Policy on browser cookies
This website uses cookies. To find out more about cookies, read this page. If you continue browsing this site, you are deemed to have automatically authorised Facial Sculpture Clinic to use these cookies. Please note: blocking certain types of cookies will impede the proper functioning of the website.
Go back to the case overview

Nora: Gonial augmentation / Wrap around / Malar Augmentation / Wrap around / PSI / Peek implants

Facial diagnosis

  • Receding lower jaw
  • Receding upper jaw
  • Too short lower jaw
  • Too short upper jaw
  • Asymmetric face
  • Too narrow upper jaw
  • Open bite

Dental diagnosis

  • Class II division 1

Treatment jaw surgery

  • Advancement lower jaw (BSSO)
  • Advancement upper jaw (Le Fort I)
  • Chin surgery (Sliding genioplasty)
  • Widening upper jaw (Smile distractor)
  • PEEK implants engineered 8 months after the trimax osteotomies

Treatment aesthetic surgery

  • Cheek augmentation
  • Jaw angle augmentation
  • PEEK implants engineered 8 months after the trimax osteotomies

About this case

When I first met Nora with her parents, I felt right away that by no means all would be achieved by one operation. The planning evolved like this: Transversal widening (smile distractor). Followed by non-extraction orthodontics. Trimaxillary advancement surgery (Lefort I advancement, BSSO advancement, sliding genioplasty advancement). The chin position was this way already advanced by over 15mm. Finally the facial bones were built up with the intention to create a face with totally normal looking features in flow and depth. Therefore PEEK implants were designed, realising normal vertical & lateral gonial dept and normal malar & infraorbital volumes. PSI (patient specific implants) were created with the help of a company making those implants in Peek, starting from our dicom files (bio engenering). The whole process including the orthodontics was realised over 18 months. The nicest thing as a surgeon having the opportunity to treat her was the trust that Nora gave me, and the trust the parents gave me as well.