jawsurgeryforums.com
General Category => Aesthetics => Topic started by: Nicolazzz on February 07, 2018, 10:10:38 AM
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Hello. :) I will try to make this as short as possible. Some years ago I got self aware about my looks. I didn't like my chin very much. I found that mouth breathing could cause your jaw not to grow the right way, so I was sure that, that was the reason, because I've mouth breath for a very long time of my life because of allergies. As you can see on the picture my midface is flat and my chin i retruded. I have a deep bite so that doesn't help the problem. I really don't like the right side of my face (left picture), I think my left (right picture) is closer to natural. The thing is that the aestethic part of the problem made me ignore all of the physical problems that I think I have because of it. I was really down for a long time, but I've been better these last couple of weeks. I've found out that looks doesn't mean everything, but the hard part for me, and everyone else that has the same problem, is that I don't think my looks represents my personality.
I've talked to a jaw surgeon about my problem, and also told him the physical parts. (The physical parts are: no room for tounge, bad breathing through nose, bad posture, maybe sleep apnea, only decent bite. All of these I'm very certain would be cured by a jaw surgery.) Because I told him that it was the aestethic parts that annoyed me the most at the time for me, he said he all he could offer me was a genioplaty. I've been to consulation and the whole process has been going for a while. I'm very split, because the physical parts are starting to fill just as much as the way I look, so I'm highly contemplating saying no to the offer and push for a jaw surgery.
What are you guys thoughts?
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I disagree with your surgeon, I don't think you're a good candidate for a genioplasty. Ideally, you should get double jaw surgery with ccw. You should probably extract teeth to allow for a large mandibular advancement. Obviously you need to consider the risks, but I'd say you're more of a jaw surgery case than a genioplasty case.
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Thank you so much for the reply!
What do you mean exactly when you say ccw and that my teeth should be “extracted”?
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Tell the doctor who offered you ONLY chin surgery to take a hike. You would need the full jaw surgery.
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Out of interest can you guys explain what it is that signifies that OP needs jaw surgery and not just chin surgery. I can see that his chin is recessed and agree that a SG wouldn’t solve all the issues but I can’t articulate what else could change. Just curious for my own case.
Good luck OP!
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Out of interest can you guys explain what it is that signifies that OP needs jaw surgery and not just chin surgery. I can see that his chin is recessed and agree that a SG wouldn’t solve all the issues but I can’t articulate what else could change. Just curious for my own case.
Good luck OP!
They reply that to everyone without applying any thought about costs or risks. The next one will recommend him a modified lefort 2.
A sliding genioplasty will be fine if your bite is correct.
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Out of interest can you guys explain what it is that signifies that OP needs jaw surgery and not just chin surgery. I can see that his chin is recessed and agree that a SG wouldn’t solve all the issues but I can’t articulate what else could change. Just curious for my own case.
Good luck OP!
His jaw is RETRUSIVE.
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They reply that to everyone without applying any thought about costs or risks. The next one will recommend him a modified lefort 2.
A sliding genioplasty will be fine if your bite is correct.
Not 'everyone' is told this. Just people with clearly RETRUSIVE jaws. As to costs and risks, that is between the patient and the DOCTOR he/she consults with. Not every member here who has an EYE for imbalance can be expected to know the costs of the surgery (which will differ from place to place) nor the applicable risks for the person which will also differ from doctor to doctor.
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I'm not sure bimax will make room for your tongue.. orthodontists may push the teeth outwards perhaps to make more room, but not sure. Lower jaw has less options than upper for that issue. Extractions will make the arch even smaller though, as GJ just recently reaffirmed. Probably can be avoided, especially if you're willing to trade whatever your inner mouth gum show looks like upon smiling, in exchange for preserving the teeth and arch.
I agree the risks and costs to bimax are not worth it for most people, but that's a personal decision no one can make for you. Bimax has an aesthetic element that tends to look much more natural than any plastic surgery alternatives, for people where it's aesthetically indicated (like this bloke).
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I'm not sure bimax will make room for your tongue.. orthodontists may push the teeth outwards perhaps to make more room, but not sure. Lower jaw has less options than upper for that issue. Extractions will make the arch even smaller though, as GJ just recently reaffirmed. Probably can be avoided, especially if you're willing to trade whatever your inner mouth gum show looks like upon smiling, in exchange for preserving the teeth and arch.
