jawsurgeryforums.com
Before/After Photos => Underbites => Topic started by: ryu1986 on December 17, 2014, 07:33:10 AM
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Dear All,
hope you all do well. Well my journey began 1997. At first I got lose braces for upper and lower jaw. after that a weird looking gadget placed on my forehead and in the middle there was an area for gums which were connected to my upper jaw. probably to influence upper jaw growth. well after the treatment was finished. I was happy because result was nice. just a notice: I suffer under haemophilia a bleeding disorder.
well as mentioned. years passee and I kinda developed an underbite. to be honest I never paid that much attention to it and to be honest no one from my friends and orhr people mentioned that ever till I went to dentis who told me yeah you have a crossbite + underbite. I also posted my story in a very famous German forum. so if people from there are here as well, greetings to all of you.
so I went to surgeon. I have a maxilia retrognathie (dont know english expression). means upper jaw is behind or the growth was not that much and an lower jaw which seems larger. a bit of dish face deformaty. well because of my haemophilia such an surgery is a high risk. and my haematologist was not happy and she said to be honest you dont look that bad that I would say go for it. but she was so kind and planned the operation with surgeons. the surgeon daid I wont do bimax operation because bleeding risk for upper jaw I mean post bleeding is very high, but we can go for lower jaw. move it back. but now I think this is not the best way because to be honest when your middle face is flat like dish face and you move back the lower jaw rhen probably your nose look very prominent. I mean it is a very hard journey. braces, operation and of course you want to have best result at the end and nit just a compromise because of your haemophilia. My underlip looks a bit prominent compared to my upper lip. I have asked so many people, even around me people who I do not know if they see sonething strange in my face and I cant actually imagine but most of them said well to be honest we dont see anything. and when I said here look at my underlip and jaw then a couple of them said ohh well yeah just a bit but nothing to mention. I dont know of the are lying or not. some of them even said it suits your overall look. but well...I am thinking to forget all this things and move on with my life. I mean I know class III patients who look nuch more worse than me to be honest.
here are some pics
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More pixs
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more pix
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I think you look pretty good as it is, but the underbite is slightly noticable. The problem with only moving the lower jaw back is that it can lead to sagging of the face and it could also lead to less space for your tongue etc that in turn could lead to functional problems. How big of an underbite do you have? I think this would be a pretty straight-forward surgery for you if it weren't for the bleeding disorder. I don't know anything about it though so it's hard to say what you should do.
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about 4mm. yeah yöu can notice it. maybe slightly but I always think it is so huge and ppl are starring on it since I am into that topic. yeah bimax is risk. I thought: get braces, push back the lower tooth a bit and upper tooth a bit more outside just to create a kinda illusion so just the underlip goes a bit back.
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4 mm before or after decompensation? 4 mm is not a lot.
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have no braces yet. tomorrow I have app. with clinic director. he personally wants to talk with me with chief doctors because I am a
risk case.
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Instead of enjoying life I am about to get mental disorder
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profile guys
what u sayn'?
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Try consulting with a maxillofacial urgeon who is also a craniofacial surgeon and does a lot of paediatriac cases (cleft lip, genetic syndrome cases, etc..) Those cases have weirdly grown nerves, soft bones, etc., and are much harder to operate on than an adult. You may find that he will be unfazed by your haemophilia.
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really? yesterday I was at the surgeon. and he openly talked. he said: mr. xxxx if I saw on the streets as you are right now I would not say that you have a weird looking face or a profile which would cause negative reactions. Of course me as a surgeon and dentist now aware of your situation can see just only a lil bit difference in your face compared to others. in everyday life he said believe many ppl would not recognize it that much. you are now too much into that topic so yöu focus a lot and see that difference. he said when we move back your jaw about 4mm your under lip would become less than it is now about 2mm. so thr change in your profile is very less. he said honestly think sbout it. there are ppl like yOu with worse looking profile in comparism. He said think about it. he said you dont look too bad as a men. haha well anyway still very unsecure what to do guys
my mind is exhausted guys. feel not so good to be honest.
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See another surgeon. Which country are you in?
