V. Sorvin
Orthognathic surgery

Class II skeletal malocclusion — gummy smile and rhinoplasty

Class II skeletal malocclusion. Vertical growth pattern of the facial skeleton. Deformity of the osteocartilaginous nasal dorsum.

Class II skeletal malocclusion — gummy smile and rhinoplasty — beforeClass II skeletal malocclusion — gummy smile and rhinoplasty — after

Class II skeletal malocclusion — gummy smile and rhinoplasty

Class II skeletal malocclusion. Vertical growth pattern of the facial skeleton. Deformity of the osteocartilaginous nasal dorsum.

Aesthetic complaints: mandibular hypoplasia (underdeveloped lower jaw) and a gummy smile. Functional complaints: difficulty eating due to malocclusion, difficulty breathing.

Maxillary (Le Fort I) osteotomy. Mandibular osteotomy with contouring. Genioplasty. Rhinoplasty.

More harmonious facial features, balanced facial thirds and a correct (Class I) occlusion. Refinement of the nasal dorsum and tip.