A ceph would be more helpful than those photos, but based on those photos I think a mild CCW rotation would be appropriate.
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Personally, I don't think your asymmetry is very bad, and I wouldn't bother addressing it in a CCW surgery because your face would likely shorten a bit, and it would make it even less noticeable. If elongating the face, the opposite might be true, and it might be worth addressing then.
I also don't think you look bad at all. Look totally normal to me. All issues are mild, IMO.
Hi GJ, much appreciate the impartiality
My initial hunch agrees. Gains from a hypothetical surgery would inadvertently minimise present asymmetry anyway. Truly the focus is the apparent retrusion. To my knowledge, addressing assymetry specifically would be a very involved process, probably intramandibular distractors on each side carefully extended. I agree that there is little to gain there for the surgical effort and cost.
I took some different photos, here I shaved down up my mandible line and trimmed facial hair. The facial hair line to the chin runs along my mandible, felt with an index finger. The soft tissue around is visible and I’m with an upright head posture.
Ultimately though, it is as you write. I read on what cephalogram are following your comment and am going to seek this to properly understand whats underneath the skin. I imagine a max-fasc surgeon conducts it as part of their pre-op assessment. From prior threads on here I reckon Mirco, Alfaro and a few other European surgeons would be worthwhile to solicit their opinion too. I’d need to understand their costs too, as at the present time I afford a budget no more than 20 thousand.
As for breathing complications, following up from my initial post here I downloaded a “sleep recorder” app to see about snore and I was surprised that I no longer snore. I should mention I recently lost 20kg. I am quite pleased with this discovery! Hence I no longer have a justification of worry insofar as sleep breathing, at least, not at this time (I’m in my twenties). I did snore when younger and I was mouth-breathing at night as a child too. I also had extractions as a child, if I remember, 3 separate teeth. Today, I’ve what I’m confident is a class 1 bite (no malocclusion), thanks in part to 3 years of braces. Indeed it is a cosmetic and athletic performance enhancement desire on my part to seek this, improving airway and masculinisation of the jaw.
Time-wise, I am nearing finishing graduate school and could accomodate the weeks of recovery if this procedure were done shortly after graduation, before the responsibility of graduate employment afterwards.
But, I agree, it is mild. I will have to desist this if feedback from surgeons is negative, or if, personally, I felt that the possibility for cosmetic change was trivial given what capital it will cost. Meanwhile, please lets hope otherwise