Can Bimaxillary Advancement Surgery Be Done For Aesthetic Facial Projection?
Q: Dr. Eppley, I was wondering if you perform double jaw surgery (Lefort 1+BSSO) for aesthetics, I dont have any measurable occlusion but my maxilla isnt forward grown and possibly even recessed. I attached some pictures below for reference. It would also be great if a wrap around implant can be placed in the same surgical procedure as the Bimax.
A: Thank you for your inquiry and sending your profile picture. Based on your briefly described aesthetic goals, it is hard to imagine that bimaxillary surgery would be appropriate. In the face of a normal occlusion the usual justification for a bimaxillary advancement is in cases of severe sleep apnea. The risks and potential complications of such surgery do not usually justify this degree of invasiveness. It is not a question of whether it can be done but whether it should be done. I would need to have more clear description of your midface goals to provide a more qualified answer.
In addition no form of an implant can be done at the same time as sagittal split lower jaw advancement surgery.
Dr. Barry Eppley
A detailed description and pictures of your concerns allows for the most informed response.