I recently had my pre-surgical consultation for my bimax and was able to get some photos of the soft tissue morph. I wanted to see if anyone had some thoughts on how it looks aesthetically and how maximized it is, along with what thoughts about the surgeons reasoning for these movements.

Purple is before, blue is after. Operated on an East Asian male (if makes a difference):

As for what my surgeon described to me and the reasoning, first off he told me that he plans to do a 3mm advancement with the maxilla. He specifically said the reason for a more conservative advancement to the maxilla is due to my nasal labiol angle. He said it’s already too open and on the more angular side so more of an advancement would likely lead to my upper lip being too pronounced and overly filled, giving a “chipmunk” look.

Next he said he planned to do a ccw rotation for my mandible, taking the original angle from about 76 degrees to 80. He doesn’t plan on either moving it back or advancing it but rather just this ccw rotation.

I don’t know, but overall in my opinion I think it’s a bit too conservative. But from his reasoning and what fits my case, I feel like everything kind of made sense on why he specifically is keeping the movements on the more conservative side. He said that he and his team looked to a lot of different advancements and changes in angles and this ended up being the best for my case.

I feel like the main conclusion from this I can make is that made just a bimax with a lefort 1 incision won’t make too much of difference for me aesthetically, and maybe rather a lefort 2 would be required or some other procedure. Specifically, I recently watched a video from creator “FaceMetrics” about how bimax isn’t necessarily this surgery that will ascend everyone in a crazy way and rather is a building block towards a good base and other surgeries, and I think this may be the case for me.

Sorry for the long read, but if you have any thoughts please feel free to leave any below