Which surgical plan is better?

[thatlake12]

I have surgical plans from two different surgeons.

1. Functionally and aesthetically, which plan is better, and why?

2. Do any of the plans carry any functional or aesthetic risks?

3. One risk I'm worried about is the possibility of having a short face after surgery. Do either of these plans carry that risk? Does either plan shorten the face more than the other?

4. Surgeon 1 wants to expand my maxilla 3mm. Surgeon 2 wants my lower molars to be uprighted further so that he can expand my maxilla 8mm. Which is better?

5. Which plan features greater CCW rotation of the maxilla? Which plan features greater CCW rotation of the mandible?

Plan 1

https://drive.google.com/file/d/1HBc6r3TVlc7dcKzUaBGBBgmJ6jUfP3c4/view

https://drive.google.com/file/d/1n7LZDcTcGF4PKGqlHNhos4uW1rdHgJP-/view

Plan 2

https://drive.google.com/file/d/1SdDopBlyC6SP6nlW8AQ2Y52cMDsHP9oW/view

[thatlake12]

Here is my ceph https://drive.google.com/file/d/1sgBRyTMjNVQ3nlnD-qDvD6_T2dmPx7R6/view

[GJ]

Can you post images of your face? Just blur out the eyes etc.

Based on the cephs, I like the first better as it keeps your natural facial height. I'm not a huge fan of CCW rotation on underbite cases. I can't tell how far forward they're moving the maxilla in the first plan. It looks like ~2mm.

Gunson is of course very good at this surgery, so going with him might reduce risks...who is the first surgeon? If they're reputable, I'd probably go with that plan. I'd also probably go get a few more consults and bring both of these to those consults.

[thatlake12]

Why don't you like CCW on underbite cases? And the first plan also shortens my face, right? It has my pogonion coming up 4.5mm. My ANS comes forward 1.9mm, which I'm not sure will cure my nasolabial folds.

Is there any more private or temporary channel through which I can share face images?