I agree the risks and costs to bimax are not worth it for most people, but that's a personal decision no one can make for you. Bimax has an aesthetic element that tends to look much more natural than any plastic surgery alternatives, for people where it's aesthetically indicated (like this bloke).
Can't be said exactly what specific displacements he would need and ortho pre-work. But generally speaking having maxfax to bring forward the lower jaw would help with sleep apnea and his retrusive lower jaw. What can be said though is that it would be in his best interest to seek out a max fax who does the double jaw surgery and disban with this other doc who is only offering him a genio. Keep in mind that 'bi-max' surgery does not preclude the upper jaw from being expanded somewhat (multi-segment lefort) if there is an indication for that.
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They reply that to everyone
That's not true at all.
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His jaw is RETRUSIVE.
I am not saying it isn’t I am asking what shows you that it is.
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I am not saying it isn’t I am asking what shows you that it is.
For me to transfer my knowledge to you would require me to draft up a tutorial via the guy's photos and also landmark lines on them as to how make the evaluation as to difference between retrusive chin and retrusive jaw as to show both. I'm not putting in the time for that.
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Hello. :) I will try to make this as short as possible. Some years ago I got self aware about my looks. I didn't like my chin very much. I found that mouth breathing could cause your jaw not to grow the right way, so I was sure that, that was the reason, because I've mouth breath for a very long time of my life because of allergies. As you can see on the picture my midface is flat and my chin i retruded. I have a deep bite so that doesn't help the problem. I really don't like the right side of my face (left picture), I think my left (right picture) is closer to natural. The thing is that the aestethic part of the problem made me ignore all of the physical problems that I think I have because of it. I was really down for a long time, but I've been better these last couple of weeks. I've found out that looks doesn't mean everything, but the hard part for me, and everyone else that has the same problem, is that I don't think my looks represents my personality.
I've talked to a jaw surgeon about my problem, and also told him the physical parts. (The physical parts are: no room for tounge, bad breathing through nose, bad posture, maybe sleep apnea, only decent bite. All of these I'm very certain would be cured by a jaw surgery.) Because I told him that it was the aestethic parts that annoyed me the most at the time for me, he said he all he could offer me was a genioplaty. I've been to consulation and the whole process has been going for a while. I'm very split, because the physical parts are starting to fill just as much as the way I look, so I'm highly contemplating saying no to the offer and push for a jaw surgery.
What are you guys thoughts?
I agree with the already stated. Bro, it's like this. (At lest my experience). The first teaching hospital I went to, a very experienced doctor told me that I needed bimax, but he wouldn't touch me bc of muscle post op issues and relapse. Then the more conservative 2nd surgeon I saw, pulled 4 teeth out of my head, slapped me in braces was going to do bimax ...but I ended up chosing not to go through with it two years later. Now that I finallly have the balls to pull the trigger. I went back to the original surgeon who took my teeth out and put me in braces, now he won't touch me. Point is, you're going to find surgeons who are skilled...then not so much, and some with restraints. Your jaws resemble mine a bit, at least your lower. Keep doing your homework. Find yourself a skilled doctor, a straight shooter...bc a lot of times doctors will tell you WHATS BEST FOR THEM..Do you have speech issues? Bite your tongue often when chewing?
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I agree with the already stated. Bro, it's like this. (At lest my experience). The first teaching hospital I went to, a very experienced doctor told me that I needed bimax, but he wouldn't touch me bc of muscle post op issues and relapse. Then the more conservative 2nd surgeon I saw, pulled 4 teeth out of my head, slapped me in braces was going to do bimax ...but I ended up chosing not to go through with it two years later. Now that I finallly have the balls to pull the trigger. I went back to the original surgeon who took my teeth out and put me in braces, now he won't touch me. Point is, you're going to find surgeons who are skilled...then not so much, and some with restraints. Your jaws resemble mine a bit, at least your lower. Keep doing your homework. Find yourself a skilled doctor, a straight shooter...bc a lot of times doctors will tell you WHATS BEST FOR THEM..Do you have speech issues? Bite your tongue often when chewing?
I have very suttle speech issues not anything doctors would take very seriously. I don't bite my tongue when I'm eating that often, but I think that is because my tongue naturally is further back than normal. When I try to force a normal tongue position my airway gets much better through my nose, and I just feel much better overall. But after doing this for a while, my tongue starts to hurt and my teeth shape is indented in the sides of the tongue.
