why genioplasty in addition to lower jaw surgery???

[Guest guest]

Hi!

I was wondering whether someone could help me answer this

question. In a lot of cases, I've seen people with vertal maxillary

excess getting upper jaw surgery in addition to lower jow surgery

(ex:bilateral sagittal split osteotomy) and genioplasty. What I

don't understand is, I thought the lower jow surgery is supposed to

advance the lower jaw, so why is a genioplasty needed? When you

align both jaws together, isn't the chin supposed to be okay too?

Sorry, I'm trying to understand this, but I haven't found any

answers on the web or searching the forums.

I have vertical maxillary excess and I'm considering oral surgery.

My surgeon only told me general things since he's in the process of

writing up a complete treatment plan (just got my xrays and

impressions done). He only told me that I would probably have to

get both upper and lower jaw surgery, but did not mention

genioplasty. I'm hoping to be able to avoid it, but I've noticed by

reading these forums that many people have to get genioplasty as

well.

Thanks!!!

netgirl

[Guest guest]

Well, yes, the chin is " supposed " to be OK. Unfortunately, though,

most of us who need this surgery have some sort of malformation of

bones that isn't the way they're " supposed " to be. If the chin is

such that there won't be enough, the surgeon can cut it apart, slide

it forward or backward, or to one side or the other if needed, to

make things match up properly and give you a good midline.

My surgeon found my midline by stringing a piece of floss down the

middle of my forehead, down my nose and to my chin. As it turned out,

my teeth look off by a tooth, but my midline is right. He moved my

lower jaw a tiny 3mm. to the right, just to get it all lined up.

If the chin is too prominent, it can be reduced by geneoplasty to

make the proportions right.

The world would be a nicer place, perhaps, if we all grew to the

proper proportions (although it might be boring, too!) but we don't.

And then surgeons know how to go in and make things work better for

us!

Cammie

> Hi!

> I was wondering whether someone could help me answer this

> question. In a lot of cases, I've seen people with vertal

maxillary

> excess getting upper jaw surgery in addition to lower jow surgery

> (ex:bilateral sagittal split osteotomy) and genioplasty. What I

> don't understand is, I thought the lower jow surgery is supposed to

> advance the lower jaw, so why is a genioplasty needed? When you

> align both jaws together, isn't the chin supposed to be okay too?

> Sorry, I'm trying to understand this, but I haven't found any

> answers on the web or searching the forums.

>

> I have vertical maxillary excess and I'm considering oral surgery.

> My surgeon only told me general things since he's in the process of

> writing up a complete treatment plan (just got my xrays and

> impressions done). He only told me that I would probably have to

> get both upper and lower jaw surgery, but did not mention

> genioplasty. I'm hoping to be able to avoid it, but I've noticed

by

> reading these forums that many people have to get genioplasty as

> well.

>

> Thanks!!!

>

> netgirl

[Guest guest]

Well, yes, the chin is " supposed " to be OK. Unfortunately, though,

most of us who need this surgery have some sort of malformation of

bones that isn't the way they're " supposed " to be. If the chin is

such that there won't be enough, the surgeon can cut it apart, slide

it forward or backward, or to one side or the other if needed, to

make things match up properly and give you a good midline.

My surgeon found my midline by stringing a piece of floss down the

middle of my forehead, down my nose and to my chin. As it turned out,

my teeth look off by a tooth, but my midline is right. He moved my

lower jaw a tiny 3mm. to the right, just to get it all lined up.

If the chin is too prominent, it can be reduced by geneoplasty to

make the proportions right.

The world would be a nicer place, perhaps, if we all grew to the

proper proportions (although it might be boring, too!) but we don't.

And then surgeons know how to go in and make things work better for

us!

Cammie

> Hi!

> I was wondering whether someone could help me answer this

> question. In a lot of cases, I've seen people with vertal

maxillary

> excess getting upper jaw surgery in addition to lower jow surgery

> (ex:bilateral sagittal split osteotomy) and genioplasty. What I

> don't understand is, I thought the lower jow surgery is supposed to

> advance the lower jaw, so why is a genioplasty needed? When you

> align both jaws together, isn't the chin supposed to be okay too?

> Sorry, I'm trying to understand this, but I haven't found any

> answers on the web or searching the forums.

>

> I have vertical maxillary excess and I'm considering oral surgery.

> My surgeon only told me general things since he's in the process of

> writing up a complete treatment plan (just got my xrays and

> impressions done). He only told me that I would probably have to

> get both upper and lower jaw surgery, but did not mention

> genioplasty. I'm hoping to be able to avoid it, but I've noticed

by

> reading these forums that many people have to get genioplasty as

> well.

>

> Thanks!!!

>

> netgirl

[Guest guest]

Well, yes, the chin is " supposed " to be OK. Unfortunately, though,

most of us who need this surgery have some sort of malformation of

bones that isn't the way they're " supposed " to be. If the chin is

such that there won't be enough, the surgeon can cut it apart, slide

it forward or backward, or to one side or the other if needed, to

make things match up properly and give you a good midline.

My surgeon found my midline by stringing a piece of floss down the

middle of my forehead, down my nose and to my chin. As it turned out,

my teeth look off by a tooth, but my midline is right. He moved my

lower jaw a tiny 3mm. to the right, just to get it all lined up.

If the chin is too prominent, it can be reduced by geneoplasty to

make the proportions right.

The world would be a nicer place, perhaps, if we all grew to the

proper proportions (although it might be boring, too!) but we don't.

And then surgeons know how to go in and make things work better for

us!

Cammie

> Hi!

> I was wondering whether someone could help me answer this

> question. In a lot of cases, I've seen people with vertal

maxillary

> excess getting upper jaw surgery in addition to lower jow surgery

> (ex:bilateral sagittal split osteotomy) and genioplasty. What I

> don't understand is, I thought the lower jow surgery is supposed to

> advance the lower jaw, so why is a genioplasty needed? When you

> align both jaws together, isn't the chin supposed to be okay too?

> Sorry, I'm trying to understand this, but I haven't found any

> answers on the web or searching the forums.

>

> I have vertical maxillary excess and I'm considering oral surgery.

> My surgeon only told me general things since he's in the process of

> writing up a complete treatment plan (just got my xrays and

> impressions done). He only told me that I would probably have to

> get both upper and lower jaw surgery, but did not mention

> genioplasty. I'm hoping to be able to avoid it, but I've noticed

by

> reading these forums that many people have to get genioplasty as

> well.

>

> Thanks!!!

>

> netgirl