4mm max genioplasty

[Heavyweight]

yes, sorry I too am missing the link to her blog. please provide

http://melissassmile.yolasite.com/

[Antbee]

Thank you treevernal for speaking sense! I mean what is this nonsense about 'another surgeon could do a better job' on that girl's case. She had miraculous-looking results considering how she started out. Quite honestly it's completely nuts to make those kind of definitive statements about a surgeon's work unless you yourself are a qualified surgeon. I mean who knows what the limitations were in her case? All this 'she would have looked better with a bigger genio' is immaterial since a bigger genio was likely not possible/ stable in her case and frankly it does the girl a disservice. She looks great to me. Helpful discussion is one thing- disrespect of a fellow patient's pictures is quite another. I wanted to post my results to inform others but honestly this feels like the poor girl is being ripped apart and I am not keen to be subject to that sort of unsupportive opinionated commentary.

[CK]

Guys, I really think you need to go to this girls blog and read about her case.  She did have a genioplasty in addition to upper and lower jaw surgery.  Also, she had truly severe functional problems (complete condylar resorption).  A&G are specialists in this and their focus was to give her a functional bite since she literally had no condyles.  Cosmetically, I think that is the best result she could have hoped for and A&G were her best option short of total joint replacement.

males and females can be quite different when it comes to results, even if they have the same exact condition and pre-operative status.

[Lazlo]

i have to say i don't understand how going beyond 4mm is somehow evidence of an incompetent surgeon. i wish i had access to that textbook. i really think some AG patients could benefit from more projection.

are you saying this with respect to your own outcome? if so, i'm assuming that's an answer to the first question.

[Lazlo]

are you saying this with respect to your own outcome? if so, i'm assuming that's an answer to the first question.

I'm especially interested in all this because if the only advantage with A/G is the use of HA paste (other than their purported expertise) and the HA paste itself is high reasorbable and doesn't really create the kinds of strong angular contours and prominent cheekbones etc. that a patient might want. Then there's really no reason to go to A/G if your interest is mostly cosmetic. If you have serious, serious functional problems then it makes sense if they're the only ones who can fix your problem, but for those of us who are more borderline on that issue, I'm concerned.

[CK]

Hi CK, so I've been reading this thread now with great interest and have gone back and looked at tons of Gunson/Arnett before and afters and I should honestly say one thing. HW is right about the over pronounced jaw with the still relatively small or unemphatic chin. And also, I've seen quite a few examples of APE-FACE --and this is an outcome I want to stay away from LIKE THE FRIGGIN PLAGE. Specifically, ape-face is when the area between the crimson of the top lip and the base of the nose seems elongated and is somewhat concave or "full" after surgery.

Do you have either of these problems? 1) a lack of a strong chin profile from either the front or side and 2) any or slight "ape-face" features I realize you are reticent about giving specifics, but I honestly feel there are so many A/G patients who would fit this profile it would hardly give away anything specific about you. Please elaborate from your experience if you can. Thank you.

well, this goes beyond the topic of the thread, I was really interested in how many other surgeons consider 4mm as the maximum genio, anything beyond that (6mm for example) is evidence of "poor pre-operative planning." Is, not often, sometimes, possible...is. i think the rule may apply better to women then to men, based on the limited number of before/afters I have seen. But everyone has an opinion.

i dont really know what an ape-face actually is.

I don't want to say too much because I'm still healing. It wouldn't be fair to go around making strong judgments at this point. Feel free to move these types of questions to my thread but I can only say so much.

I'm especially interested in all this because if the only advantage with A/G is the use of HA paste (other than their purported expertise) and the HA paste itself is high reasorbable and doesn't really create the kinds of strong angular contours and prominent cheekbones etc. that a patient might want. Then there's really no reason to go to A/G if your interest is mostly cosmetic. If you have serious, serious functional problems then it makes sense if they're the only ones who can fix your problem, but for those of us who are more borderline on that issue, I'm concerned.

As far as the HA paste, I have a few opinions on that but I want to keep this thread on topic.

i didn't amend my original post, I would say I was a pretty typical patient. I had a lot of functional problems and would have had surgery eventually.