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Help! I've got vertical maxillary excess, see doc Thursday

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I'd like to hear any experiences, advice, etc. on the options I may

expect to be given when I see the oral surgeon tomorrow. Quick

history, I had lower jaw advancement and genioplasty ten years

ago. That surgeon chose to leave the upper alone and allow my

lip incompetence to remain, albeit it was improved some. My

teeth are straight, bite is good. However, I'm really tired of both

the physical discomfort and distraction of the lip incompetence

as well as the poor appearance that it gives me. My chin was

another issue too, despite the advance and genioplasty it was

still quite poor. My post op photos look worse than many

people's pre-ops. All said, I'm ready to fix it right. I recently

aquired a chin implant which helped the chin, I doubted the

chances of a " second " genioplasty, but maybe that's possible

too.... I could still use more, I was soooooo recessive. Is there

such a thing as just raising the maxillary area, basically reducing

that area's vertical extent without actually moving it forward or

backward? Comments will be appreciated. Thanks.

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I'd like to hear any experiences, advice, etc. on the options I may

expect to be given when I see the oral surgeon tomorrow. Quick

history, I had lower jaw advancement and genioplasty ten years

ago. That surgeon chose to leave the upper alone and allow my

lip incompetence to remain, albeit it was improved some. My

teeth are straight, bite is good. However, I'm really tired of both

the physical discomfort and distraction of the lip incompetence

as well as the poor appearance that it gives me. My chin was

another issue too, despite the advance and genioplasty it was

still quite poor. My post op photos look worse than many

people's pre-ops. All said, I'm ready to fix it right. I recently

aquired a chin implant which helped the chin, I doubted the

chances of a " second " genioplasty, but maybe that's possible

too.... I could still use more, I was soooooo recessive. Is there

such a thing as just raising the maxillary area, basically reducing

that area's vertical extent without actually moving it forward or

backward? Comments will be appreciated. Thanks.

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Yes, the upper jaw can be reduced vertically, but what typically

happens is that the lower jaw autorotates, in this case, sometimes

the surgeon does not need to advance the lower jaw. It can make the

chin more prominent though.

Ask your surgeon what you've asked here, express your concerns, ask

for some patient referrals and talk to them about their experience

(we can tell you lots about our experiences, but we may not have

anyone who's had the same surgeon).

> I'd like to hear any experiences, advice, etc. on the options I may

> expect to be given when I see the oral surgeon tomorrow. Quick

> history, I had lower jaw advancement and genioplasty ten years

> ago. That surgeon chose to leave the upper alone and allow my

> lip incompetence to remain, albeit it was improved some. My

> teeth are straight, bite is good. However, I'm really tired of

both

> the physical discomfort and distraction of the lip incompetence

> as well as the poor appearance that it gives me. My chin was

> another issue too, despite the advance and genioplasty it was

> still quite poor. My post op photos look worse than many

> people's pre-ops. All said, I'm ready to fix it right. I recently

> aquired a chin implant which helped the chin, I doubted the

> chances of a " second " genioplasty, but maybe that's possible

> too.... I could still use more, I was soooooo recessive. Is

there

> such a thing as just raising the maxillary area, basically reducing

> that area's vertical extent without actually moving it forward or

> backward? Comments will be appreciated. Thanks.

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Share on other sites

Yes, the upper jaw can be reduced vertically, but what typically

happens is that the lower jaw autorotates, in this case, sometimes

the surgeon does not need to advance the lower jaw. It can make the

chin more prominent though.

Ask your surgeon what you've asked here, express your concerns, ask

for some patient referrals and talk to them about their experience

(we can tell you lots about our experiences, but we may not have

anyone who's had the same surgeon).

> I'd like to hear any experiences, advice, etc. on the options I may

> expect to be given when I see the oral surgeon tomorrow. Quick

> history, I had lower jaw advancement and genioplasty ten years

> ago. That surgeon chose to leave the upper alone and allow my

> lip incompetence to remain, albeit it was improved some. My

> teeth are straight, bite is good. However, I'm really tired of

both

> the physical discomfort and distraction of the lip incompetence

> as well as the poor appearance that it gives me. My chin was

> another issue too, despite the advance and genioplasty it was

> still quite poor. My post op photos look worse than many

> people's pre-ops. All said, I'm ready to fix it right. I recently

> aquired a chin implant which helped the chin, I doubted the

> chances of a " second " genioplasty, but maybe that's possible

> too.... I could still use more, I was soooooo recessive. Is

there

> such a thing as just raising the maxillary area, basically reducing

> that area's vertical extent without actually moving it forward or

> backward? Comments will be appreciated. Thanks.

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