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General Category => Emotional Support => Topic started by: PhoenixHiker on December 27, 2016, 09:44:39 PM

Title: Im devastated. Do I need a re-do?
Post by: PhoenixHiker on December 27, 2016, 09:44:39 PM
I had a 1-piece LeFort and BSSO double jaw surgery in Feb, 2016 to correct a minor underbite. Actually I think it's more of a crossbite and my lower and upper jaws were both tilted at that time but my surgeon didn't think so --- he's arrogant and spent less than 2 min to diagnoze my case....
So it's been 10 months now and day by day I feel it's a FAILED surgery and I still have asymmetrical jaw and a class III bite on the right side. I'm so frustrated and devastated since I paid almost all of this out of pocket. (I'm in US and the insurance only covered the one-night hospital and anesthesia because my surgeon is not in the network). Not to mention all the pains and discomfort I've been through. I had some followup appointments with the surgeon and I raised my concerns, but he became very impatient and started refusing to talk to me. He said, as I quote, he did an A+ surgery and there's nothing wrong. My orthodontist also noticed something not right, but he recommended the surgeon to me so he always found excuses for my current situation (like relapse, swelling etc )
Anyways, here're some my post-surgery pics (10 months after the surgery). I'm asking for any suggestions. I'm think about or re-do or any possible genioplasty? or do I have to live with this for the rest of my life?? I'm desperately asking for some suggestions.

http://imgur.com/a/joaP5
Title: Re: Im devastated. Do I need a re-do?
Post by: kjohnt on December 28, 2016, 01:13:36 PM
I see the cant of maxilla and the mandible follows.  Not sure the maxillary teeth should be tipped as they are...appear not properly decompensated.  Get an opinion from another surgeon.

Who was your surgeon?
Title: Re: Im devastated. Do I need a re-do?
Post by: PhoenixHiker on December 28, 2016, 09:01:28 PM
I see the cant of maxilla and the mandible follows.  Not sure the maxillary teeth should be tipped as they are...appear not properly decompensated.  Get an opinion from another surgeon.

Who was your surgeon?

Dr D** in phoenix, AZ. It's 10 months after the surgery and I can clearly see the mandible asymmetry and still a minor class III on my right side (left in the pic). I'm pretty sure he didn't rotate my jaws as he promised. I asked for detailed data (how many mm you moved/rotated) but he said he didn't track & record it at all.
Title: Re: Im devastated. Do I need a re-do?
Post by: PloskoPlus on December 28, 2016, 10:59:27 PM
Does not look good at all. You should have grounds to get your money back.
I have to say when things go well surgeons are all smiles, when they don't, they become real royal c*nts.
Title: Re: Im devastated. Do I need a re-do?
Post by: LyraM45 on January 01, 2017, 07:05:58 PM
Yeah, doesn't look right to me.  You're definitely canted significantly.  Not sure if you had that to begin with or what.  I've been there and know what you're feeling.  It's not a good place to be, but realize you can be fixed.  It's not an easy road, but it's doable.  I am not sure what to recommend for surgeons in AZ.  I'm not familiar with any down there. 

If you'd like to read up on how to begin the revision process and how to handle a botched case, definitely visit my website:  www.confessionsofametalmouth.com (http://www.confessionsofametalmouth.com)
Title: Re: Im devastated. Do I need a re-do?
Post by: PhoenixHiker on January 03, 2017, 08:55:04 PM
I modify the surgeon's name after his financial assistant contacted me by recognizing my xray and pics. They threatened to bring lawsuit against me if I mentioned his name publicly, even if I was a patient and suffered a botched surgery from him. Anyone who wants to know his name please message me.
Title: Re: Im devastated. Do I need a re-do?
Post by: PloskoPlus on January 03, 2017, 09:00:36 PM
I modify the surgeon's name after his financial assistant contacted me by recognizing my xray and pics. They threatened to bring lawsuit against me if I mentioned his name publicly, even if I was a patient and suffered a botched surgery from him. Anyone who wants to know his name please message me.
Like I said "royal c*nts" or high functioning psychopaths.
Title: Re: Im devastated. Do I need a re-do?
Post by: PloskoPlus on January 04, 2017, 02:23:28 AM
That's really awful. Would be so satisfying if he took you to court and you got some other surgeons confirmation that the surgery was a dud, and then f**ked him hard.
Very hard to sue surgeons. In smaller counties all but impossible as they all know each other and would not testify one against another.
Title: Re: Im devastated. Do I need a re-do?
Post by: kjohnt on January 04, 2017, 10:37:11 PM
I modify the surgeon's name after his financial assistant contacted me by recognizing my xray and pics. They threatened to bring lawsuit against me if I mentioned his name publicly, even if I was a patient and suffered a botched surgery from him. Anyone who wants to know his name please message me.

