Author Topic: Double jaw surgery mm  (Read 773 times)

mazilla

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Re: Double jaw surgery mm
« Reply #15 on: October 28, 2017, 09:30:35 AM »
I do get a good reception from people that didn't know me before surgery, and they don't think that my jaw is too much forward. Only myself, my family and friends believe that.

But getting a good reception from people I don't know doesn't make me feel any better about me not looking like myself and my jaw being too much forward to the point that I can't shave my beard. With beard it looks fine, but when I shave its when I look weird: bimax protrusion, underbite jawline... Its like the beard gives shape to my face, but the shape is awkward with no beard, like an underbite with matching maxilla. I don't know if Im explaining it well.

Am I not going to be able to shave ever? I don't feel good with that...

kavan

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Re: Double jaw surgery mm
« Reply #16 on: October 28, 2017, 12:59:44 PM »
I do get a good reception from people that didn't know me before surgery, and they don't think that my jaw is too much forward. Only myself, my family and friends believe that.

But getting a good reception from people I don't know doesn't make me feel any better about me not looking like myself and my jaw being too much forward to the point that I can't shave my beard. With beard it looks fine, but when I shave its when I look weird: bimax protrusion, underbite jawline... Its like the beard gives shape to my face, but the shape is awkward with no beard, like an underbite with matching maxilla. I don't know if Im explaining it well.

Am I not going to be able to shave ever? I don't feel good with that...

Well, then it probably looks good to other people and maybe better than prior. i think you just have to get used to it.
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GJ

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Re: Double jaw surgery mm
« Reply #17 on: October 28, 2017, 02:38:26 PM »
Can you post some pictures (x out your eyes, etc) or at least a tracing?

It's hard to say much without seeing it.

mazilla

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Re: Double jaw surgery mm
« Reply #18 on: October 28, 2017, 07:50:44 PM »
Kavan and GJ, I can send you guys a pic in a PM

PloskoPlus

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Re: Double jaw surgery mm
« Reply #19 on: October 29, 2017, 02:47:37 AM »
I'm kind of in a similar boat. I was class iii before surgery,  just a 6 mm maxillary advancement changed my profile from concave to convex. It just looks "wrong". My upper lip, maxilla now dominate my face. Facial hair is my only recourse. Unfortunately it makes my paraesthesia 10 times worse.

mazilla

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Re: Double jaw surgery mm
« Reply #20 on: October 29, 2017, 04:30:51 AM »
Facial hair worsens your paresthesia?

My lower left lip/chin is about 30% numb but it doesn't bother me much. When I eat, many times I get food on that area and I don't feel it, so people tell me, but they just find it funny and I don't mind it.

PloskoPlus, are you considering a revision?

kavan

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Re: Double jaw surgery mm
« Reply #21 on: October 29, 2017, 09:41:17 AM »
Kavan and GJ, I can send you guys a pic in a PM

Can't speak for GJ. But as a general rule of thumb, mods have a lot on their plate (board chores to keep order etc.) and/or like the aesthetic commentary/advice etc. to be in the open venue unless the member is approved to be on the private section of the board.
Please. No PMs for private advice. Board issues only.

mazilla

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Re: Double jaw surgery mm
« Reply #22 on: October 29, 2017, 04:30:19 PM »
How can I be approved to be on the private section?

kavan

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Re: Double jaw surgery mm
« Reply #23 on: October 29, 2017, 05:16:49 PM »
How can I be approved to be on the private section?

Usually a good track record of posting history, being a known person where the mod knows you well enough and a donation.
Please. No PMs for private advice. Board issues only.

mazilla

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Re: Double jaw surgery mm
« Reply #24 on: October 30, 2017, 11:27:10 AM »
who should I talk to about it?

if anyone that is in a similar situation, considering a revision, please contact me. id like to share experiences with people on the same boat

ditterbo

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Re: Double jaw surgery mm
« Reply #25 on: October 30, 2017, 12:13:53 PM »
There's really not much harm in putting up a profile shot for a few days, black out however much you want. 

mazilla

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Re: Double jaw surgery mm
« Reply #26 on: November 02, 2017, 07:44:46 AM »
Ditterbo, I really don't want to post my pics online, sorry.

More info about my surgery, I want to know if these things are common.

-I never got a proposal from my surgeon
-He said he would decide on the day of the surgery wether I needed genio or not depending on how the surgery went (he ended up not doing it)
-I had deviated septum so he performed a septoplasty. He removed my anterior nasal spine (he does not admit it, he sais it was missing before surgery, but that is not true) as a result my nose is flat. Is it common to remove the anterior nasal spine while performing LF1 and septoplasty?
-My gums on the left side receded a lot with the surgery. Does that mean bone loss? Why does that happen?
-He segmented my maxilla on that same left side, but left it in the same position and left me with an open bite on that side that had to be fixed (partially, its not 100% closed) by the orthodontist (this was surgery first, but I had no open bite pre surgery, only class II malocclusion, receded jaw and maxilla and sleep apnea).

kavan

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Re: Double jaw surgery mm
« Reply #27 on: November 02, 2017, 04:51:45 PM »
Ditterbo, I really don't want to post my pics online, sorry.

