There seem to be a number of people floating about at the moment who were either proposed or got pretty small BSSO movements. Sean89, weren't you quoted something mad like 3mm?
I think for a significant number of people, they can only get about a 6mm lower advancement after full decomp, when aesthetically they need more. The only option in this case is either to gte extractions or bimax with CCW. Given I've already had molar extractions I don't feel getting my premolars yanked is an option (lack of support, shrinking arch, gum damage etc etc). It might not be so disasterous for those who have never had extractions and don't have space for their 3rd molars.
Your xray looks very similar to mine. As a girl you might get away with a slightly recessed look but it would probably still suck.
Consult with other surgeons. I consulted with 2 and that wasnt enough 
You can easily simulate the result of a lower jaw advancement for yourself. Just push your lower jaw forward with relaxed lips. This is 95% the result you will get.
The surgeons persuaded me that it would look better ie less recessed. But that did not happen. Dont get fooled like me.
If I do this, then to my eye, a 6mm bone advancement (so let's say 4mm of soft tissue) is not nearly enough. I can't get the additional movement from a genio as I've had about 3-4mm advancement from my chinplant already.
The question is, is why is MM proposing small BSSOs as opposed to bimaxes for private patients? He has good experience, and does CCW in some cases, so what are we missing here?? It's not like he has no experience in CCW