Lawsuit for what?  I'd remove any misinformation or exaggeration from your posts if it exists to avoid libel/slander, but aside from that, this is a forum and people here express opinions and ask for information.  Given your photo evidence provided, it is obvious to me and others here that your team could have done a better job.  You don't even have to post anything aside from your surgeon's name and the question "I don't feel this is a good result, what do you think?"
Title: Re: Im devastated. Do I need a re-do?
Post by: LyraM45 on January 05, 2017, 08:21:18 AM
I modify the surgeon's name after his financial assistant contacted me by recognizing my xray and pics. They threatened to bring lawsuit against me if I mentioned his name publicly, even if I was a patient and suffered a botched surgery from him. Anyone who wants to know his name please message me.

If you are posting your records, with your results, and nothing with exaggeration/libel/slander/false statements, etc, then you can do whatever you want with your records.  They are yours.  And if your doctor did right by you, they wouldn't be ashamed to have their work on the internet for others to see.

This is a HUGE red flag for me.  Don't bend over to them. Your records are yours and they legally can do nothing about you posting your records and getting feedback from a public forum.  I would put the name back out there.  It does other patients a service to have your results and doctors name out to see.
Title: Re: Im devastated. Do I need a re-do?
Post by: ditterbo on January 05, 2017, 03:30:22 PM
If you are posting your records, with your results, and nothing with exaggeration/libel/slander/false statements, etc, then you can do whatever you want with your records.  They are yours.  And if your doctor did right by you, they wouldn't be ashamed to have their work on the internet for others to see.

This is a HUGE red flag for me.  Don't bend over to them. Your records are yours and they legally can do nothing about you posting your records and getting feedback from a public forum.  I would put the name back out there.  It does other patients a service to have your results and doctors name out to see.

If he describes the order of events post op from his perspective, then I'd imagine that would become a he said vs she said kind of thing in court and create more of a headache than it's worth.  Similar logic not to make strong judgement calls (eg this surgery was a failure, the doctor is arrogant, etc.).  Make it as bland as possible because obviously the results can speak for themselves. IMO anyways, could be wrong on this & I got a USA law perspective.
Title: Re: Im devastated. Do I need a re-do?
Post by: LyraM45 on January 08, 2017, 06:04:33 PM
If he describes the order of events post op from his perspective, then I'd imagine that would become a he said vs she said kind of thing in court and create more of a headache than it's worth.  Similar logic not to make strong judgement calls (eg this surgery was a failure, the doctor is arrogant, etc.).  Make it as bland as possible because obviously the results can speak for themselves. IMO anyways, could be wrong on this & I got a USA law perspective.

Exactly.  If the results and records speak for themselves, then it's a "Res Ipsa" case.  Just let them speak for themselves.
Title: Re: Im devastated. Do I need a re-do?
Post by: Ben30 on February 21, 2017, 10:59:00 AM
I reviewed my surgeon on here. I should have posted pictures and provided the only plane facts but I didn't and the review had to be remove.

