Chin wing Vs Wraparound jaw implant

[Hopeless Incel]

Hello Members
I had Genioplasty in 2018 September.
Now I feel like my jaw is narrow. I'm more inclined to side wing osteotomy rather than wraparound jaw implant.
Can side wing be performed?(if I've a lower third like the one in the pic I've attached)

[kavan]

The chin wing surgeon would need to determine if it was OK to cut through where you had the genio and if your nerve was too close to where they cut through.

[Hopeless Incel]

Thanks for responding
Is there any technical possibility to have jaw implant of required after side wing Osteotomy?

[kavan]

Thanks for responding
Is there any technical possibility to have jaw implant of required after side wing Osteotomy?

Custom jaw implants can be fitted over osteotomies. But a custom implant can also PRECLUDE need for having that kind of osteo to widen because it can widen without the osteo side wing. So, choose one or the other.

[Hopeless Incel]

Thanks kavan
I had a conversation with the Russian surgeon Dr.Andreishchev. I have attached the screenshot of our conversation. Also one guy from other forums suggested me the same like you've suggested i.e, to have wraparound jaw implant which solves my issue.
But my mind had been filled with these things
1. Chances Of Infection from implants
2. Bloated/unnatural results from implants

[GJ]

I don't like the convo with that doctor. Red flags of "if you want it we will do it" (never let a patient decide), and very short in describing what he'd do.

Your jaw could appear narrower due to the lower third being out further. We'd have to see photos to see if what you're perceiving is even true.

[Hopeless Incel]

Thank you GJ For the response. It's my bad that I haven't attached the whole conversation pics. Now I've attached the conversation screenshots,CT Scans, Before and after pics
Past Medical History
1.I had Genioplasty in 2018, September and my chin had beenn advanced diagonally (Horizontal and vertical advancement).
I thought I had weak chin and had Genioplasty later I found that I had recessed jaws. My Genioplasty went well. But the downtime is very long like bone remodeling soft tissue changes and adapting to the new face. But due to long Advancement of my chin (I feel 5-6mm is normal) by about 11-12mm, my chin didn't blend well with the back of the jawline. It looked like a new chin had been attrached to my face. After 7 months I thought of undergoing revision

2. I had revision in 2019, may. During the revision my Titanium plates have been removed and my surgeon grafted bone from illiac crest and mixed that with bone powder and pasted that to my Jawline. You can see that in my CT Scan. I'm happy with my revision surgery too but there's some irregularity left even After revision. Thought only implants will solve the issue and I saw an article from Dr Yaremchuk mentioning irregularities
from osteotomies and implants to suffice that.
 https://www.dryaremchuk.com/correcting-post-orthognathic-surgery-contour-imbalances-and-irregularities

 Later I joined the PSL Forums and came to know that I had recessed jaws. I'm not sure about that though. Was informed to have Bimax of I need more forward advancement like we see in the forward grown faces. And my jaws are narrow not that masculine. I came to know about side wing osteotomy too.

[Hopeless Incel]

Pics Before Genioplasty

[Hopeless Incel]

Pics After Genioplasty

[Hopeless Incel]

CT Scan After Revision

[Hopeless Incel]

Conversation with the surgeon

[Hopeless Incel]

Conversation with the surgeon

[Hopeless Incel]

Conversation with the surgeon

[Hopeless Incel]

Conversation with the surgeon

[Hopeless Incel]

Conversation with the surgeon