It's cool to talk with someone with the same problem, because there is not a lot of people who wants to listen or even try to understand this problem, not even my parents haha. I'm 100 percent sure that I'm not gonna go for the chin surgery, because I know that it's not the right choice for me. I hope that you find the right doctor for your case man, it's a long and s**tty process..
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I have very suttle speech issues not anything doctors would take very seriously. I don't bite my tongue when I'm eating that often, but I think that is because my tongue naturally is further back than normal. When I try to force a normal tongue position my airway gets much better through my nose, and I just feel much better overall. But after doing this for a while, my tongue starts to hurt and my teeth shape is indented in the sides of the tongue.
It's cool to talk with someone with the same problem, because there is not a lot of people who wants to listen or even try to understand this problem, not even my parents haha. I'm 100 percent sure that I'm not gonna go for the chin surgery, because I know that it's not the right choice for me. I hope that you find the right doctor for your case man, it's a long and s**tty process..
Do you have sleep issues? Had a sleep test?
Family can be problematic for some people, defintely was for me when I first tried to acknowledge my issues. Treated me like I was delusional, which is very counterintuitive when the doctors are affirming the very same things I'm thinking. Funny bc my sister had bimax for cross bite etc. surgery five years after my initial consult. At any rate, some times it's better to tread lightly. I should have had braces as a kid, just didn't.
Probably best to just do it all at once. I mean, you would greatly benefit from chin surgery, but ultimately although it offers vast improvement...I don't think it alone will produce the best result. It's definitely a personal investment, but I feel it's worth the struggle. Better to do when you're younger and your healing potential is greater.
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Do you have sleep issues? Had a sleep test?
Family can be problematic for some people, defintely was for me when I first tried to acknowledge my issues. Treated me like I was delusional, which is very counterintuitive when the doctors are affirming the very same things I'm thinking. Funny bc my sister had bimax for cross bite etc. surgery five years after my initial consult. At any rate, some times it's better to tread lightly. I should have had braces as a kid, just didn't.
Probably best to just do it all at once. I mean, you would greatly benefit from chin surgery, but ultimately although it offers vast improvement...I don't think it alone will produce the best result. It's definitely a personal investment, but I feel it's worth the struggle. Better to do when you're younger and your healing potential is greater.
I have an appointment for checking if I have sleep apnea. But they could only give me the machine the 16th april, so I'm a bit concerned that my jaw surgon will call me in before that I get it checked, because then I can't tell him that my jaw also gives me sleeping problems. My family definitely also treated me like I was/and am delusional, so I've just stopped talking to them about it.
The problem for me is that I'm not able to pay for a double jaw surgery myself. I live in Denmark, so these operations are actually free if it is bad enough. I was offered the genioplasty for free, but he said that the jaw was just to risky to move when the only real reason I came to him back then was because of my looks. A lot of people would probably go for the genioplasty right away because it's free, and some people might think that I am ungrateful. But I trust my intuitions, and they say that the genioplasty isn't the right choice for me.
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I have an appointment for checking if I have sleep apnea. But they could only give me the machine the 16th april, so I'm a bit concerned that my jaw surgon will call me in before that I get it checked, because then I can't tell him that my jaw also gives me sleeping problems. My family definitely also treated me like I was/and am delusional, so I've just stopped talking to them about it.
The problem for me is that I'm not able to pay for a double jaw surgery myself. I live in Denmark, so these operations are actually free if it is bad enough. I was offered the genioplasty for free, but he said that the jaw was just to risky to move when the only real reason I came to him back then was because of my looks. A lot of people would probably go for the genioplasty right away because it's free, and some people might think that I am ungrateful. But I trust my intuitions, and they say that the genioplasty isn't the right choice for me.
Would you mind explaining what you meant by "bad breathing through your nose"? Do you mean you rarely breathe through it because it's congested or is it just a habit?
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Would you mind explaining what you meant by "bad breathing through your nose"? Do you mean you rarely breathe through it because it's congested or is it just a habit?
