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General Category => Aesthetics => Topic started by: Ezra on September 20, 2017, 01:26:34 PM

Title: Will lowering the upper jaw change the nose?
Post by: Ezra on September 20, 2017, 01:26:34 PM
Will lowering the upper jaw a few mm have an aesthetic change to the nose? My orthodontist said I have nothing to worry about. The nose can change when you move the upper jaw forward, but  lowering it straight down, vertically isn't a problem. Thoughts?
Title: Re: Will lowering the upper jaw change the nose?
Post by: GJ on September 20, 2017, 01:31:41 PM
Will lowering the upper jaw a few mm have an aesthetic change to the nose? My orthodontist said I have nothing to worry about. The nose can change when you move the upper jaw forward, but  lowering it straight down, vertically isn't a problem. Thoughts?

Probably not. But it might elongate the philtrum.
If the nose did change it would widen slightly from the muscles detaching. Since they're detached for all procedures, that's possible no matter the movement. Make sure to ask for the Alar stitch.
Title: Re: Will lowering the upper jaw change the nose?
Post by: Ezra on September 20, 2017, 01:45:01 PM
Probably not. But it might elongate the philtrum.
If the nose did change it would widen slightly from the muscles detaching. Since they're detached for all procedures, that's possible no matter the movement. Make sure to ask for the Alar stitch.

Okay, I will ask for the Alar Stitch. Thank you! I'm down to widen my nose, tbh. I just don't want it turned upwards, at all, as it is already teetering towards feminine.
Title: Re: Will lowering the upper jaw change the nose?
Post by: Milli_Meters on September 20, 2017, 02:28:20 PM
https://imgur.com/LOBvSLz

This Individual had the maxilla moved down 9- 10 mms. Nose is more or less the same.
Title: Re: Will lowering the upper jaw change the nose?
Post by: Ezra on September 20, 2017, 02:34:19 PM
https://imgur.com/LOBvSLz

This Individual had the maxilla moved down 9- 10 mms. Nose is more or less the same.

Wow, he looks great. The nose front view looks possibly less upturned, which is an improvement for him. Hard to say though, it does look the same, which is good.

edit- probably just the angle of his head.
Title: Re: Will lowering the upper jaw change the nose?
Post by: kavan on September 20, 2017, 02:41:07 PM
https://imgur.com/LOBvSLz

This Individual had the maxilla moved down 9- 10 mms. Nose is more or less the same.

I'm not getting this stuff of putting the doc's photo on a photo site. Why not just link directly to the site where the photo is found. Here's the link where it shows the profile nose change. http://www.facialsculptureclinic.com/en/case/jaw-surgery/-lower-jaw-too-short-overbite-deep-bite/169/
Title: Re: Will lowering the upper jaw change the nose?
Post by: Milli_Meters on September 20, 2017, 02:46:03 PM
I have these pics uploaded on imgur. Searching through different sites takes a while.

But even in profile his nose looks the same.
Title: Re: Will lowering the upper jaw change the nose?
Post by: kavan on September 20, 2017, 03:01:22 PM
I have these pics uploaded on imgur. Searching through different sites takes a while.

Buy even in profile his nose looks the same.

The nose doesn't look the 'same'. It's clearly longer from root to sub-nasa and has more projection to it.
Plus just sticking the doctor's photo (one of them) on the Imgur site, and when the same doctor has OTHER photos and an EXPLANATION of what was done and why, the person you are showing it to that way, might not realize there are other shots and explanations to look at.
Title: Re: Will lowering the upper jaw change the nose?
Post by: Milli_Meters on September 20, 2017, 03:07:27 PM
Well to me his nose looks more or less the same in all shots and certainly not different in a detrimental way to the point where it exceeds all that the guy gained cosmetically.

Yeah fair enough will try to post original links in future but ofcourse interested parties can reverse search the images. It just takes a while to find stuff sometimes and Dr DF removes/shuffles his B n A s so I was not sure if I would find the original.
Title: Re: Will lowering the upper jaw change the nose?
Post by: kavan on September 20, 2017, 03:10:36 PM
Well to me his nose looks more or less the same in all shots and certainly not different in a detrimental way to the point where it exceeds all that the guy gained cosmetically.

Yeah fair enough will try to post original links in future but ofcourse interested parties can reverse search the images. It just takes a while to find stuff sometimes and Dr DF removes/shuffles his B n A s so I was not sure if I would find the original.

Well, it looks different (longer and more projected) but better given the specific situation of the guy in the photo. I did reverse search to find it but not sure if everyone knows to do that.
Title: Re: Will lowering the upper jaw change the nose?
Post by: kavan on September 20, 2017, 03:11:29 PM
Will lowering the upper jaw a few mm have an aesthetic change to the nose? My orthodontist said I have nothing to worry about. The nose can change when you move the upper jaw forward, but  lowering it straight down, vertically isn't a problem. Thoughts?

