jawsurgeryforums.com
General Category => Aesthetics => Topic started by: aestheticseeker on April 16, 2020, 05:45:14 PM
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Have had a edge to edge malocclusion for 5 years now
1) NYU ortho dept wanting to do camouflage treatment (IPR lower which im not wanting) now that corticotomy "failed" (never was the right treatment method lol)
2) Already wanting genioplasty (Surgeon advised me of 7mm)
3) Steinbacher (yale) wants do to bimax
Intra oral, lateral ceph and panorex: https://imgur.com/a/zEf9rJf
Thank you
Facial profile pics: https://www.instagram.com/p/B0tz3_jJVYG/ (Have had filler to compensate for skeletal deficiencies)
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An edge to edge malocclusion can be corrected by creating approx. a 3 mm clearance where front teeth are that much ahead of the lowers via displacing the maxilla by that amount as was the suggestion of your #3.
Maxfax or bimax surgery although aimed at addressing skeletal deficiencies so there is a jaw to jaw balance are not aimed at highly customized contours such as those (temporarily) 'sculpted' in with fillers. That is to say, you would not want to rely on maxfax to kick up the same contours in the instagram shots.
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An edge to edge malocclusion can be corrected by creating approx. a 3 mm clearance where front teeth are that much ahead of the lowers via displacing the maxilla by that amount as was the suggestion of your #3.
Maxfax or bimax surgery although aimed at addressing skeletal deficiencies so there is a jaw to jaw balance are not aimed at highly customized contours such as those (temporarily) 'sculpted' in with fillers. That is to say, you would not want to rely on maxfax to kick up the same contours in the instagram shots.
Understood. Do you think i will get any more aesthetic benefit from moving the upper jaw forward opposed to camouflage treatment?
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Understood. Do you think i will get any more aesthetic benefit from moving the upper jaw forward opposed to camouflage treatment?
I wouldn't mess with your upper jaw if your primary goal is aesthetics. If your edge-to-edge bite is a real functional problem for you, then option 3 is reasonable. Just be aware the isolated LF1 advancement will tend to make you look recessed whereas the genioplasty will tend to offset this effect. So I would not advise a genioplasty of anything less than your LF1 displacement if a BSSO is not a factor. Luckily your occlusal plane looks pretty normal and you don't have much of a mentolabial fold, so maybe you can get away with this.
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Understood. Do you think i will get any more aesthetic benefit from moving the upper jaw forward opposed to camouflage treatment?
Assuming that's YOU in the instagram photos, you can see that the doctor pointed to the tip of the nose and you see in the after that the downwardly rotated tip rotates upward a bit and there is more nostril show in the after. Basically, he used some filler to project out the base of your nose. Since that can also happen when the maxilla is brought forward, assuming you like the changes to the nasal base area, maxillary advancement to correct the edge to edge bite would also stand to bring some aesthetic improvement with it.
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Assuming that's YOU in the instagram photos, you can see that the doctor pointed to the tip of the nose and you see in the after that the downwardly rotated tip rotates upward a bit and there is more nostril show in the after. Basically, he used some filler to project out the base of your nose. Since that can also happen when the maxilla is brought forward, assuming you like the changes to the nasal base area, maxillary advancement to correct the edge to edge bite would also stand to bring some aesthetic improvement with it.
exactly what im also wanting! I am in need of a septoplasty but want to do the whole nose... How long should I wait after LF1
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exactly what im also wanting! I am in need of a septoplasty but want to do the whole nose... How long should I wait after LF1
About a year.
DISCLOSURE: When I answer the questions on the initial post and perhaps a follow up question to that, it's not meant to be an invitation to keep answering spin off questions.
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exactly what im also wanting! I am in need of a septoplasty but want to do the whole nose... How long should I wait after LF1
Most maxfacs will do a septoplasty concurrently with a LF1 if it is called for. This could help you get the functional benefits sooner and also avoid multiple surgeries if you decide you are happy with your nose after the LF1.
