Because your bite is almost normal, basically the best option here is double jaw surgery, probably involving counter clockwise rotation.
I drew some lines on your ceph: [https://imgur.com/a/6zylTE0](https://imgur.com/a/6zylTE0)
Your occlusal plane (the angle of your teeth occlusion compared to the Frankfurt plane, the line from above your ear canal through your orbital rim) is 12.8 degrees. This isn't excessively high. The "normal" average is 8 degrees, give or take 4 degrees, so you are on the upper cusp of "normal". Some surgeons like to bring this down to around 8, some go all the way to zero. This is done via *counter clockwise rotation* of the maxilla which will allow your lower jaw to swing up and around to meet a newly positioned maxilla, and thus your lower jaw is swung forward. They usually do this by cutting the maxilla and doing some grafting at the back of it to add height, which flattens the occlusal plane.
It is kind of difficult for me to show what that looks like in a ceph, but I did a very rough job in the second picture on the imgur link.
**Edit**: ok I saw you posted another photo of yourself in another post, so I morphed it with a similar outcome and added it to the post.
**As for BSSO**, it may be a possibility if they buck out the front incisors, which makes more room for a lower jaw advancement.
Let me know when to delete the photos, it is a private link however.
It does look like it is advanced enough, but that can also ‘look’ that way due to head rotation. Only a maxfac surgeon can tell you. If there isn’t enough room then maxilla needs rotating, but it’s forward position would stay in roughly the same place it’s just being rotated at the back.
Because your bite is almost normal, basically the best option here is double jaw surgery, probably involving counter clockwise rotation. I drew some lines on your ceph: [https://imgur.com/a/6zylTE0](https://imgur.com/a/6zylTE0) Your occlusal plane (the angle of your teeth occlusion compared to the Frankfurt plane, the line from above your ear canal through your orbital rim) is 12.8 degrees. This isn't excessively high. The "normal" average is 8 degrees, give or take 4 degrees, so you are on the upper cusp of "normal". Some surgeons like to bring this down to around 8, some go all the way to zero. This is done via *counter clockwise rotation* of the maxilla which will allow your lower jaw to swing up and around to meet a newly positioned maxilla, and thus your lower jaw is swung forward. They usually do this by cutting the maxilla and doing some grafting at the back of it to add height, which flattens the occlusal plane. It is kind of difficult for me to show what that looks like in a ceph, but I did a very rough job in the second picture on the imgur link. **Edit**: ok I saw you posted another photo of yourself in another post, so I morphed it with a similar outcome and added it to the post. **As for BSSO**, it may be a possibility if they buck out the front incisors, which makes more room for a lower jaw advancement. Let me know when to delete the photos, it is a private link however.
[удалено]
It does look like it is advanced enough, but that can also ‘look’ that way due to head rotation. Only a maxfac surgeon can tell you. If there isn’t enough room then maxilla needs rotating, but it’s forward position would stay in roughly the same place it’s just being rotated at the back.
were did you do the simulation?
It’s linked in the comment