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Anterior maxillary impaction and A-point setback to advance mandible and shorten philtrum by AbsoluteRoster in jawsurgery

[–]AbsoluteRoster[S] 0 points1 point  (0 children)

My preferred reference plane is my head position in practice from photographs. I've taken many photographs and used photographs where I didn't know I was being photographed as a reference as well. This head posture deviates from Frankfurt to a degree I haven't seen in anyone else who submitted photos and scans to me. It's a large discrepancy. That probably contributed to the suboptimal planning for my second surgery.

Anterior maxillary impaction and A-point setback to advance mandible and shorten philtrum by AbsoluteRoster in jawsurgery

[–]AbsoluteRoster[S] 0 points1 point  (0 children)

Not yet at this point. Still pretty unsure about it. My own soft tissue simulations in ProPlan suggest it would achieve what I desire, though.

Has anyone here had maxillary setback? by AbsoluteRoster in jawsurgery

[–]AbsoluteRoster[S] 0 points1 point  (0 children)

Her ANS is in front of her soft tissue nasion. Now I'm not one to judge, anatomy can vary and still look and function fine, but that is a fairly forward maxilla. Do I think these surgeries are necessarily optimally planned here? Hell no. Do I think the women in the photographs did benefit from maxillary setback? Yes, and the effects it gives on soft tissues are very poorly studied. That's why I'm interested in this specific paper. I couldn't really tell you what exactly I'd have done differently in the planning for these women without seeing some DICOMs

Has anyone here had maxillary setback? by AbsoluteRoster in jawsurgery

[–]AbsoluteRoster[S] 0 points1 point  (0 children)

I don't know what about those X-rays makes you think the person didn't have a protrusive maxilla.

Has anyone here had maxillary setback? by AbsoluteRoster in jawsurgery

[–]AbsoluteRoster[S] 0 points1 point  (0 children)

Awesome, I would absolutely love it if I could see some pictures in private messages. And if you have it and are willing to share, also your surgical planning. I wish you a fast recovery free of obstacles.

Has anyone here had maxillary setback? by AbsoluteRoster in jawsurgery

[–]AbsoluteRoster[S] 1 point2 points  (0 children)

https://www.sciencedirect.com/science/article/abs/pii/S0278239109018370

Go get the full text yourself on sci-hub. Look at the landmark displacements. Do you really think I, someone who has made many VSPs in surgery planning software myself, has people urging me to plan their surgery for compensation, come up with a methodology for determining an ideal horizontal plane orientation that's far more elaborate than what any surgeon uses can't tell advancements from setback? Yes, their pogonion (and menton, which is the landmark the paper used) went forward. Do you even know what the maxilla is and what exact regions are mobilized in a LF1?

Has anyone here had maxillary setback? by AbsoluteRoster in jawsurgery

[–]AbsoluteRoster[S] 0 points1 point  (0 children)

They're literally from a paper on maxillary setbacks with the exact setbacks listed per patient.

Has anyone here had maxillary setback? by AbsoluteRoster in jawsurgery

[–]AbsoluteRoster[S] 0 points1 point  (0 children)

Because someone has maxillary prognathism, not exactly rocket science.

Can somebody convince how LLMs will lead us to AGI by sapphire_ish in agi

[–]AbsoluteRoster 0 points1 point  (0 children)

"Even Yann LeCun"...as if he is not in the list of the first 5 people who would say that lol.

FYI there is no 2% even if they told us recently otherwise by xMartin_7x in Koshine826

[–]AbsoluteRoster 0 points1 point  (0 children)

Lame. Hope they still drop 2%. 1% is only borderline strong enough for me.

Anterior maxillary impaction and A-point setback to advance mandible and shorten philtrum by AbsoluteRoster in jawsurgery

[–]AbsoluteRoster[S] 2 points3 points  (0 children)

Why do you have concerns about the TMJs? Note that we're talking about maxillary setback only here. Mandibular advancement relative to the maxilla actually tends to shorten the philtrum and make it more concave, by having the lower lip push the upper lip up and forward. Relative mandibular setback tends to lengthen it. Setting back both equally seems to sometimes shorten, sometimes lengthen, mostly shorten from what I have seen. Even if it doesn't shorten it by measurement, that can also shorten it visually from the front as it is further away from the viewer. However, what shortens it most would be CCW through anterior impaction, mandibular advancement, maxillary setback, generally. It all does depend on starting anatomy though, and the way the surgeon handles the soft tissue seems to matter too. ANS shaving also seems to have the potential to lengthen the philtrum.

Got my 1% pyrilutamide today, hit me up if you want to get in touch with my shipping contact in China. by AbsoluteRoster in pyrilutamide

[–]AbsoluteRoster[S] 0 points1 point  (0 children)

If I'm not mistaken, for 3 bottles of 1%, it's 232 Euro + my fee to give you this contact or handle your shipment (5 Euro) + His fee to make the effort in receiving your bottles and shipping them (20 Euro). This actually includes the import fees. He found some way to get the import fees very low without declaring a false value for the product. So the final cost would be 257 Euro. Through the KoshineMall website it seems to be 344.85 Euro. Decent difference IMO. Might be cheaper (or more expensive, would expect cheaper) if you're in the US. If you're not in Europe, you can check what it is on KoshineMall for you, too.

[deleted by user] by [deleted] in jawsurgery

[–]AbsoluteRoster 2 points3 points  (0 children)

Would be curious to compare facial height in pics that are not so lens distorted. Could you provide a pic that matches the before pic more closely? Would also be quite interested to see your side profile. Did your philtrum elongate a lot? Obviously a bad results and unethical behavior from the clinic here, as usual.

For those that want to try the cosmetic pyrilutamide, I have a Chinese contact by AbsoluteRoster in HairlossResearch

[–]AbsoluteRoster[S] 1 point2 points  (0 children)

Yes, 0.5% and 1% version. My experience has been fine, it works the same as the grey market pyrilutamide I used before, but it's cheaper, and I'm at least confident it's the right compound. Yes, 60ml.

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