When I stop focusing on my tongue position for a while, my nose gets blocked, but there is no snot. Then, when I start to add pressure on my palate with my tongue it slowly gets unblocked. Right now my nose isn't blocked at all, but that is because I've focused on my tongue position a lot these last couple of days. My jaw makes it almost impossible for me to have my tongue on the palate naturally, this leads it to lay in down my throat area when I'm not thinking about it, which then leads my jaw to fall down and my mouth open. I'm not saying that just because my mouth is a little bit open, that I only breath through my mouth. If I can I think I breathe through my nose naturally too. I've just experienced that I'm feeling much better when my mouth is closed and my airway is normal through my nose.
I've also noticed that my midface gets less flat, still flat but less, when my tongue and jaw is in the normal position.
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When I stop focusing on my tongue position for a while, my nose gets blocked, but there is no snot. Then, when I start to add pressure on my palate with my tongue it slowly gets unblocked. Right now my nose isn't blocked at all, but that is because I've focused on my tongue position a lot these last couple of days. My jaw makes it almost impossible for me to have my tongue on the palate naturally, this leads it to lay in down my throat area when I'm not thinking about it, which then leads my jaw to fall down and my mouth open. I'm not saying that just because my mouth is a little bit open, that I only breath through my mouth. If I can I think I breathe through my nose naturally too. I've just experienced that I'm feeling much better when my mouth is closed and my airway is normal through my nose.
I've also noticed that my midface gets less flat, still flat but less, when my tongue and jaw is in the normal position.
I see. By deep bite, do you mean you have a large overbite/overjet? Honestly the first thing that sticks out to me is how far back your lower lip is in relation to the upper one. Maybe that's why others said your jaw is recessed. That's the biggest indicator for me at least. I'm not saying you look like a freak or anything, so don't take it the wrong way.
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I see. By deep bite, do you mean you have a large overbite/overjet? Honestly the first thing that sticks out to me is how far back your lower lip is in relation to the upper one. Maybe that's why others said your jaw is recessed. That's the biggest indicator for me at least. I'm not saying you look like a freak or anything, so don't take it the wrong way.
That's the thing. I don't even have an overbite really, only very small, maybe 4-6 millimeters. My lip has also been a big indicator for my maxilla recession for me, because there would be no other reasons to why my lips are so far apart. My deep bite almost touches the back of my gums only a few millimeter from doing so.
I'm not taking it the wrong way, no worries haha. I'm happy to talk about my issue.
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You never provided x-rays right? I think fixing your overbite/overjet by advancing your lower jaw would place your lower lip in a more ideal position and also help with your sleep apnea. I don't know much about extractions though. I could have gone the surgical route by extracting teeth, but I was told I could just get a genioplasty if I really wanted to. I didn't like the idea of extracting teeth. I also never had braces as a kid and had them at 22.
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You never provided x-rays right? I think fixing your overbite/overjet by advancing your lower jaw would place your lower lip in a more ideal position and also help with your sleep apnea. I don't know much about extractions though. I could have gone the surgical route by extracting teeth, but I was told I could just get a genioplasty if I really wanted to. I didn't like the idea of extracting teeth. I also never had braces as a kid and had them at 22.
I got taken x-rays last time I was at consulation, but I didn't get them home with me. There is really no room at all for advancement of the lower jaw.
This is a pretty disgusting pic, but it shows what i mean hahah!
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I got taken x-rays last time I was at consulation, but I didn't get them home with me. There is really no room at all for advancement of the lower jaw.
This is a pretty disgusting pic, but it shows what i mean hahah!
Keep searching for a solution for your functional problems. In the long run its better to have a small chin over sleep apnea, bite problems etc.
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I have the same profile as you. My bite also isn’t that bad due to previous ortho work, they dentally compensated for my bite. So my overjet is only around 3-4 mm. In order to have my jaw brought forward surgically, I would need lower extractions to create enough overjet in order to do a lower jaw advancement. That’s what you would need too.
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I have the same profile as you. My bite also isn’t that bad due to previous ortho work, they dentally compensated for my bite. So my overjet is only around 3-4 mm. In order to have my jaw brought forward surgically, I would need lower extractions to create enough overjet in order to do a lower jaw advancement. That’s what you would need too.
So was your overjet larger than 3mm prior to getting surgery?
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I got taken x-rays last time I was at consulation, but I didn't get them home with me. There is really no room at all for advancement of the lower jaw.
This is a pretty disgusting pic, but it shows what i mean hahah!
I also meant to ask if that's your normal head posture? I wear glasses and it feels weird fixating my head like yours in the pictures. My lenses point downwards and feel like they'd fall off my face. I've also worn them all my life so maybe that has something to do with it.
