Please help me decide whether to have jaw surgery or not

[Kingusia87]

Hi,

I am thinking about getting a jaw surgery for a long time, around 3 years and now I feel is a high time to decide whether to do it or not. I visited a few maxillofacial surgeons and everyone agreed that I need genioplasty, one or two of them agreed to do double jaw surgery when I asked to do so. Now I have a filler in my chin so it is hard to assess my chin but I added one photo before chin filler.

What I want to achieve thought surgery:

1. More visible upper teeth
2. stronger lower jaw,
3. when I smile I have too much fat on cheeks I would like to have longer face
4. I Don't like frontal view of my face

[PloskoPlus]

Do nothing

[Kingusia87]

Do nothing

Could you please elaborate ? 

[GJ]

IMO, it's irresponsible of the doctors to perform jaw surgery on you.

Did you have a nose job? The only thing that looks off on your face is the one nostril. Sure, you don't have a lot of tooth show, but that's no reason to have double jaw surgery.

[kavan]

Have it only if you want the large base of your nose (thick tip with notched nostrils) to become even MORE prominent with the lefort 1 needed in a bimax for the lower jaw to be brought out. Have it if you DON'T expect the back of your jaw to be much wider. Have it if you wish to LINE THE POCKETS of an opportunistic max fax who will agree to do it for you.

[Kingusia87]

Yes I had rhinoplasty, I know that my right nostril isn't perfect but It doesn't bother me so much as my jaws.
As I mentioned I have 5 mm filler in my chin. I don't want this filler any longer because it doesn't look natural in some situations. I need to do surgery - genioplasty or double jaw surgery. The question is if the genioplasty will give me good result from the frontal view.
I have sceletal second class, but most people don't recognize that something is wrong with my jaws because I have good soft tissue features like lips and good skin.

[GJ]

I need to do surgery - genioplasty or double jaw surgery.

If you need to do it, out of those two I'd say genio.

Your bite looks good and jaws aligned well. You might be falling for the temptation of a perfect outcome, which while possible, is unlikely given your starting point is already good.

[girl]

Your face is basically 98% perfect and you want it to be 100%.

As an aside, it seems that this is the type of work some maxillofacial surgeons are taking on nowadays.
 

[Kingusia87]

Yes I would say that genioplasty is more safe. I'm more worried about WT removal to
double jaw surgery than about surgery itself.
I think prof Sailer lypholized cartilage would be the best solution for me, to augment cheeks and jaws but I am not sure about resorption. I am pretty sure I don't want any artificial implants in my face.
I think about double jaw surgery more as a prevention than a quick way to look perfect, because I am aware that I will age badly with my small and receding jaws.

[ditterbo]

IMO, it's irresponsible of the doctors to perform jaw surgery on you.

Did you have a nose job? The only thing that looks off on your face is the one nostril. Sure, you don't have a lot of tooth show, but that's no reason to have double jaw surgery.

Tooth show at rest or when she's smiling? Quite surprised if it's the latter.

[GJ]

Tooth show at rest or when she's smiling? Quite surprised if it's the latter.

Rest, of course. Just look at the photos. When she's smiling she has ideal tooth show.

This is a dangerous case. The odds of a surgeon making her worse are high.

[kavan]

If you need to do it, out of those two I'd say genio.

Your bite looks good and jaws aligned well. You might be falling for the temptation of a perfect outcome, which while possible, is unlikely given your starting point is already good.

Look further down on this string. Remember when i said if she wants to find a max fax to LINE HIS POCKETS? Well, looks like she found Sailer.

[GJ]

Well, looks like she found Sailer.

Yikes.

[kavan]

Yes I would say that genioplasty is more safe. I'm more worried about WT removal to
double jaw surgery than about surgery itself.
I think prof Sailer lypholized cartilage would be the best solution for me, to augment cheeks and jaws but I am not sure about resorption. I am pretty sure I don't want any artificial implants in my face.
I think about double jaw surgery more as a prevention than a quick way to look perfect, because I am aware that I will age badly with my small and receding jaws.

If you want double jaw, then lower jaw wisdom teeth need to removed for the BSSO.

[kavan]

Rest, of course. Just look at the photos. When she's smiling she has ideal tooth show.

This is a dangerous case. The odds of a surgeon making her worse are high.

Well, maybe she has money burning a hole in her pockets enough to have Sailer do her and also seek revision after that. Some of they people 'wanting help' to make a decision are just going to do what they are going to do. Makes me wonder why they even ask.