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Debating getting rhinoplasty but lots of recessed features

Debating getting rhinoplasty but lots of recessed features

Postby recessedface » Tue May 16, 2017 1:21 pm

Hello,

I am debating on getting just a rhinoplasty in order to improve my side profile. But the issue is I don't know how much improvement just doing the rhinoplasty would be vs getting something like jaw surgery in order to fix other recessed features. I mean I do not like my recessed maxilla and mandible but I'm not entirely sure if it is worth doing double jaw surgery.

Any input? I included links below.

Side profile: http://imgur.com/CNmkul3
Side profile: http://imgur.com/fqobStP
Side profile w/edit: http://imgur.com/tYfz0F3
Side profile: http://imgur.com/pwSaRNo
Side profile w/quick photoshop: http://imgur.com/TNaIDYF
Front profile: http://imgur.com/NaWSOoI
Front profile: http://imgur.com/O4FKc4o
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I don't see recession to the jaws

Postby MissJ521@aol.com » Tue May 16, 2017 6:03 pm

I'm seeing that the EARS could use pinning back. I'm not seeing any maxfax recession to the jaws. I'm seeing that the chin via a type of genio could be slid downwards and angled outwards; the act of making a diagonal cut (positive slope), sliding the chin downwards and rotating the (new) base outward as to leave an opening to be filled. It's mostly the EARS and the 'shortish' somewhat recessive (but by no means overly so) CHIN that are MORE in need of correction. Nose alone won't do it for you but still could be refined as your morph suggests. I don't see any need for bi-max surgery though.
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Re: Debating getting rhinoplasty but lots of recessed features

Postby recessedface » Tue May 16, 2017 6:49 pm

Thank you for your assessment!
Yeah, I have heard my ears are off putting/distracting.

I've seen a few oral surgeons and they have said my jaws are set back and there would be aesthetic gain from jaw surgery. But, as far as the chin, is there a name to the procedure you're describing or would it just be a specific type of genio? I've heard of and seen results from chin wings but not sure if that would achieve a good result for my case.
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Re: Debating getting rhinoplasty but lots of recessed features

Postby MissJ521@aol.com » Wed May 17, 2017 9:46 am

The jaws don't look set back to me. The ears kind of make a lot of your face look set back. So, that illusion should be taken care of first. It is independent of other surgeries. So, when ears are in place, you will see a different 'gestalt' of your face and be better able to re-assess.

As to recession of both jaws, it would be pretty borderline, enough so that you could 'get away' with the above described chin displacements. Also, the max fax docs you consult with about bi max should really show you on a ceph X ray the extent of the recession they told you that you have. They have capacity to show you that relative to the points and lines on a ceph analysis.


There are a bunch of chin genios with different displacements.

I can't find a diagram for what I'm trying to convey as the type of genio. It's a type where they elongate the chin and bring it forward where a space is left for them to fill.

It's hard to describe and for some reason MMH rejects every diagram I make as to SHOW what I mean.

By the way, on MMH, I've gotta spend most time here eradicating SPAM and that cuts down on time to post. However, on my board, more time is allocated for max fax issues.



recessedface wrote:Thank you for your assessment!
Yeah, I have heard my ears are off putting/distracting.

I've seen a few oral surgeons and they have said my jaws are set back and there would be aesthetic gain from jaw surgery. But, as far as the chin, is there a name to the procedure you're describing or would it just be a specific type of genio? I've heard of and seen results from chin wings but not sure if that would achieve a good result for my case.
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Re: Debating getting rhinoplasty but lots of recessed features

Postby recessedface » Wed May 17, 2017 7:31 pm

I have the line images for the movements given regarding jaw surgery.

I barely have a 3-4mm overbite which would be corrected by braces but the jaws are set back ~10mm lower jaw and 5mm upper jaw (they would advance them that much).

This is what they are thinking: http://imgur.com/CaLI6OU

I've been doing some research into the genio, but I would need additional work for the labiomental fold then, right? Ultimately, my goal would be to this kind of profile:

http://imgur.com/E5t8A9H


Could a genio achieve that? (the lower portion)
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Re: Debating getting rhinoplasty but lots of recessed features

Postby MissJ521@aol.com » Wed May 17, 2017 8:47 pm

Looks like a well planned genio could do that to the chin but I did not check to see if your mandible was brought out in that morph also.
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Re: Debating getting rhinoplasty but lots of recessed features

Postby MissJ521@aol.com » Thu May 18, 2017 9:49 am

NOTE:

Even though I'm very conversant in max-fax issues, my time reserve on MMH needs to be prioritized to eradicating SPAM. So, here is not the best venue for me to allocate much time and focus to all of your questions especially ones having to do with the specific proposals which appear to be from Gunson's ceph displacement analysis, chin wing possibilities from Zarrinbal and other people's morphs.

More devoted venues for max fax are the Jaw surgery forums and my own max fax section on mine ('WORLD' button next to my name.) I've written you a PM to this regard.
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Re: Debating getting rhinoplasty but lots of recessed features

Postby Tuffluck » Fri Jun 02, 2017 10:41 pm

Can I make a cheaper, easier suggestion to improve your appearance first?

Buy a set of tweezers to take care of your nostril hair, and see an electrologist to get your ear hair sorted.
It looks nasty and is such an easier fix than getting maxfax or rhino (both of which I think aren't "needed") - I also think if you do want to get anything surgically "fixed" you should do your ears first as MissJ suggested.
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Re: Debating getting rhinoplasty but lots of recessed features

Postby recessedface » Sun Jun 04, 2017 7:35 pm

Tuffluck wrote:Can I make a cheaper, easier suggestion to improve your appearance first?

Buy a set of tweezers to take care of your nostril hair, and see an electrologist to get your ear hair sorted.
It looks nasty and is such an easier fix than getting maxfax or rhino (both of which I think aren't "needed") - I also think if you do want to get anything surgically "fixed" you should do your ears first as MissJ suggested.


Points noted.

I was thinking it'd be best to get any lower third movements first before anything. I've actually been consulting about bimax and chin wing as of now. Thinking maybe a chin wing could satisfy the mandible recession but worried about the blunting of angularity.
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Re: Debating getting rhinoplasty but lots of recessed features

Postby MissJ521@aol.com » Mon Jun 05, 2017 7:34 am

Hi,
I've given you some advice on my max fax section.

http://www.missjfacialplasticsurgery.co ... post217374
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