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General Category => Aesthetics => Topic started by: strongjawman on June 01, 2018, 01:45:40 PM

Title: What the hell happened to this woman's ramus? Dr. Movahed.
Post by: strongjawman on June 01, 2018, 01:45:40 PM
Not sure if it's some weird optical illusion, as it doesn't look as bad in the second picture, but it looks as though her ramus increased in length 5 fold and her mandible shortened??

(https://movahedoms.com/wp-content/uploads/corrective-jaw-surgery/slideshow/corrective-jaw-orthognathic-surgery-case-study4-3-quarters-before-after.jpg)

https://movahedoms.com/services/corrective-jaw-surgery/double-jaw-surgery/case-study-6/
Title: Re: What the hell happened to this woman's ramus? Dr. Movahed.
Post by: kavan on June 01, 2018, 02:26:33 PM
IDK. Maybe an 'Inverted L' type osteotomy which can make the ramus longer.

(https://ars.els-cdn.com/content/image/1-s2.0-S221454191600002X-omsc16-fig-0002.jpg)

Write to the doc and ask if he does the 'Inverted L'.
Title: Re: What the hell happened to this woman's ramus? Dr. Movahed.
Post by: GJ on June 01, 2018, 05:40:48 PM
Looks like the posterior of the ramus dropped down. What Kavan posted looks about right.
Title: Re: What the hell happened to this woman's ramus? Dr. Movahed.
Post by: PloskoPlus on June 01, 2018, 09:19:39 PM
Not sure if it's an improvement... TJR?
Title: Re: What the hell happened to this woman's ramus? Dr. Movahed.
Post by: PloskoPlus on June 02, 2018, 02:47:22 AM
This one looks better:
https://movahedoms.com/services/corrective-jaw-surgery/double-jaw-surgery/case-study-2/

He also does expansion of the mandible:
https://movahedoms.com/services/corrective-jaw-surgery/distraction-osteogenesis/

BTW, I'm probably wrong, but don't some of his cases have posterior open bites?

https://movahedoms.com/services/corrective-jaw-surgery/double-jaw-surgery/case-study-7/
Title: Re: What the hell happened to this woman's ramus? Dr. Movahed.
Post by: kavan on June 02, 2018, 08:18:21 AM
His photo presentation is great meaning the head postures and all 3 of them, front, profile and oblique view. I think it would behoove him to do a short case write up as to what each patient started with and what was done to address the problem.
Title: Re: What the hell happened to this woman's ramus? Dr. Movahed.
Post by: strongjawman on June 02, 2018, 11:53:23 AM
Quote from: PloskoPlus on June 01, 2018, 09:19:39 PM
Not sure if it's an improvement... TJR?
TJR is what I thought as well but not sure; it looks really unnatural from the angle in the OP. If that is what an inverted L osteotomy looks like then no thanks.
Title: Re: What the hell happened to this woman's ramus? Dr. Movahed.
Post by: april on June 22, 2018, 06:00:53 PM
What would cause her nose to point downwards, rather than tipping up? Or is it just an illusion.
Title: Re: What the hell happened to this woman's ramus? Dr. Movahed.
Post by: PloskoPlus on June 22, 2018, 06:04:51 PM
Quote from: april on June 22, 2018, 06:00:53 PM
What would cause her nose to point downwards, rather than tipping up? Or is it just an illusion.
ANS reduction or even removal.
Title: Re: What the hell happened to this woman's ramus? Dr. Movahed.
Post by: ditterbo on June 22, 2018, 07:37:03 PM
I'll just say it, that to me is a terrible result. Her ramus didn't 'drop down', it's basically gone now. Her mandible starts half way through her face. Severe bone resorption or something else, but TJR shouldn't result in this AFAIK. 
Title: Re: What the hell happened to this woman's ramus? Dr. Movahed.
Post by: april on June 22, 2018, 08:32:00 PM
I've never heard of TJR being put in a class III... nor severe bone resorption.

Strange result... but I think she looks OK from the front...smiling.