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Aesthetics / Re: Would chin implant fix my issue
« Last post by GJ on May 20, 2024, 07:22:10 AM »I'm not seeing the issue. You look good.
Her lower 1/3 of her face is longer in the after, she starts with little upper tooth show and maxillary recession. So, most likely an overall graft to the maxilla with net CW-r in addition to maxillary and mandible advancement.
I appreciate the feedback Kavan. You're right it really isn't a plan it's a just a morph. If money wasn't a factor of course I'd go to G but that isn't a reality right now. I'll take your advice and go do some more shopping with G's plan. I tried to show G's plan to the local guy but he wouldn't even look at it. I described it and he was pretty dismissive of the extreme movements and clearly knew who G was and seemed slightly offended. Even if I have to wait a while longer or wait until I'm making real money, you only get one good shot at this thing so I shouldn't mess around.
I have two relevant surgical plans I'm trying to compare. One is from G and the other is from a local surgeon with a lot of experience. I am independently weighing the cost differences, because of G's large costs, and the risks each surgeon could come with. I'd appreciate some help comparing the actual differences between the two plans I have.
G's plan- https://imgur.com/a/XzEZgYj
Multisegment lefort I, BSSO, and genioplasty (said about 9mm lefort and 15mm BSSO)
Local Surgeon- https://imgur.com/a/XXuqtjU
lefort I,BSSO, (no genio or multisegment, although not because he doesn't do either just believes they are unnecessary)
The local surgeon's plan is a morph which I'm having trouble comparing to G's diagrams and visualizing myself. I think the morph looks good but have a few questions about comparing the two:
How accurate are morphs with experienced surgeons?
How different are the aesthetic and airway outcomes in both of these cases?
Ignoring risk, could I be leaving large aesthetic gains on the table by choosing the local surgeon based on these plans?
I'd also welcome any general discussion or comments on the plans themselves. Appreciate anyone taking the time to respond.
Where the graft was used ? Isn't graft used only in CCW ? Why would a CW need a graft ? Also do you think the same method could be used on someone with relative normal upper teeth show ?