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General Category => Aesthetics => Topic started by: StudyHacks on September 02, 2019, 09:01:38 AM

Title: Very recessed jaws (maxilla+mandible), what do you think?
Post by: StudyHacks on September 02, 2019, 09:01:38 AM
I'll upload both the front and side view.  The front is so sharp and good because I've had fillers injected. But yeah it wasn't a really smart move on my part since I slapped fillers on recessed jaws and now when I stand up it looks odd coz the midface is very underdeveloped yet the lower third (except for the obvious lack of forward growth which I can see due to the low-set hyoid bone and s**tty submental area) is good

Im going to have a 3D-CT scan done and then I'm going to take the results (the disc) to a local maxillofacial surgeon for proper assessment

I'm 100% sure I need bimax BAD.  To my mind, I need approximately 1cm forward movement of the mandible and 6-7mm of the maxilla with ccw+impaction

What do you guys suggest I do etc? How do I fix my face? I've morphed my side profile I'll include it in the link

https://imgur.com/a/jO9Tk2V
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: Dogmatix on September 02, 2019, 10:15:04 AM
What do you guys suggest I do etc? How do I fix my face?

I suggest you do exactly as you planned. Do a cbct and consult with a surgeon. Don't go in and say you need a bimax ccw with 1cm mandibular advancement. Tell your concerns and ask what they suggest.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: StudyHacks on September 02, 2019, 10:39:28 AM
OK but looking at my pics can you tell me what YOU think I need?
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: Post bimax on September 02, 2019, 10:52:44 AM
What makes you think you need impaction?
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: StudyHacks on September 02, 2019, 10:55:05 AM
What makes you think you need impaction?


Someone more knowledgable than me  said to me impaction is almost always needed to avoid the "chimp looks" from the side view
Someone more knowledgable than me said to me impaction is almost always needed to avoid the "chimp looks" from the side view
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: Dogmatix on September 02, 2019, 11:13:16 AM
OK but looking at my pics can you tell me what YOU think I need?

No, I can not. For the same reason you figure you need a cbct for a surgeon to be able to tell you what you need. You only show your face and you ask for advice on advanced orthognatic surgery. Only by looking at your face, sure, you might benefit from an advancement of some kind. You need x-rays and pictures of your bite.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: StudyHacks on September 02, 2019, 11:14:50 AM
Alright, so if I get the 3D-CT scan of my entire face and the orthodontical assessment (bite classification) and come back here with the CD-scan pictures and the bite info, will you guys be able to tell me what I need?
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: Dogmatix on September 02, 2019, 11:22:09 AM
Alright, so if I get the 3D-CT scan of my entire face and the orthodontical assessment (bite classification) and come back here with the CD-scan pictures and the bite info, will you guys be able to tell me what I need?

Uhm. You understand this is a free community where you can't demand anything? No one here owes you to tell you anything. You can post what ever you like and if someone have time, the knowledge and want to, they'll respond. A post with necessary presentation is superior to one without it.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: StudyHacks on September 02, 2019, 11:26:29 AM
Yes obviously, i think you misunderstood. I'm not demanding, I'm asking for help. Prolly should have added emoticons. lmao
I'm just looking for help, thanks  ;D Coz I'm not knowledgable so I need it, thank you
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: GJ on September 02, 2019, 12:04:06 PM
Uhm. You understand this is a free community where you can't demand anything? No one here owes you to tell you anything. You can post what ever you like and if someone have time, the knowledge and want to, they'll respond. A post with necessary presentation is superior to one without it.

Yeah, he came off as kind of demanding and cursed in his email when asking me for an account.
Who knows. Things get lost in writing so I let it slide, but it seems others are picking up on it.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: StudyHacks on September 02, 2019, 12:23:50 PM
Hey man, first of all thank you very much for letting me in!

Second of all, I'd like to apologize for the tone of my post and questions if you guys have misunderstood it.

I'm not trying to demand anything, I'm just trying to get help from you guys who are much more knowledgable than me and by doing so I'm hoping to fix my face.

Can you guys please help :)
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: ben from UK on September 02, 2019, 12:47:45 PM
The chin is too big with the profile view. It should not exceed straight line along browridge + lip. Do the pencil test. Edit: I see it doesn't exceed. Still it looks 1-2 millimeters too much. Maybe it's the angle of the pic.

