weakjawbrah, any idea how this guy got that drop down ramus look? It doesn't look like his lower jaw was touched aside from the chin wing osteotomy
perhaps the rotation of the lower jaw upward following the Lefort created a more natural ramus angle? at any rate, huge improvement
The caption below says "Class 3: LeFort 1 Osteotomy with concurrent Chin Wing Osteotomy".
I skim read over the .pdf I linked in my first post, and the impression I got is that these kind of results are possible due to the way the osteotomy is performed. This also makes it very good at fixing asymmetries. So if I understand correctly, they're taking the lower part of the mandible and moving it into a more aesthetic location.
Since the cut can go right to the back it
SHOULD mean the following:
- Chin Wing can easily correct asymmetries as the entire bottom part of the jaw can be levelled out
- Mandibular Plane should be improved as it won't affect the actual occlusion, only the skeletal structure affecting soft tissue along the jawline
- Cut goes right back to posterior part of jaw, so CCW rotation of a Chin Wing could provided the appearance of lengthened rami
Additionally, the osteotomised part of the Chin Wing can be divided up into various segments. This gives me hope that it should at least be possible to improve jaw angles and rami length from the posterior part of the jaw only, and thus giving a more angular, V-shaped jawline, as opposed to a broad and rounded one.
I'll go through tonight and double-check what I'm saying is at least a bit accurate, and I've noted to discuss this with MM in more detail next we talk. If the thread garners enough interest I'm willing to translate the entire document as it wasn't -that- long in fact.
