What kind of procedure would you guys recommend?

[terry947]

@yxcvb - Ya I started mouth breathing around 5 years old. When I ask people if my face is long they say its proportionate to my body at the same time I have a pretty big head. My width is around 7inches. In 6'4" and 235 so I'm a pretty big dude. I measured my friends face who's realt good looking and he's length is a little under 8" but his maxilla is prominent.

[yxcvb]

@yxcvb - Ya I started mouth breathing around 5 years old. When I ask people if my face is long they say its proportionate to my body. In 6'4" and 235 so I'm a pretty big dude. I measured my friends face who's realt good looking and he's length is a little under 8" but his maxilla is prominent.

Makes sense, you can always go by the 1/10th rule. My maxfac surgeon told me facial height should be between 1/9.5 to 1/10 of one's height, and thats what they can use in calculations besides facial thirds etc.

So if you're 76 inches tall 76/9.5 thats exactly 8 inches.

[Rico]

Terry why you think that zygomatic sandwich osteotomy can't give you more cheek prominance in two directions ? Where did you read that ?

PS To be honest... I recommend lavement for all of us

[terry947]

Hey Rico, I'm no expert and just just recently started to learn as much as I can about jaw surgery. That being said, when what I've read it seems like zygomatic sandwich would only widen the face. For eyes/cheek bones to change you'd have to physically move the maxilla forwards. Thats my opinion.

[Gregor Samsa]

Hey Rico, I'm no expert and just just recently started to learn as much as I can about jaw surgery. That being said, when what I've read it seems like zygomatic sandwich would only widen the face. For eyes/cheek bones to change you'd have to physically move the maxilla forwards. Thats my opinion.

I've seen before/after pictures of zygomatic osteotomies that resulted in more forward projection of the zygoma. I don't think that results in more attractive features though. This post pretty much sums up my thoughts about the zygomatic osteotomy: http://jawsurgeryforums.com/index.php/topic,857.msg16997.html#msg16997

[Rico]

Full text about ZSO including before / after photos.

hmm I thought it looks little different

Terry now I see you mostly were right
it looks like ZSO is not good for malar reposition

https://www.researchgate.net/publication/8639801_Aesthetic_malar_recontouring_the_zygomatic_sandwich_osteotomy

click full text on the right

[Rico]

I've seen before/after pictures of zygomatic osteotomies that resulted in more forward projection of the zygoma. I don't think that results in more attractive features though. This post pretty much sums up my thoughts about the zygomatic osteotomy: http://jawsurgeryforums.com/index.php/topic,857.msg16997.html#msg16997

so for me is useless...

When you want to mobilise whole zygomatic bone (in my case including part of maxillary bone) you have to cut like this:

[terry947]

Hey guys I got a ceph and a pan jaw x-ray. Any additional input is appreciated.

heres the dropbox link: https://www.dropbox.com/sh/9uc4vc0mv0fbz8t/AAAIqNyCh29Abp2pQO9UbBrda?dl=0

The orthodontist that I saw said I'd need a lefort I going downwards and forwards, which makes no sense to be. When I mentioned a cww rotation he totally dismissed it. On to the next I guess.

[PloskoPlus]

I've seen before/after pictures of zygomatic osteotomies that resulted in more forward projection of the zygoma. I don't think that results in more attractive features though. This post pretty much sums up my thoughts about the zygomatic osteotomy: http://jawsurgeryforums.com/index.php/topic,857.msg16997.html#msg16997

Spot on.

[Rico]

I know I'm repeating myself (I wrote about this on the 2 others threads about midface surgery), but check this : https://www.researchgate.net/publication/49646858_Zygomatic_sagittal_split_osteotomy_a_novel_and_simple_surgical_technique_for_use_in_midface_corrections

I do not know completely what it is.

[terry947]

Hey, has anyone checked out my ceph?

@ Rico - the paper looks interesting.

[Ginger]

Makes sense, you can always go by the 1/10th rule. My maxfac surgeon told me facial height should be between 1/9.5 to 1/10 of one's height, and thats what they can use in calculations besides facial thirds etc.

So if you're 76 inches tall 76/9.5 thats exactly 8 inches.

Oh wow, good to know. My face is way too long for my height then  

ETA: Terry, I have a sibling too with more ideal facial proportions. It can be frustrating to see the differences, but it's nice to know surgery might help.

[terry947]

Ya it sucks a lot. Learning about this stuff kind of opens your eyes to the amount of cranial dystrophy that has occurred. Jaw surgery is cool but the movements aren't that huge though. If you have a long face they can impact your maxilla by how much? 5mm max I think.

So the changes usually aren't that big.

[terry947]

[notrain]

Point A and B need to touch the red vertical line and your occlusal plane needs to be flatter.

so bimax CCW and probably a genio for your non existing chin.

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