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Looksmax Does double jaw correct flat cheekbones and negative orbital vector?

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another blackpill?

Why does the lower lip become smaller after genioplasty/chin wing and how much?

t does have to do with the mentalis muscle, yes. This rotates the lower lip inwards which makes it smaller. I read that some surgeons now use the V-Y suturing technique when doing a genio to avoid this.
 

JeronimusCornelisz

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:bean:



BIMAX with Rotation
Bimaxillary Rotation Advancement developed by Professor Sailer
In this method, an anti-clockwise rotation of the upper and lower jaw complex is undertaken while, of course, maintaining the position of the teeth.

Advantages of bimaxillary Rotation Advancement
A maximum advancement of the lower jaw is possible, which is also successful with severe OSAS. Movements of approximately 15 to 20 mm or more are possible. The airways open much wider than with the conventional method. Studies on patients who were operated on using bimaxillary Rotation Advancement, (study by Zinser, Zachow, Sailer 2012, International Journal of Maxillofacial Surgery) have shown that the airways are substantially expanded not only in the sagittal, but also in the transverse direction. As far as the Klinik Professor Sailer is aware, comparable studies for the conventional method do not exist.
Since the upper jaw does not need to be unnaturally moved forward, there is also much less widening of the nostrils and formation of a saddle nose. The usually very unaesthetic protrusion of the upper lip directly below the nose area is also avoided.

  1. Since the upper jaw does not need to be unnaturally moved forward, there is also much less widening of the nostrils and formation of a saddle nose. The usually very unaesthetic protrusion of the upper lip directly below the nose area is also avoided.

  2. Due to the rotation, there is an additional extension of the nasopharynx, that is, the uppermost portion of the oropharyngeal airway, which does not take place in conventional MMA.

  3. The bimaxillary Rotation Advancement achieves excellent results in all malformation syndromes involving hypoplasia of the lower and upper jaw, especially the so-called Treacher Collins Syn- drome and all other growth disturbances with extremely receding chins.

  4. The Klinik Professor Sailer never uses the patient’s own bone for the stabilisation of the upper jaw. This is a great advantage because the patient is spared a second operation on the hip. Hip surgery is usually very painful and poses an additional risk of complications. The Klinik Professor Sailer uses lyophilized bone bank bones for defect bridging in the “Le Fort I-Osteotomy line” area.
    The procedure is restricted to highly experienced surgeons. Additional training at the Klinik Professor Sailer is recommended to learn the surgical method. The surgeon must also master the handling of bank bone blocks and jaw distraction.
BIMAX without Rotation
Conventional bimaxillary surgery (maxillomandibular advancement / MMA)

The movement of the upper and lower jaw is mostly straightforward, usually aiming for only a 5 to 10 mm advancement in the upper (maxilla) and lower jaw (mandible). A movement of less than 10 mm in the area of the lower jaw where the tongue is attached is insufficient in most cases. The upper jaw must also be moved forward by 10 mm. However, due to the anatomical situation and the blood circulation in the upper jaw, this poses a high risk and in many cases is not possible. Scientific studies make clear that it is the advancement of the lower jaw that is significant, and not that of the upper jaw. Using the conventional method, the upper jaw must be moved as far forward as the mandible, otherwise the teeth will no longer be properly aligned.


Disadvantage of the conventional bimaxillary surgical method
  1. A relatively small advancement of 5 to 10 mm for the lower jaw. If a severe OSAS requires a greater advancement, an improvement of the AHI can only be expected, but not a cure.

  2. The advancement of the upper jaw in OSAS of 5 to 10mm creates a less aesthetic overall appearance. This causes a very broad nose which is at the same time too high. This results in a so-called “snub nose” or “saddle nose”. Some OSAS patients who were operated on by conventional maxillomandibular advancement were disturbed by the protrusion of their upper lip, thereby creating the impression of an “ape-like physiognomy”.

does that mean clockwise movement makes the airways smaller? @Surgerymax

and what does he mean with

while, of course, maintaining the position of the teeth.
 

superbad

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No it does not. In fact because of the relative position to the new lower maxilla it will make NOV and flat cheekbones more apparent.

While the LeFort III you mention would help this, the best course of action is double jaw + custom midfacial-infraorbital implants.

To qualify for a LF3 you need some degree of exophthalmos.
Thoughts on this rather than implants? Zarrinbal offers it.

The “ noblesse of high cheekbones ” can also be achieved without permanent foreign materials. The cheekbones are partially exposed via two incisions inside the mouth, mobilized a little to the side with a fine bone incision and fixed in the more pronounced position with titanium mini screws. The disadvantages of e.g. B. silicone implants such as unnatural appearance due to extensive tissue mobilization, foreign body infection, bone erosion in the maxillary sinus area or moving the implant are avoided. The wound is closed using absorbable sutures, removing the mini-screws later is possible but not necessary.

The zygomatic bone correction is another important cornerstone for the three-dimensional change of faces . It can also be used to optimize the result, especially in the context of dysgnathic surgery, for asymmetries or, for example, in class III patients with a poorly developed midface
 

truthtorpedo

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Disadvantage of the conventional bimaxillary surgical method
  1. A relatively small advancement of 5 to 10 mm for the lower jaw. If a severe OSAS requires a greater advancement, an improvement of the AHI can only be expected, but not a cure.

  2. The advancement of the upper jaw in OSAS of 5 to 10mm creates a less aesthetic overall appearance. This causes a very broad nose which is at the same time too high. This results in a so-called “snub nose” or “saddle nose”. Some OSAS patients who were operated on by conventional maxillomandibular advancement were disturbed by the protrusion of their upper lip, thereby creating the impression of an “ape-like physiognomy”.


they are some techniques to avoid unwanted changes in the nose it seems

i disagree. One thing you could have done before hand is told your surgeon you didnt want your nose to change, and he would have used an "alar stitch" or "alar clinch" technique which stops the nostrils from expanding as much from the maxillary advancement. Consult with some plastic surgeons who specialize in cosmetic rhinoplasty and im sure they can fix your issue. Ive seen many great results from rhinoplasties conducted after jaw surgery. dont worry youl be fine.
 

elmoggerino

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LOOKS LIKE UTTER JOKE AFTER
 

defeatist

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wyt

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Nope, it'll actually enhance the negative effect of a negative orbital vector.
 

wyt

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Damn forgot to quote:
The deficient infraorbital rim remains unchanged and can actually accentuate the negative vector of the globes
 

Uglyaf

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Nope, it'll actually enhance the negative effect of a negative orbital vector.
For me those implants look so not good. Not saying it didn't improve but there is still something missing. Like just under the eyebags there is still a depression. Not sure if fillers or fat repositioning could help more than implants.
 
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