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really? yesterday I was at the surgeon. and he openly talked. he said: mr. xxxx if I saw on the streets as you are right now I would not say that you have a weird looking face or a profile which would cause negative reactions. Of course me as a surgeon and dentist now aware of your situation can see just only a lil bit difference in your face compared to others. in everyday life he said believe many ppl would not recognize it that much. you are now too much into that topic so yöu focus a lot and see that difference. he said when we move back your jaw about 4mm your under lip would become less than it is now about 2mm. so thr change in your profile is very less. he said honestly think sbout it. there are ppl like yOu with worse looking profile in comparism. He said think about it. he said you dont look too bad as a men. haha well anyway still very unsecure what to do guys
my mind is exhausted guys. feel not so good to be honest.
I had a small underbite as well - my teeth just touched and I didn't give it much thought until last year. However, as I got older, my nose seemingly got bigger. It was the skin thinning with age. The surgeon told me that it will probably get worse: "only a trained doctor like me can see your recession, in 10 years time everyone else will". Even though I was not fat, I decided to lose weight and lost about 10 kg - going from about 18% body fat to 12% in the process. My face basically collapsed and I aged like 1 year for every kilogram.
tldr;
Your face is kind of chubby. Lose weight. It will make your recession much more obvious and may show you what the future holds for you.
Millimetres are kilometres on the face. I was only advanced 5-6 mm and the difference has been huge (for better or worse).
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i mean is my underbite that much obvious? you mean losing weight means it gets more obvious?
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It's more obvious in the last picture you posted. You need to consult with more surgeons and maybe even consider seeking treatment abroad if the expertise in your own country is limited. You're lucky in the sense that the upper part of your face looks really good, but there is definitely a noticable discrepancy between your jaws.
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I think you look good, but the underbite is indeed a bit noticeable.
Here are my concerns: FIRST DO NOT UNDER ANY CONDITION GET THE LOWER JAW MOVED BACK! THis will make your whole face look flatter. You need the upper jaw moved forward. It will create more space in your mouth too, not less. Do not have any teeth etc. removed (except wisdom teeth).
I think I agree with everyone else, consult more surgeons and specialists and if need be go abroad. Only with top surgeons. Your is a straightforward case.
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i mean is my underbite that much obvious? you mean losing weight means it gets more obvious?
Absolutely. Fat is great camouflage.
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yeah the doc also told me that the upper part of my face looks "pretty good" even I am more critical. from the front I would say it is not that much if you directly in my face, ok my underlip is a bit prominent, but lot of ppl have prominent underlip. thr good thing is that most class III patients have a very vertical face, kind of long face syndrom and this is not that much visible in my case I would say. profile is a bit let me said screwed up, even here I would say that there are class III patients who have a worse profile than me. not meaning my profile is top but compared. I mean lets be honest. severe class III patients and the overall look sometimes causes kind of negative reactions by others even not spoken out in society. lets be honest, thats a fact. but I dont know. there are days I dont think about it and I feel confident about myself. and then there are days where Inwake up and it is in my mind all day and I kinda lose my confidence. Call it a mental issue, but thats my emotions guys. why shall I lie. here a pic from today
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the main issue here is if it causes any functional problem like bite issues or sleep apnea. if not then screw it and stop visiting this site. it's not so noticeable it's an issue. all of us on this board scrutinize these issuse so we'ree hyper neurotic and aware. so yah i can tell you hav an underbite. but most people won't. go on and live your life. coming to sites like this is a sure way to make yourself a mental wreck. you won't listen to me but stop it now. if you decide you want the surgery, theyn get the top moved lefort not the bottom moved back. now there's nothing else to discuss. if it bothers you that much, consult with at least 3 surgeons and make a decision, stop torturing yourself. looks wise it's not a problem right now.
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if it bothers you that much, consult with at least 3 surgeons and make a decision, stop torturing yourself. looks wise it's not a problem right now.
It may be in 5-10 years.
OP, while you can have this operation at any age (we have here someone who had double jaw surgery @61), the younger you are, the smoother the recovery.
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here a pic from today
Post pics of yourself smiling - front and profile.
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I honestly can't tell too much that you have a underbite but, I do notice your nose tip and the nasolabial angle to be acute.
I had the same issue and I wasn't keen on getting the Lefort 1 and thought I could live with my bite as is and went with the option of a premaxillary implant and a nose job. It did wonders for me and completely masked the exterior but, my smile was was off and now I'm considering getting the Lefort 1 to fix my bite and my retruded nasal base and maxilla (masking it didn't solve the underlying issue, though the exterior looks very good). The face and structure is always changing so, you have the option to mask it (like I did) or go the invasive route to possibly fix it and come out looking better *crosses fingers*.
