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Before/After Photos => Overbites => Topic started by: applejuice on May 07, 2014, 01:49:12 PM

Title: Before and after BSSO
Post by: applejuice on May 07, 2014, 01:49:12 PM
http://imgur.com/a/c5qiM (http://imgur.com/a/c5qiM)

I think the lower jaw looks still recessed. A genio would probably deepen the sublabial fold. Better result possible with ccw rotation? Other thoughts?
Title: Re: Before and after BSSO
Post by: notrain on May 09, 2014, 01:04:27 AM
you should have had premolars extracted in your lower jaw to create more overjet to get a larger advancement.

a premolar is 6-7mm wide, so you could have gotten 6-7mm more mandibular advancement which would have been spot on i think.

caveat: your bite would be worse than it is now, but you'd look better.

to be fair though: the surgery was a definite improvement looks wise and the function (bite) looks excellent on your ceph.

you could still get chin wing with a bone graft from the hip to fill the sublabial fold.
Title: Re: Before and after BSSO
Post by: applejuice on May 09, 2014, 09:21:12 AM
Thanks again for opinion. Compromising the bite and risking relapse is probably not worth it if similar aesthetic improvement is (hopefully) possible with chin wing.
Title: Re: Before and after BSSO
Post by: ticktickatick on May 16, 2014, 08:52:40 AM
Has your surgeon said a genio would deepen the fold on you or are you just predicting?
Title: Re: Before and after BSSO
Post by: applejuice on May 16, 2014, 06:29:41 PM
He said the fold would probably stay the same, if i remember correctly.