More info about my surgery, I want to know if these things are common.

-I never got a proposal from my surgeon
-He said he would decide on the day of the surgery wether I needed genio or not depending on how the surgery went (he ended up not doing it)
-I had deviated septum so he performed a septoplasty. He removed my anterior nasal spine (he does not admit it, he sais it was missing before surgery, but that is not true) as a result my nose is flat. Is it common to remove the anterior nasal spine while performing LF1 and septoplasty?
-My gums on the left side receded a lot with the surgery. Does that mean bone loss? Why does that happen?
-He segmented my maxilla on that same left side, but left it in the same position and left me with an open bite on that side that had to be fixed (partially, its not 100% closed) by the orthodontist (this was surgery first, but I had no open bite pre surgery, only class II malocclusion, receded jaw and maxilla and sleep apnea).

No Photos:

No photos=NO aesthetic advice= don't bother asking about such or even expect your self assessments to be visually cross referenced by others. No photos= DON'T ASK whether this or that mm displacement was 'too much' for YOU specifically.


Proposals:

A proposal arises from a full WORK UP where cephs are taken. A ceph analysis is then done. After that a ceph DISPLACEMENT analysis is done which shows the original ceph tracing with an overlay tracing of HOW they wish to CHANGE things along with a read out of the displacements. A proposal can constitute a SURGERY PLAN. Doing all the DIAGNOSTICS that need to be done for such a surgery PLAN/proposal is TIME CONSUMING and are not just 'automatically' given out by each max fax one consults with. IF and WHEN they are, the CONSULT with the max fax can be LONG and in the $500 range. Patients 'shopping around' for a max fax wanting to get a surgery proposal USUALLY need to PAY (extra) for it. Patients wanting to compare plans/proposals from a number of max fax docs, usually ASK for them FIRST. Subsequently, the PRICE to DO is given to them.
Perhaps Ditterbo can tell you more about the costs of his consults WITH surgery proposals.

ANTERIOR NASAL SPINE:

It is common for it to be MOVED with the lefort 1. Better double check whether yours was MOVED or 'removed'.

SURGERY FIRST TECHNIQUE

It is common to be left with a NOT SO GOOD bite that requires 'fixing' AFTER the surgery. SF, the whole point of it, is to have the ortho LATER.

WHAT IS COMMON:

The most common complaint with sleep apnea surgery is advancement in excess of what it would be IF someone were NOT getting the surgery for apnea. So advancement BEYOND what is aesthetically optimal is the MOST common complaint associated with bi-max solely for apnea.
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mazilla

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Re: Double jaw surgery mm
« Reply #28 on: November 03, 2017, 07:05:58 AM »
Thanks Kavan,

No photos: In my last message, none of my questions were related to aesthetics, but Id like to access the private forum if that is possible.

Proposal: I understand what you are saying. Before surgery, I though that jaws had an optimal position and mine were not in that position, so the doctor would just put them were they were supposed to be. I went to 4 different maxfacs and all 4 of them said I needed a bimax, but I didn't ask for a surgery plan. Then I decided which doctor I preferred (just based on his reputation and his before and afters) but he never told me how much he was going to advance my jaws or whatever he planned on doing. So my question is, do people never get a surgery plan or proposal unless they ask for it and pay for it?

ANS: My ENT sais that my maxfac removed it, and he asked my why. I have no idea why he did this. After the surgery my maxfax said that it was missing... My nose is completely flat now. Is this fixable?

Receded gums: Why does this happen? Is it due to bone loss?

Common:

That is my main complaint. I feel my jaws were moved way too much forward, but I am not asking you guys if you agree, because obviously you would need to see my pics. That and my nose being flat because of ANS removal make me regret my surgery. I didn't know this was a common complaint about sleep apnea patients. My sleep apnea was not very severe, so I wished they didn't move my jaws past the optimal position, and left my ANS where it was. That would have been a good surgery outcome for me, because that probably would have been enough to cure my mild sleep apnea.

I was a mouth breather my whole childhood, I believe that is why my jaws didn't fully develop. I just wished that my jaws would have been advanced to the point where they were supposed to grow to, not way past that point. And I don't get why he had to remove my ANS. The huge maxillary advancement added to the ANS removal left me with no nose and bimax protrusion :(






mazilla

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Re: Double jaw surgery mm
« Reply #29 on: November 03, 2017, 07:12:44 AM »
But to be honest, If I was born this way, with a bimax protrusion and a flat nose, I wouldn't care!

My complain is that making such huge advancements and removing my ANS made me not look like myself or my family anymore.