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Upper Jaw Surgery with anti clockwise rotation of lower jaw

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splodge11:
Hi,

I've had a consultation with Paul Johnson I was told I have vertical maxillary excess and slightly excessive show of my upper incisors. I was advised single jaw surgery for my upper jaw. this would come to a total cost of 7,315 GBP inc hospital fees and check up appointments etc, he advised me I will also have anti clockwise rotation of the lower jaw done to bring my chin slightly more forward and advised me not to get lower jaw surgery as there is a bigger risk of numbness and a much longer healing time. I explained my concerns about my chin as I really hate its appearance and he advised sliding genioplasty would be a better solution. Although a sliding genioplasty would be great it would then bump the cost to 12,000 GBP.

I really want to schedule a surgery date soon but wondered if anyone else has had the upper jaw surgery with anti clockwise rotation of lower jaw and how much of an impact it made to your chin??

have attached some pics
     

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sean89:
I think CCW and genioplasty is the perfect treatment plan. I'm not sure how much rotation you will be able to get because you don't have massive amounts of gum show and you don't want to flare your upper teeth too much. If you 'hate' your chin now, I doubt you will be happy with it if you just get upper jaw surgery. My advice is to get both and the fact that he proposed that, instead of being some quack surgeon who proposes every procedure under the sun, is a sign that he is someone you should seriously consider. Also, given that you are not really changing your bite that much, and so there doesn't need to be as much communication between your ortho and surgeon,  you could also consider going abroad to save money, or even going to a less famous English surgeon (not one based in the south). These are movements that every maxfac should know. If you do go abroad, however, the costs do add up. I worked it out the other day and I've had to travel to the foreign city where I had my operation 7 times thus far. For a lot of people in a lot of jobs, this is not really an option but maybe it is for you.

needadvancement:
Sliding genioplasty does look suitable for you. Your lips line up with no incompetence in your profile photo and a chin advancement could do a lot for your appearance, you're already very pretty and your chin recession is your only flaw that could be improved significantly imo.

splodge11:
Thanks for your opinions, I think I'm going to go for both upper jaw surgery and sliding genioplasty. I've saved up 5,000 Gbp so far, I'm hoping I can pay the rest of by a medical loan. I don't think i'll ever be happy until I get it done. :-(. Its been playing on my mind for a good couple of years now, i've also heard apparently the older you get, the harder it is to get the surgery done :-/.

Nataliepryor:
Genio will fix your recessed chin and dramatically improve your profile.

I have seen a lot of after photos where people have regretted not getting the genio.  The changes almost look like they have had nothing done without it.

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