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Most maxfacs will do a septoplasty concurrently with a LF1 if it is called for. This could help you get the functional benefits sooner and also avoid multiple surgeries if you decide you are happy with your nose after the LF1.
If my bulbous tip really bothers me could it become better after LF1 if its lifted?
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If my bulbous tip really bothers me could it become better after LF1 if its lifted?
i am not seeing a particularly 'bulbous' nasal tip in your pics. Then again i only have 1 angle of reference and the arrows are obsuring the tip in your 'before' photo.
LF1 advancement can make a downward-pointing tip more in line with the nasal bridge. Although this is pretty unpredictable IMO.
Here is my before and after from a 10mm linear bimax advancement. My case is different than yours because my nasolabial angle was already obtuse whereas yours may be acute. Consequently, you may see some aesthetic benefit. You'll notice my tip raised, but not by a substantial amount. The main side effect was increased nostril flare. It's hard to say what the impact of a 4mm advancement on your nose would be: https://imgur.com/a/vEWPY9b
My main point is you should manage your expectations, and that soft tissue response cannot be predicted with a high degree of accuracy.
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i am not seeing a particularly 'bulbous' nasal tip in your pics. Then again i only have 1 angle of reference and the arrows are obsuring the tip in your 'before' photo.
LF1 advancement can make a downward-pointing tip more in line with the nasal bridge. Although this is pretty unpredictable IMO.
Here is my before and after from a 10mm linear bimax advancement. My case is different than yours because my nasolabial angle was already obtuse whereas yours may be acute. Consequently, you may see some aesthetic benefit. You'll notice my tip raised, but not by a substantial amount. The main side effect was increased nostril flare. It's hard to say what the impact of a 4mm advancement on your nose would be: https://imgur.com/a/vEWPY9b
My main point is you should manage your expectations, and that soft tissue response cannot be predicted with a high degree of accuracy.
Okay your nose came out sooooooo nice wow
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I wouldn't touch your nose. Masculinity is key. A slightly convex nose is ideal imo when it comes to masculinity. It's a trade off. A straighter more femine nose versus a more masculine nose. Women love masculinity.
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I wouldn't touch your nose. Masculinity is key. A slightly convex nose is ideal imo when it comes to masculinity. It's a trade off. A straighter more femine nose versus a more masculine nose. Women love masculinity.
see one issue im having is the corticotomy procedure seemed to have f**ked up my nose somehow. Either its swollen from the bone grafting or the tube they shoved up my nose to intubate messed it up...
corticotomy was done jan 10 and this is what my nose looks like now
https://imgur.com/a/RXeYjgn
I personally think rhinoplasty will complement the sliding genio well
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see one issue im having is the corticotomy procedure seemed to have f**ked up my nose somehow. Either its swollen from the bone grafting or the tube they shoved up my nose to intubate messed it up...
corticotomy was done jan 10 and this is what my nose looks like now
https://imgur.com/a/RXeYjgn
I personally think rhinoplasty will complement the sliding genio well
Could be if you find someone who does it well. But it's a very tricky procedure. Slightly convex nose = masculine/dismorphic. I see that you might thin it off from the sides. Making it straight makes it a bit more aestethic but less masculine. Doing too much could make it look fake. You don't want to end up with a fake nose as a man. Ramos did a nosejob, Zlatan did a nosejob. Look how subtle it was. You need a surgeon that is subtle and makes it look real. Some surgeons are butchers with zero aesthetic knowledge.
Casemiro from Real did a nosejob as well by the way. Does it look better? I don't know, it looks a bit less masculine, a bit fake.
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Could be if you find someone who does it well. But it's a very tricky procedure. Slightly convex nose = masculine/dismorphic. I see that you might thin it off from the sides. Making it straight makes it a bit more aestethic but less masculine. Doing too much could make it look fake. You don't want to end up with a fake nose as a man. Ramos did a nosejob, Zlatan did a nosejob. Look how subtle it was. You need a surgeon that is subtle and makes it look real. Some surgeons are butchers with zero aesthetic knowledge.
Casemiro from Real did a nosejob as well by the way. Does it look better? I don't know, it looks a bit less masculine, a bit fake.