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I also meant to ask if that's your normal head posture? I wear glasses and it feels weird fixating my head like yours in the pictures. My lenses point downwards and feel like they'd fall off my face. I've also worn them all my life so maybe that has something to do with it.
that isn't my normal head posture, I tried to fix it for the picture. Overall my posture is pretty bad, because if i stand upright my chin is literally close to touching my adams apple and my tongue also get less space.
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that isn't my normal head posture, I tried to fix it for the picture. Overall my posture is pretty bad, because if i stand upright my chin is literally close to touching my adams apple and my tongue also get less space.
So are your pictures supposed to illustrate proper head posture? I don't really get head posture to be honest. Maybe wearing glasses all my life has something to do with it. Was your overjet larger than it is now?
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So are your pictures supposed to illustrate proper head posture? I don't really get head posture to be honest. Maybe wearing glasses all my life has something to do with it. Was your overjet larger than it is now?
Yes, that is what I'm trying at least. Yes my overjet was bit larger when I was little, but It was never big enough to get it made.
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So was your overjet larger than 3mm prior to getting surgery?
I haven’t had surgery. And if I hadn’t had any previous ortho work, then yes, my overjet would have been bigger than the 3-4 mm overjet I have now. When you look at my face, and my X-rays, it’s obvious that I have skeletal imbalance. In order to fix that, I First need dental decompensation orthodontically; then I’ll have enough of an overjet to bring my mandible forward. Apparently this isn’t an uncommon scenario.
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I haven’t had surgery. And if I hadn’t had any previous ortho work, then yes, my overjet would have been bigger than the 3-4 mm overjet I have now. When you look at my face, and my X-rays, it’s obvious that I have skeletal imbalance. In order to fix that, I First need dental decompensation orthodontically; then I’ll have enough of an overjet to bring my mandible forward. Apparently this isn’t an uncommon scenario.
Was the idea of surgery would discussed when you first had braces? My overjet was 2 before I had braces (my jaw is technically still recessed since I'm a slight class II). If you had braces to essentially get to where i was without them couldnt they have just operated on you? Is there an "ideal" overjet to have to warrant surgery? I read some post here of someone whose jaw was recessed 14mm) according to a surgeon. They pulled teeth out for braces as a teenager apparently.
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that isn't my normal head posture, I tried to fix it for the picture. Overall my posture is pretty bad, because if i stand upright my chin is literally close to touching my adams apple and my tongue also get less space.
What does your normal head posture look like?
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What does your normal head posture look like?
This is a picture of me a couple of years ago.. i don’t have a lot of pictures of my posture, but this show a little bit of how it is when I’m just chilling.
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This is a picture of me a couple of years ago.. i don’t have a lot of pictures of my posture, but this show a little bit of how it is when I’m just chilling.
I guess by bad posture you meant that you slouch your back a lot? I was referring to your heads lilt. Your head posture from your first post looks like the ceph x-ray from the post below yours.
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OP, since your post is on the aesthetic section, I will say again, your looks could be improved by lower jaw advancement in addition to chin. Upper jaw surgery would be to accommodate lower jaw and for fitting the bite. It also seems like there is a good chance this could help your functional issues.
From your first post, it sounds like you have the type of asshole doctor who has resorted to PRECLUDING you from the full jaw surgery JUST BECAUSE you mentioned aesthetic issues. There is an overlap with aesthetic issues and functional ones. They can come together. This could be result of some insurance policy where they want to discourage patients from seeking out solely for aesthetics. But if you also have functional problems which sounds like you have those too, I think it's ethically wrong for the doctor to want to preclude your option for full jaw surgery on the grounds you mentioned aesthetic issues. Perhaps try again with another doctor and focus on your functional problems. It will most likely increase the likelihood of the doctor telling you your lower jaw is RECESSED and would need to be brought forward which in turn, will help with your aesthetic issues.
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This is a picture of me a couple of years ago.. i don’t have a lot of pictures of my posture, but this show a little bit of how it is when I’m just chilling.
