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61
Aesthetics / Do I have a class II bite?
« Last post by Nikolai on September 24, 2024, 09:59:05 AM »
Some time ago, I received this treatment plan from a surgeon, who referenced my bite as class II:



This surgeon that diagnosed my bite as class II has since stopped practicing, so it's not like I can go back and ask him, but from looking at my xray, it doesn't really look like I have a class II to me. I'm not trying to say I know better than the surgeon in the slightest, I'm just trying to fill in my own ignorance on the matter with how my occlusion is considered a class II when it doesn't seem to have the classic overbite look. Also I apologize if it takes more than just looking at a side image of an xray to diagnose a class II. Thanks!

62
Functional Surgery Questions / Re: Techniques to widen chin & jaw?
« Last post by Nikolai on September 23, 2024, 06:12:32 PM »
That's fair. Thanks again for the info.
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Functional Surgery Questions / Re: Techniques to widen chin & jaw?
« Last post by kavan on September 23, 2024, 04:51:13 PM »
Quote from: Nikolai on September 23, 2024, 02:50:11 PM
Hi Kavan, thanks for weighing in. I have a few follow up's if you don't mind:
1. Noted and thanks for the correction.
2. Yep, you can disregard that. In hindsight I could've probably omitted the morph and kept the text section just to see if the movements sounded plausible, without the morph as a distraction to that question.
3. Will do.
4. Are there any drawbacks/'contraindications' to this 'T section' genio? I've never heard of it before but that's more likely due to my own ignorance still; I'm also am curious if getting this type of genio would prevent me from getting any other chin or jaw work done afterward if necessary (hopefully only one surgery needed, but just curious for a worst case)? Also wondering if you have any names of surgeons that do this movement, or if it's really not that special of an augmentation and virtually any [big name] surgeon would both be capable and willing to do it.
5. Can you share your stance on implants (for mandible/chin)? That is, whether you believe in some cases they are comparably viable to moving bone? Or if they're always going to be notably an inferior option. And also, if there's a material you'd suggest for implants (i.e. titanium vs silicone).

Thanks!

As to the T section genio, I mentioned it as something for you to look into since you didn't know that procedure existed to widen the chin. My stance on implants is that if moving bone (jaw surgery) is needed, you do the jaw surgery first and later the implants. There are pros and cons with each material. But first you need to do your own research on that as to what they are because different people have difference preferences. Also, I lack the time to educate you on those things.
64
Functional Surgery Questions / Re: Techniques to widen chin & jaw?
« Last post by Nikolai on September 23, 2024, 02:50:11 PM »
Hi Kavan, thanks for weighing in. I have a few follow up's if you don't mind:

Quote
1: Re: "DJS + BSSO": DJS is Double Jaw Surgery. DJS= BSSO + Lefort (to maxilla) and often with genio. So, someone doesn't have "DJS + BSSO". They have DJS + (maybe) a genio with it.
1. Noted and thanks for the correction.

Quote
2: The MORPH shown here isn't actually an OUTCOME of any surgeries/procedures done on the person. It's an outcome of MOVING PIXELS. There is NO WAY of knowing that the morph shown here is actually even a predictor of what the morpher thinks it predicts. So, it isn't a prediction either of an outcome you could possibly get based on nothing more than someone moving pixels on ANOTHER person's photo.
2. Yep, you can disregard that. In hindsight I could've probably omitted the morph and kept the text section just to see if the movements sounded plausible, without the morph as a distraction to that question.

Quote
3: The creator of the YT channel you linked to seems very knowledgeable about MSE and MSDO. He offers individual video consults. Maybe look into that to get his take on your candidacy for those things.
3. Will do.

Quote
4: A 'T section' genio is a genio that widens the chin. A horizontal cut is made across the bottom of chin and a vertical cut down the middle. The bottom of the chin is then separated into 2 parts and a bone graft is used in-between to WIDEN the chin. It does not put any stress on the condyles because it is not aimed at expanding the entire mandible, ONLY the chin.
4. Are there any drawbacks/'contraindications' to this 'T section' genio? I've never heard of it before but that's more likely due to my own ignorance still; I'm also am curious if getting this type of genio would prevent me from getting any other chin or jaw work done afterward if necessary (hopefully only one surgery needed, but just curious for a worst case)? Also wondering if you have any names of surgeons that do this movement, or if it's really not that special of an augmentation and virtually any [big name] surgeon would both be capable and willing to do it.

Quote
5: Implants can widen the entire ARC of the lower face; chin and mandible.
5. Can you share your stance on implants (for mandible/chin)? That is, whether you believe in some cases they are comparably viable to moving bone? Or if they're always going to be notably an inferior option. And also, if there's a material you'd suggest for implants (i.e. titanium vs silicone).

