. But there would be some doctors who might want you to attribute changes that could arise from the bimax alone to EXTRA-ADD ONS; act of 'upselling' ancillary procedures.
No idea IF the guy is conveying in morph; 'Here's what you'd look like with an (extra charge) rhino and cheek augment. But IF that's the case, I can tell you that the positive nose effect and the fuller sagittal cheek curve--the PART of it beside the LOWER 1/2 of nose-- is pretty much consistent with Lefort 1 advancement when someone has retrusive maxilla along with prominent and downward rotated nose as you have.
Sagittal cheek curve is convex curve running from below eye to beside base of nose area. On the morph, the WHOLE curve is filled out which includes the part of it besides the UPPER 1/2 of it beside upper 1/2 of nose. THAT part of it would not get advanced out with the Lefort 1.
Basically, the doctor morphed the ORBITAL RIM area below the eye which is area that contributes to 'sagittal' CURVE. He even morphed it TOO HIGH because the bone is found BELOW the lash line and he started the curve right under the lash line.
So, as to the whole SAGITTAL CURVE he enhanced where only the upper 1/2 of that curve would apply to extra augmentation, it would depend how he communicated to you. Like if he said something like; 'Your ORBITAL RIM area below your eyes will look more recessive to you.', well ya, it could look more recessive to you after L1 advancement. But when they use the word: 'CHEEK' area, common usage refers to an area more LATERAL to where he augmented the midface sagittal curve.
I would try to narrow down WHAT he was wanting to convey to you in the morph, and let's hope it was NOT an extra rhino because as I said, the type of surgery you would be getting would have with it a 'free rhino effect'. The area in the morph that clearly would not be part of L1 advance was to ORBITAL RIM area. That's the area seen via the SAGITTAL (midface) curve on PROFILE view. The other curve; 'ogee' is one where common usage calls it 'CHEEK' curve and that curve is seen in 3/4 view. So, establish WHICH part of bone structure to upper midface he's wanting to augment. Because when they augment the area commonly called 'cheek', it can be an area LATERAL to where the augmentation is needed and can even exaggerate the area that really needs the augmentation (orbital rim).
As to any 'extras' or 'add-ons', 'toss-ins' a doctor suggests along with the SALIENT surgery, they actually should be CLEARER about those things than the bimax surgery itself. WHY? Because the add ons are (I'm assuming) something you did NOT specifically ask for where the maxfax/bimax itself was. So, it will depend on how clear he was explaining to you YOUR 'need' for any of his suggested add ons.
