Designing human faces for ideal health

So what is state-of-the-art in orthonathic surgery design? I want to try and illustrate just how the two-piece maxilla and the six-piece mandible works. There are five jigsaw parts of the mandible and the sixth lets me take bone graft. There are two jaw rami which I can flare out to produce width and what I call posterior jaw symmetry. The two central tooth-bearing portions of the jaw can also be widened and the bite levelled. And bilateral bite optimisation can also be achieved for a class one occlusion. And combining the BSSO with the Genio Pauly allows us to maximise mandible lengthening. We're also trying to get the rami and the jaw angles perfectly symmetrical. And the Genio Pauly helps lift the lower lip for lip competence and to cover the lower front teeth. The BSSO can slide up to 14mm and is a complex vector. Widening of the mandible can only occur with the Genio Pauly and a midline split between the two front teeth. Careful repositioning of the ramus and tooth-bearing portion of the jaw along the BSSO split is important not to compress or damage the inferior dental nerve. Overall, the repositioning of the jigsaw pieces allows us to maximise jaw stretch. And this helps maximise stretch to the overlying skin and the inside muscles that attach to the jawline. Pulling the lower face forward using the BIMAX operation is a safe operation in safe hands and helps build lower facial volume. The expert orthognathic surgeon will relocate to find the ideal position of the condyles on both sides to enable jaw widening to occur. Lengthening and widening the lower jaw allows you to stretch the skin underneath the jaw and to accentuate the jawline. And the midline split of the Genio Pauly allows for a symmetrified bite idealisation. But there's one really important thing. By dividing the jaw into five parts, we can radially stretch and treat the biggest disease in the world sleep apnea. Permanently opening the collapsed airway behind the tongue is the permanent solution for snoring and the associated development of sleep apnea by stretching the back of the tongue through permanent airway tinting and by stretching the inner tongue. The second part is the upper jaw and the two-piece maxilla that gives you that nice wide smile. I use the standard Le Fort One operation and I split it, level it, twist it, divide it, torque it, tilt it. I also use my own line that I wrote about in my own book to maximise the smile and your front teeth and to give a point to pull your lower jaw and chin forward too as well. I call it the orthonathic line. And by using the two-piece maxilla, I can also independently equalise both sides of the nasal airway and to balance that with a symmetrical smile. And by dropping a vertical line through the vertex of the skull itself and through the back of the head, I can create a plane of symmetry to which I orient the face and dental midline. My name is Paul Kociancic and this is Designing Faces Without Orthodontics.