Thanks!
65
Functional Surgery Questions / Re: Techniques to widen chin & jaw?
« Last post by kavan on September 22, 2024, 02:45:07 PM »
Some notes:

1: Re: "DJS + BSSO": DJS is Double Jaw Surgery. DJS= BSSO + Lefort (to maxilla) and often with genio. So, someone doesn't have "DJS + BSSO". They have DJS + (maybe) a genio with it.

2: The MORPH shown here isn't actually an OUTCOME of any surgeries/procedures done on the person. It's an outcome of MOVING PIXELS. There is NO WAY of knowing that the morph shown here is actually even a predictor of what the morpher thinks it predicts. So, it isn't a prediction either of an outcome you could possibly get based on nothing more than someone moving pixels on ANOTHER person's photo. 

3: The creator of the YT channel you linked to seems very knowledgeable about MSE and MSDO. He offers individual video consults. Maybe look into that to get his take on your candidacy for those things.

4: A 'T section' genio is a genio that widens the chin. A horizontal cut is made across the bottom of chin and a vertical cut down the middle. The bottom of the chin is then separated into 2 parts and a bone graft is used in-between to WIDEN the chin. It does not put any stress on the condyles because it is not aimed at expanding the entire mandible, ONLY the chin.

5: Implants can widen the entire ARC of the lower face; chin and mandible.



66
Functional Surgery Questions / Re: Techniques to widen chin & jaw?
« Last post by Nikolai on September 21, 2024, 01:12:25 PM »
Quote
I don't really understand this post. I read it twice, and it seems like you posted a photo of a different person who isn't you, and then linked to a YouTube video that's 16 minutes long (nobody here has time to watch that). Post a photo of yourself so we can see what you're dealing with.

In general, the mandible can't be expanded because it puts undue stress on the condyles and will over time destroy them. It's generally done for facial deformity cases. Most credible surgeons won't do it outside of those cases. So, I'd think implants are going to be the only way to widen your mandible if you go to a credible surgeon.

Sorry, I didn't intend for this post to come off as a bit scatterbrained but I can see now how it did. The purpose of that YouTube video link was to see if anyone here has pursued MSE+MSDO for maxillary/mandibular widening, as it seemed like one potential way to achieve width. And then the other image was just inquiring if that posters suggestion was viable as well. Anyway, here's what I'm dealing with from a front view:


67
Functional Surgery Questions / Re: Techniques to widen chin & jaw?
« Last post by GJ on September 21, 2024, 11:18:47 AM »
I don't really understand this post. I read it twice, and it seems like you posted a photo of a different person who isn't you, and then linked to a YouTube video that's 16 minutes long (nobody here has time to watch that). Post a photo of yourself so we can see what you're dealing with.

In general, the mandible can't be expanded because it puts undue stress on the condyles and will over time destroy them. It's generally done for facial deformity cases. Most credible surgeons won't do it outside of those cases. So, I'd think implants are going to be the only way to widen your mandible if you go to a credible surgeon.
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Functional Surgery Questions / Re: Techniques to widen chin & jaw?
« Last post by Nikolai on September 21, 2024, 04:51:52 AM »
Quote
That post is the dumbest ive read in a while...smh
Well it is probably over 10 years old too, to be fair.

Quote
Better of with getting implants probably
I wouldn't mind implants, I was discouraged from pursuing them though a while back by one of the doctors I had met with to get DJS+BSSO (the doctor stressed infection and bone resorption possibilities), but I figure they could accomplish something similar to this a lot more easily. Though I figure if I go the implant route, it would logically have to be after any kind of DJS+BSSO/Genio/Chin Wing to at least let the result from those surgeries settle and see what kind of implant I'd go for then.
69
Functional Surgery Questions / Re: Techniques to widen chin & jaw?
« Last post by mediumdrinkofwater on September 21, 2024, 12:34:45 AM »
That post is the dumbest ive read in a while...smh

Better of with getting implants probably
70
Functional Surgery Questions / Techniques to widen chin & jaw?
« Last post by Nikolai on September 20, 2024, 04:54:19 PM »
Hi, I am a candidate for DJS+BSSO, but I also have an incredibly narrow chin and narrow jaw. I have this post saved from a long time ago (potentially from this forum) and wanted to get opinions of whether what was proposed in that post is realistic, and if so, whether it would be a good idea to attempt this before, or after DJS+BSSO in my prospective surgery pipeline, and if this would prevent me from pursuing future surgeries (once healed) in any way. Also wondering who (in the US but would go overseas if needed) would consider doing this. Alternatively, I am open to being educated on the best way to achieve this widening effect if it's possible (in the first place) through another means (as I need a technique that affords me the most width I can get). I know this is jawsurgeryforums but I've also recently seen suggestions of the less invasive 'MSE' and 'MSDO' from videos on YouTube like this one and wanted to see if members here see this is as a viable way as well to achieve width: https://youtu.be/i_6RRfLGbhA?si=DM5i5g6UM3wRbNCg

Thanks!

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