So i heavily considering going through DJS+genio with CCW procejure for mainly ashtethic reason and for better breathing and health later in life, i have done X RAYS and Cephx analyziz for now and consult two Maxc surgeouns.
both of my jaws are recessed and on retro postion which make my chin recessed obivously.
i originaly wanted to do only Genioplasty as in less complciated surgery with less risks etc. but the surgeouns i have talked to said it isnt really produce great asthetic change comapre to full DJS+genio CCW rotation and also genio cant make the Mentalobial fold more foword so it will cause deep mentolabial fold if i do only Genio (to be honest if i could do only genio which will also improve the fold i think i will prefere that instead of all out DJS) which they are right.
Basically the last surgeons suggested if i go to only Genio route he will do about 1-1.4 cm horiziontly and 4mm vertically andvamcent which seems good in my case, but he mentolibail fold wont go really foworad and kind of stay where it is, which will cause odd look and not good ashtethic outcome.
and if i go to the DJS+genio ccw route he would do about 6-8mm ccw to the maxilla, 7-9mm ccw to the mandible and more for genio (about total of 1.8.-2.2 cm lower andvamcent), he beliving like myself in ante face look, he didnt get really specific because it was the first time i met him and we didnt do 3D CT simulation yet.
Because my bite is good he said i will not need braces before nor after which is great (also my jaw after the surgery wouldnt be wire shut so i could eat soft food for the get go)
The thing which the most disturbing for me though is that he told me that i need to extract all 4 of my wisdom teeth before my surgery, which i really dont like the idea of it, cause to my understanding teeth and the jaw are conttected and support each other and in the long run in can narrow my jaw and recessed it, or am i wrong? (beacue is the wisdom teeth not premolars)
Also another thing that disturbe me is signficant relpase of the surgery, i dont mind small relapse (few milimiters), but big realpse sounds tereffing and i really scared from it, is it common?
sry if my english isnt good as it isnt my first language, here are some photos of me, also photos of morphing my self if i only do the genio route ( i have morpohd one with basically what the suregon suggested and one with the mentolibail fold going foword also so u will can see the diffrence i talked about in only genio routine)
Ideally i will much prefer to go for only large advancement genio (less risks, downtime, less of a surgery) with making my mentoliabial fold foword also but it doesnt seems possible unfortunately, so i will probably need to go for all
i will really appreciate what u think about my case, a big thank you to the helpers!
last 3 pages of the cephx anlyaziz are in the imgur link because of size problem
https://imgur.com/a/ViSzX4Y