Yeah, switch doctors. Wish I lived in Denmark. You guys have enough migrants right now though, you definitely don't need me too. Hah. Does 🇩🇰 keep medical your medical records, evals, X-rays, chart...tightly infused? I guess my question is, would a different doctor within the system be able to access information on you which is collected from a different doctor? I know that here in the states when you go to a teaching hospital or large public hospital (tax paid) they keep your records in one big system. Just a thought. Perhaps make sure your "ducks are in a row" (sleep test, etc) before new doctor appointment, to offset any further mishaps. Also, technically when they do genioplasty over a certain mm's it supposed to open up the airway a little.
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i find it repulsive that doctors recommend sliding genio or chin implants to patients who have clear bimax retrognathia. Unfortunately these are cash cow solutions that carry little liability risk to surgeons, make them a load of profit at the cost to the patients results. posting on this board probably saved you from a world of hurt.
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OP, since your post is on the aesthetic section, I will say again, your looks could be improved by lower jaw advancement in addition to chin. Upper jaw surgery would be to accommodate lower jaw and for fitting the bite. It also seems like there is a good chance this could help your functional issues.
From your first post, it sounds like you have the type of asshole doctor who has resorted to PRECLUDING you from the full jaw surgery JUST BECAUSE you mentioned aesthetic issues. There is an overlap with aesthetic issues and functional ones. They can come together. This could be result of some insurance policy where they want to discourage patients from seeking out solely for aesthetics. But if you also have functional problems which sounds like you have those too, I think it's ethically wrong for the doctor to want to preclude your option for full jaw surgery on the grounds you mentioned aesthetic issues. Perhaps try again with another doctor and focus on your functional problems. It will most likely increase the likelihood of the doctor telling you your lower jaw is RECESSED and would need to be brought forward which in turn, will help with your aesthetic issues.
Thank you for your advice! My doctor actually seemed very trustworthy and nice. I was always sure that I needed a jaw surgery, but I was discouraged by my family who said that I would never get It paid by insurance, so I went from the doctors very happy with the offer for a genioplasty. The second thoughts started to come only a few days after, because I knew that my jaws were recessed.
I'm gonna tell my doctor that I'm not going to go further with the genioplasty, and perhaps persuade him to offer me a jaw surgery. I'm thinking about using these replies on the forum as a kind of evidence, or would that be a bad idea?
It's really hard to get a time for consulation by the public hospital in Denmark, so I almost have to rely on this doctor if I don't wanna have this problem for more years than possible.
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Yeah, switch doctors. Wish I lived in Denmark. You guys have enough migrants right now though, you definitely don't need me too. Hah. Does 🇩🇰 keep medical your medical records, evals, X-rays, chart...tightly infused? I guess my question is, would a different doctor within the system be able to access information on you which is collected from a different doctor? I know that here in the states when you go to a teaching hospital or large public hospital (tax paid) they keep your records in one big system. Just a thought. Perhaps make sure your "ducks are in a row" (sleep test, etc) before new doctor appointment, to offset any further mishaps. Also, technically when they do genioplasty over a certain mm's it supposed to open up the airway a little.
Your always welcome in Denmark ;D I actually don't know if they have a database with all of my files, but they probably do. I'm gonna ask for my X-rays next time I'm to consulation, and then I'll post them on here. I was also hoping that I could get my sleep tested before going to my doctors, but they only had the machine ready the 16th of april, so I'm not sure that will be possible.
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i find it repulsive that doctors recommend sliding genio or chin implants to patients who have clear bimax retrognathia. Unfortunately these are cash cow solutions that carry little liability risk to surgeons, make them a load of profit at the cost to the patients results. posting on this board probably saved you from a world of hurt.
I'm really happy that I posted. It has helped me a lot!
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i find it repulsive that doctors recommend sliding genio or chin implants to patients who have clear bimax retrognathia. Unfortunately these are cash cow solutions that carry little liability risk to surgeons, make them a load of profit at the cost to the patients results. posting on this board probably saved you from a world of hurt.
This happened to me. I had a sliding genio and the thing literally drops out my face and points to the ground. It actually caused me functional problems.
At least a chin implant is fairly non-traumatic and can be easily resolved. I had one of these before - it didn't get me to the place I wanted to be but at least it was an improvement on the original.
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This happened to me. I had a sliding genio and the thing literally drops out my face and points to the ground. It actually caused me functional problems.
At least a chin implant is fairly non-traumatic and can be easily resolved. I had one of these before - it didn't get me to the place I wanted to be but at least it was an improvement on the original.
