Short Face Syndrome?

[Captain_Jack2001]

Hi all

I've attached two pictures. The first being when my jaw is clenched down, the 2nd when my jaw is slack. I'm fairly confident I have SFS and would be interested to hear whether I would need Bimax or just a BSSO, as I don't believe my maxilla is recessed, just my lower jaw.

[Tomasjohn]

Definitely need some scans for answers.
Visible from the pictures is how the lower lips sits behind the upper lip, which would hint towards a recessed lower jaw.
I don't think your maxilla is recessed.

[Captain_Jack2001]

Definitely need some scans for answers.
Visible from the pictures is how the lower lips sits behind the upper lip, which would hint towards a recessed lower jaw.
I don't think your maxilla is recessed.

Yeah, I have an overbite for sure, though dentists never seemed to pick it up like they did my brother. I'm planning on getting scans at some point to confirm. If the maxilla is good as it is, BSSO and possibly genio would be the solution I'd assume? I think with the projection I have in the maxilla, moving the upper jaw forward would give me serious chimp lip.

[Tomasjohn]

Yeah, I have an overbite for sure, though dentists never seemed to pick it up like they did my brother. I'm planning on getting scans at some point to confirm. If the maxilla is good as it is, BSSO and possibly genio would be the solution I'd assume? I think with the projection I have in the maxilla, moving the upper jaw forward would give me serious chimp lip.

Aesthetically speaking I think you don't need advancement of the maxilla.

But in the end, the movements necessary are determined by the surgeon. Without more information it's not worth it going into to much details at the moment I'd say.

[kavan]

You don't have short face 'syndrome'. You have what is sometimes called 'short chin'. But still it is a STRONG chin. Like sometimes you see that type of chin on a LIBERTY DOLLAR COIN. So, it has a positive connotation and within the norm of having a compact face.

The chin you have is sometimes referred to as 'short' because it is tilted upwards. But having that type of chin DOES NOT MEAN you have a 'short face' and most certainly NOT 'short face syndrome'. You could probably get away with just having a genio that tilts it downwards if you wanted your face to look a little longer.

If you wanted to go for surgery, most likely it would be double jaw and not only a BSSO. It would probably be CLOCKWISE rotation (which involves a cut to the maxilla) to orient clockwise which would set the soft tissue of the upper lip backwards in addition to tilting down the lower jaw along with the chin. With the tilt down via the clockwise rotation, the advancement of the mandible (via the BSSO) takes place over a more downward vector and provides elongation. Also, with the tilt down to the maxilla tends to mitigate the upper lip area sticking out too much. How much each is advanced would depend on your BITE because that needs to balanced with the extent of advancement. Possible you might not even need a genio along with it.

Illustration included (left side of it).

[kavan]

Aesthetically speaking I think you don't need advancement of the maxilla.

But in the end, the movements necessary are determined by the surgeon. Without more information it's not worth it going into to much details at the moment I'd say.

Correct but not with his present orientation. His maxilla would (most likely) need to be re-oriented via lefort 1 CW rotation which would set the soft tissue of the upper lip backwards for it to be advanced along a better orientation. A BSSO with aim to elongate the face would need to take place along a more downward vector also. CW rotation in order to 'tilt down' the maxillary mandibular complex  so that the advancement of both takes place over a more favorable orientation/angle of inclination.

Correct about the movements being determined by the surgeon. But the movements are along an angle of inclination and the surgeon chooses that too (by selecting the type of rotation; CW or CCW). It's not something where someone can choose to get 'only' the BSSO but no changes to the maxilla.

[Tomasjohn]

It's not something where someone can choose to get 'only' the BSSO but no changes to the maxilla.

Thanks. This is what I was trying to say.

[GJ]

I don't think you need jaw surgery. If you want more length just CW rotate the chin (maybe)...still I'd do that with caution.

[Captain_Jack2001]

I don't think you need jaw surgery. If you want more length just CW rotate the chin (maybe)...still I'd do that with caution.

Thanks for the response. Out of interest, why would you be cautious with chin movement in my case? I think we can both agree my chin is short (comes with my gonial angle)