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[Solved] 21 years old, genioplasty and rhinoplasty candidate

serbian
Active Member

I'll share my case with you. I recently turned 21, and have been practicing mewing for about 3 years (2 of them not so really applied). The results were more than satisfying, as my speech became more fluent and also my breath improved drastically. In other hand, I'm almost convinced that tropic treatments won't do much more for my appearance, that's why I've recently attended to a plastic surgeon which said a genioplasty and rhinoplasty would be more suitable to my case rather than orthognatic surgery (or jaw surgery).

 

Below is the taken radiography:

 

 

I'd risk saying my maxilla is recessed (probably due to poor bone development or using braces), that's why my jaw and specially my chin are weak. About the protuberant nose, I assume there's no approach to it besides the surgical. Furthermore, Mike Mew once stated that the very advancement of the mental bone is capable of expanding the airways, thus contributing to proper oral posture.

So, second opinions are welcome. Also, can anyone confirm my though on my recessed maxilla?

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Topic starter Posted : 17/04/2021 6:34 pm
serbian
Active Member

I've forgot to ask: Is a 5mm advancement of the chin noticeable? The doctor said it's the maximum before it becomes unnatural.

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Topic starter Posted : 17/04/2021 6:39 pm
Apollo
Reputable Member
Posted by: @serbian

Also, can anyone confirm my though on my recessed maxilla?

Your SNA measures about 77 degrees. Steiner cephalometric analysis says normal is 82 degrees +/- 2 degrees. So, yes, you are retruded below the lower limit of normal by that metric. It looks like you still have your wisdom teeth, but they mostly haven't erupted. Is that right? I don't know much about it, but if you decided on jaw surgery, that might complicate the process.

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Posted : 17/04/2021 9:04 pm
vplatt
Active Member

@serbian yes, my understanding is a straight line down from nose to chin is perfect, so it looks like a recessed maxilla based on that (really the whole jaw looks recessed). Seems like if you move that forward, it would balance out your nose. When the jaw is more forward, the nose looks less prominent generally. 

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Posted : 18/04/2021 11:27 am
mr.mewing
Estimable Member

@vplatt agree that most people who have a double jaw surgery for fixing their underbite mention that they don't like it because their nose appears to be bigger.

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Posted : 18/04/2021 4:22 pm
vplatt liked
serbian
Active Member

Thanks for all the answers. Despite the recessed jaw, it doesn't seem however my bite is wrong. Hence, there's no way jaw surgery could improve anything in my lower face. Or I am wrong? I'm only acquainted with bringing the maxilla back with double jaw surgery, never the opposite. So I think genioplasty is indeed the best option. Could someone give me an advice?

https://www.youtube.com/watch?v=fw2brzBw3Q0

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Topic starter Posted : 25/04/2021 1:14 pm
vplatt
Active Member

@serbian I'm new-ish at this but I thought part of the point of many of these appliances is to move the jaw forward? like the maxilla moves forward and mandible follows.. and what about MSE? is your palate narrow also?

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Posted : 26/04/2021 2:23 pm
serbian
Active Member
Posted by: @vplatt

@serbian I'm new-ish at this but I thought part of the point of many of these appliances is to move the jaw forward? like the maxilla moves forward and mandible follows.. and what about MSE? is your palate narrow also?

Yes, the point is exactly that. But if you look my X ray, there's NO gap between upper and lower teeth to make the forward movement possible. The only way would be surgically pushing maxilla forward, but this could be overkill for me.

I've not considered using MSE yet. My palate is a bit narrow, but my real problem is the forward growth. Do you think a MSE appliance would help with my lower jaw going forward a few millimetres? 

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Topic starter Posted : 26/04/2021 3:32 pm
vplatt
Active Member

@serbian I'm not really sure. Have you been able to consult with functional orthodontists for opinions (rather than only surgeons)?

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Posted : 27/04/2021 11:05 am
serbian
Active Member

@vplatt sorry, I didn't see your post.

About the MSE+FM, last week I went to see a orthodontist that could install it. For my surprise, they are extremely cheap where I live. The orthodontist warned me that the treatment might cause a bad occlusion, but he said he could fix it later with conventional braces. So, I'm not sure if I should do it, as my jaw is already recessed. Most people here have class III bad occlusion, or recessed maxilla only.

I thought it would be convenient to start a new topic on it: https://the-great-work.org/community/main-forum/will-msefm-help-with-a-recessed-mandible/

Thanks again!!

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Topic starter Posted : 13/05/2021 1:05 pm
vplatt liked
marp96
Active Member
  • @serbian Hi, you said MSE is cheap where you live, can I ask where this is? I’m looking to get it done and am trying to compare prices. Thanks 
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Posted : 22/06/2021 2:24 pm