I'm assuming they lengthened your chin....(?) I've also had both a chin implant and now genioplasty, and I think the genioplasty is far more versatile and overall the better option. That's just my opinion. Remember, the genioplasty can also be reversed or modified. Hindsight, comparing both surgeries...I don't feel that one was more traumatic than the other. I actually felt as though the genioplasty was less stressful, but then again, I was under stress from the implant displacement. I always hated having the foreign object in my body, it was constantly either in my conscious or sub conscious in the background. Quite awesome how the bone heals. Anyway, the only thing that I'm slightly disliking is that it has made my dentofacial asymmetry more noticeable. But that will hopefully be fixed down the line once I have my jaw worked on.
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Thank you for your advice! My doctor actually seemed very trustworthy and nice. I was always sure that I needed a jaw surgery, but I was discouraged by my family who said that I would never get It paid by insurance, so I went from the doctors very happy with the offer for a genioplasty. The second thoughts started to come only a few days after, because I knew that my jaws were recessed.
I'm gonna tell my doctor that I'm not going to go further with the genioplasty, and perhaps persuade him to offer me a jaw surgery. I'm thinking about using these replies on the forum as a kind of evidence, or would that be a bad idea?
It's really hard to get a time for consulation by the public hospital in Denmark, so I almost have to rely on this doctor if I don't wanna have this problem for more years than possible.
That's good you like the doctor. Don't take this the wrong way, but I would advise AGAINST utilizing internet forums to show your doctor. Although there is good advice and opinion across these boards, I highly doubt your doctor would be motivated by any such things. I say this because, A) he's already a doctor. B) He might consider the fact that someone talked you into it. C) It might actually act in a negative way. I could go further with elaboration...but, honestly it's just hard to know how he might react. It might make him apprehensive to go forward. Something age teaches you.
This is just my personal opinion. You certainly don't want a doctor backing off (in respect to all manner)s from all procedures....or giving him a reason to take on the notion it's "psychological", cause that could very well happen as well. Which is always an ironic aspect of these situations, bc, duh...it is psychological. lol.
Next time you approach him, I would however suggest talking to him on a very serious level about jaw surgery. I would go in with the intent, not to beat around the bush, but rather to lay down how you feel and what you've learned through the process thus far. Myself, I will eventually have jaw surgery, bc overall, it's my jaws that need to be accessed-cut and moved; this was very much a camouflage procedure for me for the time being. With that being said, that's something you might mention to him. You could tell him that, although the genioplasty might be helpful, you'd like to address the underlying problem so as to not need any further surgery in the future...etc. Obviously you know your case best, so you must do your homework and make sure your ducks are in a row when you confront him. I always feel honesty is the BEST policy. Straight shoot him with what you predict as the best result, he might surprise you. He's also not the end all say all. You might be able to address this with another surgeon within Denmark's system. If that fails, there is always out of pocket. Seems like a long journey, but ....anyway.
Best of luck .
Best of luck.
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That's good you like the doctor. Don't take this the wrong way, but I would advise AGAINST utilizing internet forums to show your doctor. Although there is good advice and opinion across these boards, I highly doubt your doctor would be motivated by any such things. I say this because, A) he's already a doctor. B) He might consider the fact that someone talked you into it. C) It might actually act in a negative way. I could go further with elaboration...but, honestly it's just hard to know how he might react. It might make him apprehensive to go forward. Something age teaches you.
This is just my personal opinion. You certainly don't want a doctor backing off (in respect to all manner)s from all procedures....or giving him a reason to take on the notion it's "psychological", cause that could very well happen as well. Which is always an ironic aspect of these situations, bc, duh...it is psychological. lol.
Next time you approach him, I would however suggest talking to him on a very serious level about jaw surgery. I would go in with the intent, not to beat around the bush, but rather to lay down how you feel and what you've learned through the process thus far. Myself, I will eventually have jaw surgery, bc overall, it's my jaws that need to be accessed-cut and moved; this was very much a camouflage procedure for me for the time being. With that being said, that's something you might mention to him. You could tell him that, although the genioplasty might be helpful, you'd like to address the underlying problem so as to not need any further surgery in the future...etc. Obviously you know your case best, so you must do your homework and make sure your ducks are in a row when you confront him. I always feel honesty is the BEST policy. Straight shoot him with what you predict as the best result, he might surprise you. He's also not the end all say all. You might be able to address this with another surgeon within Denmark's system. If that fails, there is always out of pocket. Seems like a long journey, but ....anyway.