Edit2: hmm, I see where the problem lies. It's probably a morphing mistake under the lip which makes the chin 'full'.

Where did you have the filler? It looks very sharp from the front.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: StudyHacks on September 02, 2019, 01:00:00 PM
What do you mean where? In the entire lower third. So jaws and chin.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: Post bimax on September 02, 2019, 01:28:38 PM
The chimp look is a result of an over-advanced maxilla. In order to avoid this while getting a mandibular advancement, you need to rotate the jaw CCW. If your tooth show is fine, this should be done via posterior downgraft of the maxilla rather than anterior impaction. Impacting your maxilla when your tooth show is fine will destroy your tooth show and look terrible.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: kavan on September 02, 2019, 01:43:54 PM
The front looks OK and the side morph would resolve to maybe a chin implant.

However, I disclose that I won't really evaluate morphs when the morpher does not place the photos SIDE BY SIDE. So no confirmation or validation from me as to what you are '100% sure' you need other than to say you look like you could survive without bimax.

If you don't think you can survive without bimax surgery, than consult with a maxfax and come back with a CEPH xray and a proposal for surgical movements. Just keep in mind people on here don't do the DIAGNOSTICS for you as to how much to move the teeth via braces and/or any exact measurements for jaw displacement.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: StudyHacks on September 02, 2019, 01:52:37 PM
Alright thank you very much

Just to clarify: When you say "ceph" that means "cephalograph" and that means 3D-CT scan basically right? Or what scan do I need to have done?
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: StudyHacks on September 02, 2019, 01:53:35 PM
Btw how do I put the photos side-by-side? I'd love to do that right now
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: Dogmatix on September 02, 2019, 02:15:27 PM
Coz I'm not knowledgable so I need it, thank you

This is a very big difference from being 100% sure on exactly what displacements are needed and even having the numbers figured out.
The key why you need x-rays is to know if it's only an aesthetic concern, or if there are medical issues or reasons as well. If you have a class II bite or something else, a bimax may be needed. But as Kavan said, if it all ends up to resolve to aesthetic concern about your chin, there are very impressive results with genio plasty or similar. You don't want to get into a big procedure if it isn't needed, and you don't want to get into an aesthetic only procedure, if a big procedure is needed. That's what you'll be able to see on an x-ray.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: StudyHacks on September 02, 2019, 02:24:38 PM
Alright I understand, thank you, but this guy who told me all this told me that basically both of my jaws are recessed quite severely, but mostly the mandible. He said I have a very short mandible because it's recessed and I could get that long mandible that every attractive guy has by getting bimax (BSSO regarding the mandible, specifically)

He said that from the front it's obvious my jaws are recessed https://imgur.com/a/XRWGB4w

He said I should have the circled-in area fully hollow if my jaws weren't recessed
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: kavan on September 02, 2019, 02:44:32 PM
Alright thank you very much

Just to clarify: When you say "ceph" that means "cephalograph" and that means 3D-CT scan basically right? Or what scan do I need to have done?

A ceph/cephalograph is an X ray that shows some soft tissue also.  It's not a 3D-CT scan. Basic thing to look at here is the ceph.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: kavan on September 02, 2019, 02:48:15 PM
Btw how do I put the photos side-by-side? I'd love to do that right now

It's something you should already know how to do if you're going to morph. It's not something I need to teach you how to do.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: StudyHacks on September 02, 2019, 03:00:23 PM
https://imgur.com/a/ZpOVKgp
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: kavan on September 02, 2019, 04:12:44 PM
https://imgur.com/a/ZpOVKgp

That isn't the 'same size'. Sorry BUT one has to bring some comprehension skills to the table. If not, I won't 'fill in' every understanding GAP someone has.

Here's a morph laid out the right way.

Excess space is cropped, extraneous background clutter is blacked out to show the profile, then an exact copy is placed beside it and the morph is done on the copy.

I think you can 'aesthetically survive' WITHOUT bimax. So, I won't be opining on bimax details here.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: StudyHacks on September 02, 2019, 04:19:38 PM
Thank you for the morph. Anyway I do not like the morph of me only getting chin augmentation. If this makes sense, I'd like to have a long mandible like this guy : https://imgur.com/a/ouklaFI

But then of course my midface hypoplasia (retruded maxilla) should also be fixed by moving it forward to be symmetrical to the mandible and also, as I was told, to create space for the zygos as, as you can see, I have no "forward cheekbones". I'd like to have forward cheekbones but I was told I don't have them as the maxilla's retrusion has caged in not only my mandible but has also prevented my zygos from being forward grown, in the guy's words, literally

It seems to be if I want to be really, really good looking, and obviously I'm never gonna be MM tier and that's fine, I'd need to fix both my lower third and my midface.

