Background:
I previously underwent a Class 2 orthodontic camouflage treatment. The orthodontist extracted two premolars to pull my upper front teeth back and close the gaps.The Current Aesthetic Issue:
While my occlusion (bite) is now fully closed and functional, the camouflage treatment ruined my facial harmony.- Flat Upper Lip: Pulling the teeth back stripped away the skeletal support for my upper lip, leaving it looking flat and retracted.
- Severe Mandibular Recession: My lower jaw is still severely recessed (Class 2 skeletal profile), my chin is weak/fuyant, and my neck line lacks definition.
- Straight Incisors: My front incisors are currently very straight, not retroclined.
- Nasolabial folds
- Labiomental fold
The Dilemma & Surgical Strategy:
I want to go for a bimax. However, my local recommanded surgeon told me that a traditional orthodontic decompensation (reopening the premolar spaces) is highly risky for my roots and kinda complex.Therefore, I am looking for a Bimax with Counter-Clockwise (CCW) Rotation using a "Light Coordination" or "Surgery First" protocol.
The goal is to preserve my current occlusion as much as possible while using the CCW rotation as leverage to:
- Advance the maxilla horizontally to restore my upper lip volume and projection.
- Advance the mandible massively in a rotational movement to maximize chin projection, shorten the lower third (face compaction), and sharpen my jawline—all without the need to reopen the extraction gaps.