What do you think about this guys work?
https://www.instagram.com/dr.muratustundag/?hl=en
I personally think theres a balance of femininity and masculinity in a mans face that can be balance harmoniously.
I think this guys result is impressive: https://www.instagram.com/p/B-7KWPbFD9y/
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What do you think about this guys work?
https://www.instagram.com/dr.muratustundag/?hl=en
I personally think theres a balance of femininity and masculinity in a mans face that can be balance harmoniously.
I think this guys result is impressive: https://www.instagram.com/p/B-7KWPbFD9y/
Personally I think he was over-rotated. The 'after' is nearly feminine
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Personally I think he was over-rotated. The 'after' is nearly feminine
Any before and afters you could show me that you think are well done?
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personally think theres a balance of femininity and masculinity in a mans face that can be balance harmoniously.
When there is a big hook nose or big bulbuous nose, yes, it could work. When you got a nose like ramos before nosejob, you need extreme subtility. Most surgeons can't do it that subtle. Men are butchers/big hands. You almost need a feminine hand to do it. When you see a big robust surgeon with big hands that wants to do a nosejob: get out of his office.
My gut feeling says women would be much better surgeons than men. They are way more accurate and precise in general. I don't know why there are so few female surgeons.
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Any before and afters you could show me that you think are well done?
I think he got an improvement, I just think the rotation was somewhat overdone. Not a disaster.
From the same surgeon, I think this result is more impressive, although some of the same issues are still present: https://www.instagram.com/p/B-XKmBalBRL/?utm_source=ig_web_copy_link
Here you see overall improvement due to the increased perceived length, but the concave bridge again feminizes those nose: https://www.instagram.com/p/B8gsOyyFJca/?utm_source=ig_web_copy_link
I think this surgeon is skilled but has an aesthetic eye that produces more feminine results.
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I think he got an improvement, I just think the rotation was somewhat overdone. Not a disaster.
From the same surgeon, I think this result is more impressive, although some of the same issues are still present: https://www.instagram.com/p/B-XKmBalBRL/?utm_source=ig_web_copy_link
Here you see overall improvement due to the increased perceived length, but the concave bridge again feminizes those nose: https://www.instagram.com/p/B8gsOyyFJca/?utm_source=ig_web_copy_link
I think this surgeon is skilled but has an aesthetic eye that produces more feminine results.
definitely makes feminine like noses. I'm not particularly looking for over masculinization
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I think he got an improvement, I just think the rotation was somewhat overdone. Not a disaster.
From the same surgeon, I think this result is more impressive, although some of the same issues are still present: https://www.instagram.com/p/B-XKmBalBRL/?utm_source=ig_web_copy_link
Here you see overall improvement due to the increased perceived length, but the concave bridge again feminizes those nose: https://www.instagram.com/p/B8gsOyyFJca/?utm_source=ig_web_copy_link
I think this surgeon is skilled but has an aesthetic eye that produces more feminine results.
Wow. Ruined his side profile. Everything looks more recessed when you take too much off a man's nose. The slight convex shape gives the face more forward growth.
Slight convexity is in fact the ideal imo. It looks masculine and still aestethic.
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Wow. Ruined his side profile. Everything looks more recessed when you take too much off a man's nose. The slight convex shape gives the face more forward growth.
Slight convexity is in fact the ideal imo. It looks masculine and still aestethic.
If you’re referring to the second link, the issue may be the contrast between his beard in the background in the b/a pics. The ‘after’ is contrasted against a dark background, so the lower jaw may look more recessed
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Have had a edge to edge malocclusion for 5 years now
1) NYU ortho dept wanting to do camouflage treatment (IPR lower which im not wanting) now that corticotomy "failed" (never was the right treatment method lol)
2) Already wanting genioplasty (Surgeon advised me of 7mm)
3) Dr Jamali (NYC) Wants to move maxilla 3-4mm forward, Genioplasty (Unsure of his mm recommendation) but no BSSO
Intra oral, lateral ceph and panorex: https://imgur.com/a/zEf9rJf
Thank you
Facial profile pics: https://www.instagram.com/p/B0tz3_jJVYG/ (Have had filler to compensate for skeletal deficiencies)
just out of curiosity, the filler results in those pics look amazing. Do they last?