I find my lips to be way too narrow, as well, as in: the mouth / palate is very narrow compared to the jaw width.


Edit: Btw, I'm wondering if my maxilla is changed surgically, would that also "automatically" improve my eye area, so the orbitals? I have no idea why I have this weird eye area where the eyes are narrow enough but not wide enough, and my under-eye area seems to be really lacking.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: kavan on September 02, 2019, 04:27:00 PM
Thank you for the morph. Anyway I do not like the morph of me only getting chin augmentation. If this makes sense, I'd like to have a long mandible like this guy : https://imgur.com/a/ouklaFI

But then of course my midface hypoplasia (retruded maxilla) should also be fixed by moving it forward to be symmetrical to the mandible and also, as I was told, to create space for the zygos as, as you can see, I have no "forward cheekbones". I'd like to have forward cheekbones but I was told I don't have them as the maxilla's retrusion has caged in not only my mandible but has also prevented my zygos from being forward grown, in the guy's words, literally

It seems to be if I want to be really, really good looking, and obviously I'm never gonna be MM tier and that's fine, I'd need to fix both my lower third and my midface.

I find my lips to be way too narrow, as well, as in: the mouth / palate is very narrow compared to the jaw width.

I think you need to go back to go back to low IQ land or Lookism. Focus session ENDED.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: StudyHacks on September 02, 2019, 04:29:50 PM
I'm not sure what you mean. I'm trying to improve my aesthetics and you're rejecting me... why?

Basically 'Im asking for help politely, what exactly is your issue?

Okay, let's focus on one thing: Mandible and maxilla. So basically, if the chin augmentation isn't enough to create a long mandible (which your morph has shown to be the case),  which surgical procedure could elongate my maxilla and mandible the way that all attractive guys seeem to have them?

Essentially my hypothesis is that if I fix my jaws' recession I'll be much, much more good looking just by the fixing of the jaws' recession.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: kavan on September 02, 2019, 04:48:41 PM
I'm not sure what you mean. I'm trying to improve my aesthetics and you're rejecting me... why?

Basically 'Im asking for help politely, what exactly is your issue?

Okay, let's focus on one thing: Mandible and maxilla. So basically, if the chin augmentation isn't enough to create a long mandible (which your morph has shown to be the case),  which surgical procedure could elongate my maxilla and mandible the way that all attractive guys seeem to have them?

I'm not going to 'spoon feed' you. When I see someone is lacking in basic comprehension skills where you  couldn't even figure out 'same size' and posted 2 photos where one head size was BIGGER,  all explanations STOP there.  Why? Because the person needs to bring to the table very basic comprehension skills for me to go into ANY more details.  So, no more focus session here with me. Whether or not you like the morph, at least you were shown HOW to lay one out. Also, I'm not advising bimax for you and my advice stops relative to my suggestions. However, if someone else suggests bimax for you, I have no objections with their spoon feeding everything you need to know to look like a MM.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: StudyHacks on September 02, 2019, 04:52:17 PM
You didn't pay attention. I never said I wanted to look like an MM since I lack the genetics for that. I know I'm never going to look like one and that's fine. My goal is to be very good looking, but that doesn't mean I'll ever look like an MM coz that's out of the realm of reality for me.

But, if I fix my morph (the way you told me to do it in detail), will you be answering my questions?
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: kavan on September 02, 2019, 05:19:23 PM
You didn't pay attention. I never said I wanted to look like an MM since I lack the genetics for that. I know I'm never going to look like one and that's fine. My goal is to be very good looking, but that doesn't mean I'll ever look like an MM coz that's out of the realm of reality for me.

But, if I fix my morph (the way you told me to do it in detail), will you be answering my questions?

NO.
Title: Re: Very recessed jaws (maxilla+mandible), what do you think?
Post by: StudyHacks on September 02, 2019, 05:24:49 PM
https://imgur.com/a/4IwLkNA