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Jaw advancement question

Jaw advancement question

Postby truly » Mon Nov 14, 2011 1:42 am

Hi!

I am interested in getting a jaw advancement due to my receding mandible. I do however have a few concerns regarding the surgery. I would guess that my mandible is both underdeveloped in lenght and width, since i have a very thin jaw seen from the front and as i said a receded jaw seen from profile view. Having said this, i'm pretty sure i would benefit from making my jaw both lenghtier and wider.

Now my first question is, how much is it actually possible to move the jaw forward, taking my (although pretty vaguely described) condition into account? I have experimented with my profile picture in photoshop and for me to achieve a perfectly positioned jaw aesthetically speaking, i would need to move my jaw about 12mm forward. Would it be possible to move the jaw forward that much?

Also, if this move is actually possible, would it make my jaw look wider from the front? I would greatly benefit from a wider jaw and would love it if this kind of surgery would fix both my frontal- and sideview of myself!
truly
 
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Re: Jaw advancement question

Postby MissJ521@aol.com » Mon Nov 14, 2011 2:09 pm

In general, they can advance the mandible close to 10mm. But maybe some of the chin could also be advanced independently in addition to that.

However, they can't move in both directions as in move forward and also spread or splay laterally outward to make jaw wider from front. Reason is that it makes the jaw joint unpredictable--it could affect the jaw joint itself in bad way. Hence, you usually just get one direction out of it especially if you need a big advancement forward.

Jaw implants can be added later down the line to increase bi-gonial distance (jaw width from front view) after you heal from your max fax mandible advancement.
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Private correspondence with me concerning questions highly specific to your situation is not an extension of my open participation on the boards.
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Re: Jaw advancement question

Postby truly » Mon Nov 14, 2011 7:32 pm

MissJ521@aol.com wrote:In general, they can advance the mandible close to 10mm. But maybe some of the chin could also be advanced independently in addition to that.

However, they can't move in both directions as in move forward and also spread or splay laterally outward to make jaw wider from front. Reason is that it makes the jaw joint unpredictable--it could affect the jaw joint itself in bad way. Hence, you usually just get one direction out of it especially if you need a big advancement forward.

Jaw implants can be added later down the line to increase bi-gonial distance (jaw width from front view) after you heal from your max fax mandible advancement.


Thanks for your response! But so, my jaw won't even be a millimeter wider than it is now? I am thinking that if i advanced my jaw, wouldn't they just make the jawbones lengthier contunuing in the same angle as they are now? Because that way my width would be increased by a couple of millimeters.

So, is this assumption wrong?
truly
 
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Re: Jaw advancement question

Postby Randy44 » Wed Nov 16, 2011 8:55 am

Thanks for your response! But so, my jaw won't even be a millimeter wider than it is now? I am thinking that if i advanced my jaw, wouldn't they just make the jawbones lengthier contunuing in the same angle as they are now? Because that way my width would be increased by a couple of millimeters.

So, is this assumption wrong?

Not sure what you mean by 'wouldn't they just make the jawbones lengthier'. I can imagine that the mandibular angle *might* grow into that position if you are a young teen and your bones are still growing, but I can not imagine that happening in an adult, and I do not believe there is a way for anyone to make it grow into that position/angle. The only way I know of to make the jawbone lenghtier in an adult would be to add an implant (or filler on a small scale).
As I have said in the past... Max Fax surgery is a two dimension solution, and often not appropriate for three dimensional cosmetic problems.
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