Well first off I think my surgeon agreed my head was tilted in the xray, and he examined my face again there itself. This probably influenced the following.
For the bi-max we agreed on rotation done through anterior impaction & posterior downgrafting + advancement (of maxilla mainly) but I was told it'd be easier to focus on it after the SARPE :/
I'm really confused right now. I have such a long & narrow midface, can this just not be treated in my case?
How on earth could i have such a disproportionately long midface and a perfectly fine occlusal plane?
If this is of any valuable information I had some s**tty orthodontic treatment when I was younger (braces).
Also, I'm struggling to understand the whole tilt thing kavan. See attached
PS: surgeon in question also recommended ZSO (obviously must take it with a grain of salt) But after seeing the bone cuts I'm not sure if it'd produce a good effect. Should I consider it in conjuction with HA paste? Anyone got any experience?
Yes, INDEED, it would be EASIER for you to focus on the bimax AFTER the SARPE. In fact because you are indeed 'beyond confused', you need to focus on ONLY the surgery you are planning on getting FIRST and not be throwing wrenches into the gears regarding multiple surgery possibilities.
If you are FIRST getting SARPE, that should address SOME narrowness to the face. Your (potential) satisfaction with some improvement from THAT should engender some confidence in the surgeon doing more things later down the line. This ASSUMES it would be the SAME surgeon.
IF other things are to be done with different surgeons, it's just tossing MORE wrenches into the gears of your understanding to start pondering them now.
For now, just focus on what you are BOOKED for sugery.
There is a fine line between 'beyond confused' to 'beyond help' if you keep TOSSING IN more complex things with 'who knows who' doctors and in the absence of photos in the FLESH and other typle information as to which doctors. Such photos should be posted on the boards or ask GJ if you can get access to private section of board if you are SHY about open postings of your photos.