Chin Wing and lower jaw surgery can be combined in one surgery if the surgeon doesnt use the usual Obwegeser / Dal Pont osteotomy but the Schloessmann osteotomy (aka Bad Homburg method).
The cut is higher and thus doesnt interfere with the chin wing surgery. Zarrinbal for example does it this way.
Yes but but but but but...one of the reasons that elongating the ramus or doing this type of ramus BSSO is supposedly unstable is because it's stretching the masseter (?sp) muscle - which is really strong and therefore doesn't like to be stretched. Which would also be the case in the chin wing. Are we saying that because the bite doesn't change, the stretching doesn't affect the result?
This type of BSSO is, in theory, quite a good option for many class 2s (can elongate ramus and improve mandibular plane) yet very surgeons chose to do it and their must be a reason for that....
Notrain, I guess I think that chinwing seems more brutal than BSSO because it's a full thickness ostetotomy around the entire mandible, guess I'm wrong
Chinwing would allow me to elongate the posterior face and improve the chin angle/plane without doing upper with CCW. However I might need upper with CCW to get the right amount of advancement so it's kindof a moot point I guess
Here is a reply from one of the main surgeons performing the procedure. I thought it might be of interest to some of you here who may look like I do. I asked if double jaw surgery was necessary along with the chin wing in order to achieve optimal aesthetic improvement:
"thank you again for your request. Looking at your pictures we still recommend a Wing-Osteotomy alone since a repositioning of the upper jaw without wearing braces is not advisable and not necessary to improve just your looks."
What do you look like? Class 2? Short Ramus? Steep plane? All of the above?