Best of luck .
Best of luck.
Thank you for taking your time to reply!
Your probably right about not showing this forum. But I'm already on the psychological list, that is why I got offered the genioplasty. But I think that's the only way they can offer you a genioplasty for free. I'm pretty nervous about my next consulation, because I have to call of the genioplasty which I said yes to last time. I feel like there is so much to say and I just want to say the right things, because this is sort of my only chance. It's like a verbal exam, where you have to perform well to get the result you want. I'm scared that I'm gonna screw it up.
I'm thinking about writing a report or something, and handing it to him maybe?
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Thank you for taking your time to reply!
Your probably right about not showing this forum. But I'm already on the psychological list, that is why I got offered the genioplasty. But I think that's the only way they can offer you a genioplasty for free. I'm pretty nervous about my next consulation, because I have to call of the genioplasty which I said yes to last time. I feel like there is so much to say and I just want to say the right things, because this is sort of my only chance. It's like a verbal exam, where you have to perform well to get the result you want. I'm scared that I'm gonna screw it up.
I'm thinking about writing a report or something, and handing it to him maybe?
I hear yah. It can be a little nerve racking knowing you only get a certain time window to try and convey your thoughts/feelings to a doctor, esp. when you're aware that they're the overall expert in the room. But, remember, one of your advantages is you see and experience things every day that he might consider "you can live with it" type of things, that might effect you more than he understood intially.
Perhaps instead of taking the genioplasty "off the table", you could instead use it as a starting point. You could tell him that since your last evaluation/visit with him regarding the genioplasty...that you've been doing research and discussing with friends, family, and other patients, with whom had similar procedures, and that while the genioplasty seems somewhat like a somewhat appropriate solution- you're concerned that the genioplasty will only offer a small improvement with regard to the underlying issue (the jaws), and that you'd like to discuss further the possibility of moving forward with jaw surgery. And you want to know if that would be a possibility, and what steps you need to take next to get on that specific track. Orthodontics, etc. Sleep test. If he doesn't transition into that conversation with ease, you might follow that up with some argument in regards to the functional, sleep, speech issues you face. Chances are he's going to ask why...(hc...he's a doctor , haha). Remember though, it's only psychological (in his opinion) until it's not. I don't know what kind of difficulty you're facing with respect to Denmark's healthcare system, so I'm purely speaking out of turn on this one. At any rate. I would imagine like any government, they probably reserve spending for "need", but that line too can get blurred. If all else fails, just tell him okay, that you'll keep the genioplasty on board but that you'd like to talk to another doctor before moving forward. You don't even need to tell him if you don't want.
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I hear yah. It can be a little nerve racking knowing you only get a certain time window to try and convey your thoughts/feelings to a doctor, esp. when you're aware that they're the overall expert in the room. But, remember, one of your advantages is you see and experience things every day that he might consider "you can live with it" type of things, that might effect you more than he understood intially.
Perhaps instead of taking the genioplasty "off the table", you could instead use it as a starting point. You could tell him that since your last evaluation/visit with him regarding the genioplasty...that you've been doing research and discussing with friends, family, and other patients, with whom had similar procedures, and that while the genioplasty seems somewhat like a somewhat appropriate solution- you're concerned that the genioplasty will only offer a small improvement with regard to the underlying issue (the jaws), and that you'd like to discuss further the possibility of moving forward with jaw surgery. And you want to know if that would be a possibility, and what steps you need to take next to get on that specific track. Orthodontics, etc. Sleep test. If he doesn't transition into that conversation with ease, you might follow that up with some argument in regards to the functional, sleep, speech issues you face. Chances are he's going to ask why...(hc...he's a doctor , haha). Remember though, it's only psychological (in his opinion) until it's not. I don't know what kind of difficulty you're facing with respect to Denmark's healthcare system, so I'm purely speaking out of turn on this one. At any rate. I would imagine like any government, they probably reserve spending for "need", but that line too can get blurred. If all else fails, just tell him okay, that you'll keep the genioplasty on board but that you'd like to talk to another doctor before moving forward. You don't even need to tell him if you don't want.
I'm surprised by how people are so keen to reply and help on this forum! Really, thank you so much! It really means a lot to get help with how I should tackle this problem, because I really had absolutely nobody to help me before. I will definitely use your advice! I think you're making some good points.