Melisande has a massive BIMAX (double jaw surgery) for gummy smile - custom titanium explained

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  • Опубліковано 10 лип 2024
  • Bimaxillary advancement surgery is also called DJS or double jaw surgery or maxillo mandibular advancement (BIMAX, DJS, MMA)… and when it is done after camouflage orthodontics, we often employ a counterclockwise rotation. What do all these terms mean? And how can we reduce the gummy smile, and facial asymmetries and our smile to facial balance that most people have anyway? Without orthodontics and with planning and exceptional surgery, technology has come long way towards giving us many complex 3D planning abilities - that help us replicate what we can do on a computer and translate into the surgical theatre. I explain Melisande’s journey through planning and a little before and after (12 days) to help show how the face can dramatically change through BIMAX surgery - done with an incredible amount of background planning and manufacturing technology. Melisande gave permission and i thank her for letting me use her images to help give a beautiful story to her journey and to help people understand how this technology may also benefit them. Melisande still has some facial swelling and later we can show her journey through the Invisalign orthodontics that can follow this surgery. All surgery was not performed requiring any braces, orthodontics or jaw widening, and she has a normal bite after surgery. Following about three months more of recovery, her dentist will provide simply Invisalign treatment for her to get a perfect smile alignment. In about 6 months I will also remove her plates. If you want to find out more on this surgery, you can purchase my bill through Amazon called 6Ways To Design A Face.

КОМЕНТАРІ • 34

  • @Gyangege
    @Gyangege 2 місяці тому +1

    "This is was nature always wanted" Damn! deep phrase in one surgery video

  • @ST46YO
    @ST46YO Рік тому +14

    Wow, 22mm lower jaw advancement. Very impressive, definitely starting to push the boundaries compared to earlier procedures

  • @nottechytutorials
    @nottechytutorials 6 місяців тому +6

    Would be nice to see a smile to compare her previous gummy smile.

    • @Lee---
      @Lee--- 2 місяці тому

      I can't quite figure out how a hugely more massive jaw makes things better

  • @caralhoguy
    @caralhoguy Рік тому +4

    Need this for my recessed maxilla

  • @jeffreylylemason
    @jeffreylylemason Рік тому +5

    Simply amazing...must be so gratifying and so little swelling 12 days after!

  • @ST46YO
    @ST46YO Рік тому +11

    Would love to see an update on this patient now that swelling has probably gone down considerably 😃

    • @PaulCoceancig
      @PaulCoceancig  Рік тому +3

      she's a really beautiful person

    • @lissak2503
      @lissak2503 2 місяці тому

      @@PaulCoceancig where are you located? I desperately need help after orthodontics ruined my face

  • @turk9610
    @turk9610 Рік тому +1

    When you widen the condiles, do you need to use bone grafts for the gap?

  • @michaelscott3217
    @michaelscott3217 Рік тому +7

    Hi Dr, excellent balance. Is there a risk to the TMJ by altering the angle of articulation like that? Muscles/tendons now in a slightly 'torqued' vector?

    • @PaulCoceancig
      @PaulCoceancig  Рік тому +4

      The joints need time to settle but there is perfect positioning

  • @gutersteinker
    @gutersteinker Рік тому +2

    Amazong work doctor. Looking forward to get an appointment with you

  • @V99899
    @V99899 6 місяців тому +1

    amazing result

  • @ob6396
    @ob6396 Рік тому +2

    Hey doctor, do you do surgery on people with TMD? How do we get in touch with you?

  • @caralhoguy
    @caralhoguy Рік тому +2

    Are the plates and screws removed after some time?

    • @lm7338
      @lm7338 2 місяці тому

      For life

  • @tomred9438
    @tomred9438 Рік тому +3

    I’m victim of malpractice by Federico Hernández Alfaro (maxillo Monkey-facial Institute in Barcelona). Looking for an experienced professional for the revision this time.

    • @nanzyalnizlikg4360
      @nanzyalnizlikg4360 Рік тому +3

      Sorry to hear that 😞 !! What was the bad outcome?

    • @DavidsSanity
      @DavidsSanity Рік тому

      Damn i would have a lawsuit with that scumbag

    • @caralhoguy
      @caralhoguy Рік тому

      They sound like a piece of sh*t

    • @sardar_gurjot
      @sardar_gurjot 8 місяців тому +2

      How so? Would you care to explain more please?

    • @nottechytutorials
      @nottechytutorials 6 місяців тому +3

      I'm guessing it was over projection.

  • @glowingciaagent3302
    @glowingciaagent3302 Рік тому +1

    Could you tell me the price roughly if you can?

    • @palbo7871
      @palbo7871 Рік тому +2

      Lol at your pfp and name

    • @707vv
      @707vv Рік тому

      40k it is usually but an surgery this complex might cost even more

    • @henrykwieniawski7233
      @henrykwieniawski7233 5 місяців тому

      60k+ for international patients. 15-20k for Aussies if covered by insurance

  • @skullrak5951
    @skullrak5951 Рік тому +7

    from goblin to goblin

    • @707vv
      @707vv Рік тому +2

      longface to horseface tbh

    • @skullrak5951
      @skullrak5951 Рік тому

      @@707vv and she "needed" it for "snoring" yeah right... also how is this her "real" face that "nature intended"? i doubt her parents have good jaws, its in here genes too look how she did before