Have you also asked your rhino surgeon the same question?
Title: Re: Will lowering the upper jaw change the nose?
Post by: Milli_Meters on September 20, 2017, 03:19:45 PM
Well, it looks different (longer and more projected) but better given the specific situation of the guy in the photo. I did reverse search to find it but not sure if everyone knows to do that.

Ya maybe its a tad longer but goes well with his over all more vertical face. FWIW I did inquire Dr DF himself on how much this guy's upper jaw was moved down. And he said "atleast 7mms". So added some info thats not on the source page.  His chin was also vertically lengthened 4 - 5mms.
Title: Re: Will lowering the upper jaw change the nose?
Post by: Ezra on September 20, 2017, 04:42:42 PM
Have you also asked your rhino surgeon the same question?

No but I see him next week. I'll share on here what he says.
Title: Re: Will lowering the upper jaw change the nose?
Post by: Milli_Meters on September 20, 2017, 04:46:51 PM
No but I see him next week. I'll share on here what he says.

Thanks. Good luck. I also need a downgraft so feel free to PM me. I have some info regarding the dynamics that u might find useful.
Title: Re: Will lowering the upper jaw change the nose?
Post by: Ezra on September 20, 2017, 05:41:48 PM
Well, it looks different (longer and more projected) but better given the specific situation of the guy in the photo. I did reverse search to find it but not sure if everyone knows to do that.


I wonder if the projection is just due to normal growth. The description said he was 17. I'm wondering if the before pics were him at 15-16. I know my nose kept projecting at that age.
Title: Re: Will lowering the upper jaw change the nose?
Post by: kavan on September 20, 2017, 05:52:48 PM

I wonder if the projection is just due to normal growth. The description said he was 17. I'm wondering if the before pics were him at 15-16. I know my nose kept projecting at that age.

I don't know when the before photos were taken. It's common to have people wait till approx 18 for surgery when most of the growth is finished.
Title: Re: Will lowering the upper jaw change the nose?
Post by: Framboise on September 21, 2017, 12:46:05 AM
https://imgur.com/LOBvSLz

This Individual had the maxilla moved down 9- 10 mms. Nose is more or less the same.

9-10 mm ?????? It's huge
Title: Re: Will lowering the upper jaw change the nose?
Post by: Milli_Meters on September 21, 2017, 12:50:43 AM
The doc said "atleast 7mm" . 9 - 10 is what I guessed based on that. You can see there is a substantive difference. He had a scrunched up face before. So 8 - 10 mm sounds right imo.
Title: Re: Will lowering the upper jaw change the nose?
Post by: Framboise on September 21, 2017, 12:53:18 AM
Maybe it's the lower jaw advancement that is giving you the impression of such a lowering.

Here's a guy who have just a lower jaw advancement. His face looks longer but have no upper jaw extrusion.

Coming back to the subject, I think that an extrusion limits the damages done to the nose after a Lefort 1.


Title: Re: Will lowering the upper jaw change the nose?
Post by: Framboise on September 21, 2017, 12:59:39 AM
Sorry Mili I haven't seen your answer when I've post  :-[

.... I'm asking a lot of questions about upper jaw extrusion, because a vertical growth is not a good thing, so why doing it ?
I was told it restores vertical dimension but it happens under the nose.

Benjamin has the chance to have normal orbital rim but for a lot of people, I think the vertical dimension has to be restore under the eyes. Under the nose may worsen some people's face.

(I hope my english is comprehensible and my post relevant !!!!!)
Title: Re: Will lowering the upper jaw change the nose?
Post by: Milli_Meters on September 21, 2017, 01:02:29 AM
His chin was moved down an additional 3 - 4 mms. But I am talking about the maxilla . It was moved down "atleast 7mm" according to the surgeon. Its not my "impression" . I asked him very specifically about this case because its a very impressive result.


Yes I share your feeling about extrusion being a mitigating force in terms of nasal impact with upper jaw advancement.

Here is a case where upper jaw was advanced 20 mm and moved down 14 mm - https://pocketdentistry.com/wp-content/uploads/285/B9781455726981000320_f032-021gi-9781455726981.jpg

Nose looks about the same....odd after such massive movement. Maybe something was done to the nose..idk . He had a lip lift also I think.
Title: Re: Will lowering the upper jaw change the nose?
Post by: Milli_Meters on September 21, 2017, 01:06:17 AM
Sorry Mili I haven't seen your answer when I've post  :-[

.... I'm asking a lot of questions about upper jaw extrusion, because a vertical growth is not a good thing, so why doing it ?
I was told it restores vertical dimension but it happens under the nose.

Benjamin has the chance to have normal orbital rim but for a lot of people, I think the vertical dimension has to be restore under the eyes. Under the nose may worsen some people's face.

(I hope my english is comprehensible and my post relevant !!!!!)

Well it is about balance. Extrusion is indicated if one's upper jaw is too short. Like when one smiles and teeth dont show etc It looks edentulous and aged.  Showing nice amount of teeth is so crucial aesthetically and how would that happen with vertically short maxilla. You do not want a long maxilla but also not too short. Balance is key.