I have minor sleep apnea but am considering jaw surgery for aesthetic purposes. I consulted with a surgeon and he seemed to agree it would be useful aesthetically but wanted to get some other opinions. From what I can tell I have recession on both sides of my face but my right side is more recessed than my left, which is obviously a big problem as I think the asymmetry compounds the recession. It seems to me like both my zygomatic arch and maxilla are more recessed on the right side. Furthermore, this makes my septum look as though it is deviated to the left, although I’m unsure if there is actual deviation or it is because the right side of my mid face is just more retruded than the left. The recession also makes my hairline look too high and I am considering having it lowered after all other surgeries are complete. My eye area has pretty bad asymmetry as well due to ptosis and a negative canthal tilt so I will be getting that fixed as well.
I have x-rays attached in the Imgur link, although the ceph was taken about a year after the photos and my BF% is higher at the time of the ceph. I would say overall I’m aiming for a similar result as the case in Figure 5 in this paper:
https://www.thepmfajournal.com/features/features/post/mid-facial-augmentation-with-malar-implantsMy current surgical plan is:
Bimax
Malar-infraorbital rim implants to fix upper mid face asymmetry and correct hollow under eyes
Eyelid surgery (lower eyelid retraction, ptosis surgery, canthopexy)
And then if needed hairline lowering and rhinoplasty
I had a couple questions and was wondering if these surgeries sound like they would help aesthetically:
1. My surgeon seemed to imply that a bimax could also fix a deviated septum - is this really true?
2. Can a bimax fix depth asymmetry? What I mean by that is I know the jaws can be moved left or right, but if one aspect of the maxilla and mandible is more recessed, can a bimax bring them into symmetry?
3. Aesthetically, do you think a bimax is needed, or will midfacial implants be enough to correct the asymmetry and recessed look?
4. What would the best order be to do these surgeries? I would assume bimax -> infraorbital+malar implants -> eyelid surgery?