The headgear you most likely had to wear was to pull the upper jaw/maxilla forward but, the problem with it is that without proper oral posture and continuing the use of the headgear, it will go back. Oddly enough, breathing through your mouth, having poor posture and limited chewing causes the maxilla to tilt downwards over time. I've been treating myself with proper tongue posture and tried to do more chewing and it's already done a pretty good job of pulling my maxilla forward and helped my bite too; keep in mind I've been doing this for a year.
Best of luck to you.
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which mask and you did it by yourself?
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Here are my concerns: FIRST DO NOT UNDER ANY CONDITION GET THE LOWER JAW MOVED BACK! THis will make your whole face look flatter. You need the upper jaw moved forward. It will create more space in your mouth too, not less. Do not have any teeth etc. removed (except wisdom teeth).
Word. Moving the lower jaw back decreases the airway. The tongue is also attached to the lower jaw, so if it's moved back you may end up snoring if you didn't before.
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You're lucky in the sense that the upper part of your face looks really good, but there is definitely a noticable discrepancy between your jaws.
QFT! Many class IIIs have their entire mid faces recessed - from eyeballs down. A standard Le Fort I can improve the situation, but never truly fix it.
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yeah maybe I was lucky in that case. yesterday I also had talks with two docs. They also said hmm to be honest we dont see that much difference in your face compared to others. wtf is going on. either they are lying or they dont wanna speak out the truth
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yeah maybe I was lucky in that case. yesterday I also had talks with two docs. They also said hmm to be honest we dont see that much difference in your face compared to others. wtf is going on. either they are lying or they dont wanna speak out the truth
Lose a ton of weight. If you look really hideous - you're recessed and need surgery.
Do these doctors know about your haemophilia beforehand? This fact could be biasing them heavily. Try bringing it up at the end of the consultation.
You have to bear in mind that a lot of maxillofacial surgeons are mostly oral surgeons and spend most of their time pulling wisdom teeth and doing dental implants. They may simply be afraid of non-trivial jaw surgery.
Again, try seeing a max fac surgeon who does a lot of paediatric craniofacial surgeries (cleft lip, Apert, Crouzon, etc). These guys are not afraid of anything.
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in germany if you want to be a malox... surgeon you have to study medicine and over the top you have to study dental medicine so two faculties. I was at one of the best surgeons nationwide. prof. dr. dr. al-nawas chief doc at the mall..clinic of the university of mainz. btw both docs knew about my hawmophilia
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Think about other alternatives - aesthetic surgery instead of bimaxillary surgery.
A bimax surgery - or single jaw for that matter - is fraught with risks and you may end up looking worse instead of better after it (this is what happened to me, although I had the s**ttiest surgeon you can imagine).
I agree that your upper/upper-mid face looks great. You do NOT want to compromise that with a bimax surgery.
By aesthetic surgery I mean something that will not move the tooth-bearing segments either of your maxilla or mandible.
For example, this implant in the maxilla is a great camouflage technique that may work great for you (balance somewhat the jaws without having to move the lower part of the jaw).
https://www.implantech.com/newsite/nasal-implants/17-brink-peri-pyriform.html
It's not ideal, I know. But it may be worth considering. If you are implant adverse, there are doctors in Germany who use bone grafts in the same place (e.g. Dr Zarrinbal told me he uses a rib graft (a small bone from your rib cage) to build up your pre-maxilla for a better profile.
Overall, you look VERY good. We all (even very good looking people) look bad under certain light and in certain pictures.
