Author Topic: Double jaw surgery mm  (Read 772 times)

kavan

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Re: Double jaw surgery mm
« Reply #30 on: November 03, 2017, 10:49:01 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,

I understand that you don't like/are unhappy with your post operative appearace. I understand that because i know bimax for sleep apnea has capacity to over advance because it's done in accordance to something you CAN'T SEE on your face which is the AIRWAY. Not to mention it's not uncommon for bimax, even for people not getting it for apnea, to be a DRAMATIC change.
But beyond understanding that you are unhappy with the results, there is not much aesthetic advice that can be given to you in absence of any visuals.

There are also cases where people are very USED TO how they look and EVEN IF the surgery makes them look BETTER (to average onlooker), their attachement to what they are used to seeing over rides what could be considered attractive by others. Not only are you attached to how you used to look but you are also attached to the belief that your doctor did something 'wrong'. To that regard, your ATTACHMENT to your own opinion supercedes anything anyone here can say to make you feel better about your outcome. Afterall, you're not looking for re-assurance that it looks like an aesthetic improvement by others. Nor if it it looks worse by others. You just want to assert your assessment. Your posts just REPEAT your own assessment. Although you are entitled to your own assesment, it's NOT grounds for entry to the private forum.

As to your nose being fixable, most likely YES, by a good rhino doc where septal grafts would need to be constructed to build tip and base of the nose support. As to the ANS being 'missing', you would need the CEPH to evaluate. So, get a hold of that and have both the max fax the ENT show you on it where it was 'gone' or present BEFORE the surgery. Failure to provide a ceph on HERE precludes any feedback on whether or not it was there or not.

If you just want to re-assert your assessment in the absence of any visual info for which others could give you feed back, perhaps the 'Emotional support' section would be better place to post and perhaps to attract other posters who are good at emotional support. I'm just BRASS TACKS knowledge, information, aesthetics.
Please. No PMs for private advice. Board issues only.

mazilla

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Re: Double jaw surgery mm
« Reply #31 on: November 03, 2017, 02:24:28 PM »
Kavan,

I never said I look worse post surgery. In fact, I believe that I look better.

My complain is that I look too different! And that could have been avoided by not advancing my maxilla 10mm and my jaw 19mm, and not removing my ANS. Sure, my surgeon advanced that much in order to open my airway as much as possible, but I am sure I did not need THAT MUCH advancement, I believe he just wanted to really make sure my airway was properly opened so he exaggerated the movements. Probably half of those numbers would have made the trick. 5mm maxilla and 10 mm jaw with CCW would have opened my airway A LOT already.

So, I believe that I look better, but not optimal, and I believe that I look too different, which bothers me a lot because I believe I don't look like myself nor my family anymore.

Also, I don't want to only assert my assessment. I wanted to know if some of the things that happened in my surgery are common or if it was the surgeon's mistake.

Also, I do want to know the opinion of other people about my aesthetic result. Just not here. In PM or the private forum would be better. I want to know if more knowledgeable posters believe that I was over advanced, or if it is only in my mind because, as you say I was too used to my old face. About my nose im pretty sure he ruined it removing the ANS.

Thanks


kavan

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Re: Double jaw surgery mm
« Reply #32 on: November 03, 2017, 02:56:39 PM »
Kavan,

I never said I look worse post surgery. In fact, I believe that I look better.

My complain is that I look too different! And that could have been avoided by not advancing my maxilla 10mm and my jaw 19mm, and not removing my ANS. Sure, my surgeon advanced that much in order to open my airway as much as possible, but I am sure I did not need THAT MUCH advancement, I believe he just wanted to really make sure my airway was properly opened so he exaggerated the movements. Probably half of those numbers would have made the trick. 5mm maxilla and 10 mm jaw with CCW would have opened my airway A LOT already.

So, I believe that I look better, but not optimal, and I believe that I look too different, which bothers me a lot because I believe I don't look like myself nor my family anymore.

Also, I don't want to only assert my assessment. I wanted to know if some of the things that happened in my surgery are common or if it was the surgeon's mistake.

Also, I do want to know the opinion of other people about my aesthetic result. Just not here. In PM or the private forum would be better. I want to know if more knowledgeable posters believe that I was over advanced, or if it is only in my mind because, as you say I was too used to my old face. About my nose im pretty sure he ruined it removing the ANS.

Thanks

I told you what was common--common for more advancement than wanted when it's for sleep apnea.  in the absence of visuals, we don't discuss mm advancements. They are neither here nor there in absence of visual info.

Not sure how you determine which posters are 'more knowledgeable' but you are certainly invited to ask people  to PM you if you don't want to show any open photos.

Please. No PMs for private advice. Board issues only.

mazilla

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Re: Double jaw surgery mm
« Reply #33 on: November 03, 2017, 04:14:46 PM »
Well I mean more experienced or wise aesthetically. Myself I don't know much about aesthetics.