I think my surgeon will stick to pulling wisdom from now on though, well hopefully anyway.
Title: Re: Im devastated. Do I need a re-do?
Post by: PhoenixHiker on February 23, 2017, 08:37:50 PM
I had an appointment with the surgeon weeks ago. He still refused to admit any errors or provided any details like how many mm he moved my jaw. BUT this time he agreed to do a full revision WITH FULL CHARGES (he basically said only he's capable for this revision) and offered me a financial package (mortgage) to pay. Ridiculous?!  I also consulted other surgeons in phx area but they're only willing to do genioplasty and they indeed don't do any revision. I have no idea which way I should go. Any suggestions are welcome!
Title: Re: Im devastated. Do I need a re-do?
Post by: Pennylane on February 25, 2017, 11:19:34 PM
You might want to hold off going back to your original surgeon because he does not sound all that trustworthy. You probably should consult with more surgeons (ones that are experienced with revisions) even if you have to travel.
Title: Re: Im devastated. Do I need a re-do?
Post by: notrain on March 03, 2017, 09:01:59 AM
How can you guys see the cant? His pictures are either selfies or photographed cephalograms so personally I cannot accurately judge his outcome. His face photos could be canted because he is either holding the camera or his head at an angle and the cephalograms are also not properly aligned.

I usually just draw a horizontal line on a properly done pano-ceph betweens the contact points of the 2nd molars on each side. If the horizontal line meets with the teeth at the same spot on either side, there is no cant. See the picture attached for an explanation (it's my pano and I don't think I have a cant). Is this the correct way of doing it?

[attachment deleted by admin]
Title: Re: Im devastated. Do I need a re-do?
Post by: kjohnt on March 03, 2017, 03:48:40 PM
How can you guys see the cant? His pictures are either selfies or photographed cephalograms so personally I cannot accurately judge his outcome. His face photos could be canted because he is either holding the camera or his head at an angle and the cephalograms are also not properly aligned.

I usually just draw a horizontal line on a properly done pano-ceph betweens the contact points of the 2nd molars on each side. If the horizontal line meets with the teeth at the same spot on either side, there is no cant. See the picture attached for an explanation (it's my pano and I don't think I have a cant). Is this the correct way of doing it?

Well I'm sure there are standard planes to consider and I don't know them.  I do know you certainly want to place other horizontal lines in other landmark areas for reference in case the head is tilted within the picture though.

I drew a couple more on OP's and, admittedly, I think I may have been too quick to judge this outcome based on the evidence provided.  The ceph is not level I think, and part of the issue is probably that it's a picture of the ceph, not a scan.  The facial pictures back up the ceph, but again, it's tough to tell whats going without a full skull ceph or full facial pictures.  The asymmetry may begin higher than the lefort I area.  The chin asymmetry also may skew one's perception of the asymetry at the maxillary level.  I think more pictures are necessary because I'm just not sure what's going on here as I'm looking again.

[attachment deleted by admin]
Title: Re: Im devastated. Do I need a re-do?
Post by: notrain on March 04, 2017, 02:03:41 AM
I think OP should bite down on a ruler and take a photo from farther away.
Title: Re: Im devastated. Do I need a re-do?
Post by: PhoenixHiker on June 09, 2017, 09:24:13 PM
I think OP should bite down on a ruler and take a photo from farther away.

Can you help to re-evaluate? This is my pics. 16 month after my botched surgery

[attachment deleted by admin]
Title: Re: Im devastated. Do I need a re-do?
Post by: PhoenixHiker on June 09, 2017, 09:26:26 PM
Well I'm sure there are standard planes to consider and I don't know them.  I do know you certainly want to place other horizontal lines in other landmark areas for reference in case the head is tilted within the picture though.

I drew a couple more on OP's and, admittedly, I think I may have been too quick to judge this outcome based on the evidence provided.  The ceph is not level I think, and part of the issue is probably that it's a picture of the ceph, not a scan.  The facial pictures back up the ceph, but again, it's tough to tell whats going without a full skull ceph or full facial pictures.  The asymmetry may begin higher than the lefort I area.  The chin asymmetry also may skew one's perception of the asymetry at the maxillary level.  I think more pictures are necessary because I'm just not sure what's going on here as I'm looking again.


Can you help to re-evaluate? See my pic above and this one!

[attachment deleted by admin]
Title: Re: Im devastated. Do I need a re-do?
Post by: Tati on October 18, 2017, 05:03:50 PM
Does not look good at all. You should have grounds to get your money back.
I have to say when things go well surgeons are all smiles, when they don't, they become real royal c*nts.

That last sentence of yours could not be more accurate.