Can some osteotomy moved ramus backward

[Deleted member 5385]

Like make sloped ramus more straight

I saw some article of jsf about it

Idea for complete jaw improvement (angle, occlusion, advancement)

Idea for complete jaw improvement (angle, occlusion, advancement)

jawsurgeryforums.com

And here how such treatment would looks like ( IMDO, maxilla downgraft at the back of maxilla, ivro etc.)

But actually idk how they switch between 4th and 5th pic, maybe they think ccw rotation can impact entire maxilla or have no idea about cranial base but idk actually
Straight ramus is really important for wider and square mandible.
@RealSurgerymax @Sergio-OMS @aut0phobic
Maybe @retard if you are still alive

 

[crosshold]

chin wing

 

[JustBeCurry]

View attachment 676510

chin wing

better yet just get side wing + genio/chin shield if you have shitty chin, because chin wing fucks your gonions and makes them more rounded

 

[Deleted member 5385]

Can modification of BSSO do that or jaw joints would be strained

 

[RealSurgerymax]

A true ramus osteotomy will move the teeth so not a good option for aesthetic reasons. But in some people it might be possible with a distraction near the jaw angle paired with maxillary surgery. So no, clockwise rotation of the mandible is not going to effect the maxilla by itself - just create horrendous bite problems so the maxilla would have to be moved surgically to meet the planned mandibular position. Who would do it, I’m not sure - but I won’t tell you it’s impossible:

but realistically -

The picture you show is posterior jaw angle augmentation (there are even off the shelf posterior jaw angle implants available, although in never recommend prefabricated implants of any kind for jaw angles.)

Undoubtedly the preferred method to achieve this is with a custom implant in the majority of cases

The chin wing osteotomy can make the ramus appear lower but it won’t bring it further back like in your drawing.

 

[Deleted member 6892]

idk just get implants

 

[Deleted member 5385]

idk just get implants

But first I need good base , I need to rotate mandible to be as close as possible to this

Then I can add mass with implant
Also I have never seen good implant results
Maybe one

 

[Deleted member 6892]

But first I need good base , I need to rotate mandible to be as close as possible to this
View attachment 676675
Then I can add mass with implant
Also I have never seen good implant results
Maybe one
View attachment 676680

shiiitttt if ramus implants appear fake im fucked

my gonial and ramus are my biggest failos

 

[crosshold]

better yet just get side wing + genio/chin shield if you have shitty chin, because chin wing fucks your gonions and makes them more rounded

you would have to get 2 separate procedures tho

 

[JustBeCurry]

you would have to get 2 separate procedures tho

rather get two procedures that can most likely be done at the same time than subpar results from one

 

[crosshold]

rather get two procedures that can most likely be done at the same time than subpar results from one

wouldnt a chin wing be good if your gonion is set back though? because it would bring it forward

 

[JustBeCurry]

wouldnt a chin wing be good if your gonion is set back though? because it would bring it forward

Time for a thread dedicated to the Side Wing Osteotomy

Time for a thread dedicated to the Side Wing Osteotomy

jawsurgeryforums.com

yes and because it brings it forward it ends up rounding the gonial angle making it look more feminine, chin wing moves the whole lower part of jaw which can widen it, but it also makes your chin bigger and so almost always your gonions get rounded