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tha ks falcao for the link. appreciate. i am aware of dr zarnibal. he is in berlin, right?! well I will check this out. since I am intonthis topic i am more critical with myself. i see my profile worse than it is. obviously i am a realist and i know that it is not a proper profile, but insee it more severe. the doc told me that this psychological "issue" a lot of ppl have when thinking about their own profile if the case is given when jaws arw nor appropriate. well...yesterday I had a talk with a neurosurgeon who also is in charge of hannover 96 players (league 1 german football team) who said I also cant see rhat much to be honest. he is the husband of my cousine. well lets see....Inwannanpush it away for a couple of weeks from my mind. maybe that helps, but appreciate all your feedbacks and more is welcome
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in germany if you want to be a malox... surgeon you have to study medicine and over the top you have to study dental medicine so two faculties. I was at one of the best surgeons nationwide. prof. dr. dr. al-nawas chief doc at the mall..clinic of the university of mainz. btw both docs knew about my hawmophilia
I'm fully aware of the fact that maxillofacial surgeons have double degrees. That's pretty much the case almost everywhere for the last 30 years. And even so, 90% of the time they do dental implants and pull wisdom teeth. Being a faculty member, writing 100s of papers means NOTHING. FWIW, I think I found the publication profile of the surgeon you mentioned. He has 100s of papers on implants and oral cancer, almost nothing on orthognathic surgery. But scientific interests don't mean anything anyway. I consulted with the head of the orthognathic surgery department of the local university (top 20 world-wide). He asked me why I chose to consult with him. I said because he's the head of the department. He said "IT MEANS NOTHING. I COULD BE JUST AN ACADEMIC. THE ONLY THING THAT MATTERS IS VOLUME OF WORK AND RESULTS".
tldr;
Consult with Zarrinbal without pre-alerting him of your haemophiliac status if possible. But do pop the question at the end.
P.S.
After my Le Fort I surgery the surgeon said I had "a lot of vascularity" in my upper jaw, so everything will heal well (you need good blood supply to the jaw after it's been mobilised). Someone here told me that that's a code word for "bled like a stuck pig". The nurse gave me a bag to spit blood into - the stitches inside the mouth bleed for a while. I was told to throw up in it if I feel sick and "trust me, everyone swallows a ton of blood after this surgery and vomits" (I didn't end up vomiting, my stomach must like blood). So perhaps Le Fort surgery does cause a lot of bleeding.
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i will next year
definitely. thanks for this.
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hi guys. here are recent pics. because weight and being chubby in your face was a topic because fat is considered as a camouflage, I lost 4kgs. compared to the other pics before. Is it in your opnion that much visible even losing weight?
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another one
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front one
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another pic
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ryu - you underbite is only noticeable to us because we are conscious of things like this. This forum is about jaw surgery, and Im pretty sure everyone here can spot people in public with under/over bites. That being said, I do notice your underbite, but its not bad at all. Honestly, the average person doesn't notice it.
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hi ryu,
as I already told you over at progenica, you should either get lefort 1 advancement or nothing at all.
lower jaw setback will actually make you look worse and possibly cause issues (sleep apnea) you don't have right now.
esthetically speaking, i do not think you need surgery.
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thanks for ur opionion. really, so u r also on progenica? ^^ have to fibd out your nickname over there.
even thr docs told me that my underbite is not that bad from an external point of view. I mean I am too conscious about my look, obviously.
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thanks for ur opionion. really, so u r also on progenica? ^^ have to fibd out your nickname over there.
even thr docs told me that my underbite is not that bad from an external point of view. I mean I am too conscious about my look, obviously.
I don't think you've posted pictures of yourself smiling. If you have poor tooth show or too much tooth show, you will need upper jaw surgery regardless of what you do with your lower jaw.
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ok
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(http://fs1.directupload.net/images/150213/temp/27xnqydu.jpg) (http://www.directupload.net/file/d/3897/27xnqydu_jpg.htm)
what ya sayn
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smiling I show less upper tooth no I am not blind :)
just showed some recent pics
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funny guy lol. You don't look bad at all and your facial hair works well in hiding the underbite. If you are happy with the way you look don't go through surgery. At the end of the day its your choice if u feel like u wanna fix it or not
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(http://fs1.directupload.net/images/150213/temp/27xnqydu.jpg) (http://www.directupload.net/file/d/3897/27xnqydu_jpg.htm)
what ya sayn
lol
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Hi guys
here a video.
what do you think? extreme noticeable?
http://sendvid.com/s8bui6h9
regards
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Hi guys
here a video.
what do you think? extreme noticeable?
http://sendvid.com/s8bui6h9
regards
not extreme at all. if its not bothering you don't worry about it.
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yeah
I wont do operation
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hey guys
what ya think?
(https://preview.ibb.co/kHoZ6a/IMG_6692.jpg) (https://ibb.co/dpHizv)
image hosting (https://de.imgbb.com/)
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Why do you want the surgery?
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indont know inalways think its so noticeable