I mean I know they don't last forever, you need touchups but does the result in that pic last a few months or does it all just melt from those positions and get saggy. How long do the results in the after photo last?
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The fillers he specifically used on me didnt last very long. I moved onto getting radiesse which required an additional 6ml
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Can Anyone advise me to whether my airway looks small
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Is that you in the Instagram pictures? You look sooo handsome (with or without the fillers), you seriously want to have jaw surgery to make you look better? And rhinoplasty? Seriously what's wrong with people? You can get your bite sorted out with orthodontics only, as they already told you (there's nothing wrong with IPR, I got it done and never had any problems). You have nice delicate features that look good on you, why mess it up and live with nerve damage etc. for the rest of your life for no good reason? It's your body of course but...
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I think this guys result is impressive: https://www.instagram.com/p/B-7KWPbFD9y/
To me that man looked way better before. He still looks good in the after but he had a good, masculine nose before that suited his face much better, there was absolutely no need to 'correct' it. If he feels better about himself after, good for him, but objectively it was totally unnecessary, especially the way it was done (looks feminine in the after).
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To me that man looked way better before. He still looks good in the after but he had a good, masculine nose before that suited his face much better, there was absolutely no need to 'correct' it. If he feels better about himself after, good for him, but objectively it was totally unnecessary, especially the way it was done (looks feminine in the after).
I think he looks better after, but he looks solid before, in that gruff/hitman kind of way.
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To me that man looked way better before. He still looks good in the after but he had a good, masculine nose before that suited his face much better, there was absolutely no need to 'correct' it. If he feels better about himself after, good for him, but objectively it was totally unnecessary, especially the way it was done (looks feminine in the after).
I am 99% sure i have sleep apnea, I snore and wake up feeling exhausted every day on top of the malocclusion issue
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I think he looks better after, but he looks solid before, in that gruff/hitman kind of way.
I guess it's subjective, but we seem to agree that he looked 'normal' / good already with his original nose. I wonder why it bothered him so much that he decided to get surgery for it, but anyway, if he likes the result, good for him - that's all that matters.
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I am 99% sure i have sleep apnea, I snore and wake up feeling exhausted every day on top of the malocclusion issue
Oh that's a different story then - I had class 2 and had breathing problems, can't believe the difference the surgery made. I can sleep sooo much better and first time in my life am not exhausted when I wake up - I did not even know this was possible for me. The surgery might be worth it for you then, but please try to find a very skilled surgeon that does not mess up your face aesthetically as you are already so good looking, you don't want to lose that.
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I guess it's subjective, but we seem to agree that he looked 'normal' / good already with his original nose. I wonder why it bothered him so much that he decided to get surgery for it, but anyway, if he likes the result, good for him - that's all that matters.
The more I look at him the more I'm 50/50...
If I saw the guy on the left on the street, I'd think he's a hit man. Guy on the right I'd think he's a music engineer or something. Both look similar to me in terms of attractiveness, so it's more about what I associate the person with.
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The more I look at him the more I'm 50/50...
If I saw the guy on the left on the street, I'd think he's a hit man. Guy on the right I'd think he's a music engineer or something. Both look similar to me in terms of attractiveness, so it's more about what I associate the person with.
Good point - maybe it's not that he thought he looked 'bad' before, but he didn't like the hitman look - fair enough.
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Oh that's a different story then - I had class 2 and had breathing problems, can't believe the difference the surgery made. I can sleep sooo much better and first time in my life am not exhausted when I wake up - I did not even know this was possible for me. The surgery might be worth it for you then, but please try to find a very skilled surgeon that does not mess up your face aesthetically as you are already so good looking, you don't want to lose that.
What do you think of Steinbacher at yale
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What do you think of Steinbacher at yale
No idea - I'm not in the US. Hopefully US-based members can advise you on this.