Apologies.
My reply was abrupt and thoughtless, and I came across as an entitled punk.
Since reading what you posted previously about my chin projection and my lower jaw (Also my upper jaw which I will get to later) my head was in a bit of spin, was honestly pissed off and it has taken a while to set my ego aside. Which ultimately is for the best.
What I thought was going to be a simple genioplasty has now turned into either a mandibular osteotomy or double jaw surgery which not only cost more but both have longer rehab and preparation time with the potential for braces.
Regardless after researching it further I think you're 100% right. My chin already has forward projection and would not likely gain much from a sliding genioplasty.
Aside from aesthetics, my family from my father's side (Myself included for snoring) all suffer from sleep apnea, bad snoring and bad nose breathing with bad sinuses. which are all symptoms of a recessed jaw, they also have the facial features to back this theory up.
Out of the two surgeries Mandibular Osteomy and double jaw surgery I'm opting out for the double jaw surgery. This is because my teeth already align and have never had chewing issues. It would mean a lot if you could give me your interpretation of my scans.
https://imgur.com/a/8U48qo2
It'd mean a lot if you could give me some feedback and your opinion on what you think an appropriate direction to go is.
Cheers.
This is an APPROXIMATION. It's ONLY an approximation. It isn't an exact ceph analysis. The GREEN contour line is an APPROXIMATION of what I THINK you might want; the lower jaw along with the lower lip to come 'forward' either along the inclination of the MPA or along a higher inclination than the existing 20 deg. but NOT a LOWER one. Your OP and MPA angles don't suggest CCW rotation.
Your DESIRES reflect AVOIDANCE of double jaw surgery 'because your teeth are (already) aligned'. You mention a (possible) MEDICAL reason (apnea) for surgery.
The REALITIES of maxfax surgery, especially when apnea is included in the mix often do involve double jaw surgery. In the event a SINGLE JAW (lower) only can be accommodated, 'forward' advancement would involve the lower teeth moving with it and out of place with the present alignment IF adjustments to the teeth (bite) were not made to accommodate a single jaw advancement and sometimes that involves plucking out 2 pre-molars in order to push some of the lower front teeth backwards in order to accommodate a single lower jaw advancement.
Another issue in maxfax surgery involves a DESIRE for ONLY one thing along with an AVOIDANCE of another thing; wanting to hold one thing CONSTANT (for it not to change) but for ONLY an ISOLATED thing to change. Sometimes those desires are on target with a surgery to accommodate. Other times not. That sort of thing is explored with a maxfax surgeon who can evaluate ALL of the measurements and has the tools to do a DISPLACEMENT analysis as to whether or not desire for 'this' but avoidance for 'that' can be accommodated.
That said, the GREEN contour line APPROXIMATES what you might want with a single lower jaw surgery. It does NOT predict whether or not that can be accommodated in the absence of doing anything to the upper jaw, nor does it predict a single jaw surgery in the absence of adjusting the teeth to achieve it. IF the green contour line reflects close to what you'd like to achieve, it could be used as a very BASIC APPROXIMATION to ask a surgeon IF 'something like that' can be done with single lower jaw surgery.
What I said in my first post to you still holds: There is no preclusion for having an isolated genio request accommodated by a surgeon. It's just that a jaw JUT OUT doesn't replicate one.
Disclosure: This feedback reflects the 'some' I can give in the time I have to volunteer to do so with reference to reply #14 in this thread. It is not an invitation to give feedback for 'all' of what you want to ask your surgeon in reply #15 in this thread.
