Author Topic: The final decision time, with my CT scan pics  (Read 182 times)

PhoenixHiker

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The final decision time, with my CT scan pics
« on: November 07, 2017, 10:04:14 PM »
It's been almost a year since I started looking for some revisions from my first unsatisfied jaw surgery. I've consulted quite a few professionals and they all have totally different opinions. Here I attached my 3D CT scan (which is more accurate than just plain pics) and I'm asking all friends here if you can give me any suggestions. I'll keep checking this post everyday and plan to make decision near the end of the year.
Basically I heard about 1) Double jaw revision (of course require braces again)    2) Simple genioplasty    3) Wing osteotomy   4) Live with it   5) Condyle issue and requires surgery on the condyle as well

All people are welcome to make comments. Please feel free to let me know if you need more xrays or CTs. Thank you all.

kavan

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Re: The final decision time, with my CT scan pics
« Reply #1 on: November 08, 2017, 10:48:11 AM »
It's been almost a year since I started looking for some revisions from my first unsatisfied jaw surgery. I've consulted quite a few professionals and they all have totally different opinions. Here I attached my 3D CT scan (which is more accurate than just plain pics) and I'm asking all friends here if you can give me any suggestions. I'll keep checking this post everyday and plan to make decision near the end of the year.
Basically I heard about 1) Double jaw revision (of course require braces again)    2) Simple genioplasty    3) Wing osteotomy   4) Live with it   5) Condyle issue and requires surgery on the condyle as well

All people are welcome to make comments. Please feel free to let me know if you need more xrays or CTs. Thank you all.

Your scans reveal symmetry and evenness to where you can expect to be even and level after the surgery. Your orbits are even/level (first 2 white lines) which shows your natural symmetry. The next 3 white lines show the surgery was even/level with your natural symmetry.

I'm not clear on what you were expecting from the surgery. It's  not aimed at making one side of the maxilla longer than the other and the bite uneven to match the natural asymmetry to where you have it to the chin area.

Do you think it's 'botched' because it didn't do what it's not aimed at doing?

Other than asking you directly as to your complaint that I'm not quite clear about, based on your CT scans, IMO,

1: double jaw revision looks useless if you expect it to make your chin area symmetrical. Like I don't see a way to make that area even without making other areas uneven.

2: 'Simple' genioplasty. Maybe IF the doc really thinks it's that 'simple'. It might not be.

3: 'Wing osteo'. Maybe IF you want the shorter side to be longer to match the longer side.

4: 'Live with it'. The bone asymmetry will show via your soft tissue contour. So, it's possible to live with the bone asymmetry and MASK it via FILLERS for the longer side to match with the shorter side.

5: Condyle issue. No comment on something not seen on the frontal CT and that would be beyond my capacity to evaluate.

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PhoenixHiker

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Re: The final decision time, with my CT scan pics
« Reply #2 on: November 09, 2017, 06:57:53 PM »
Here's a better look from the front.  The chin asymmetry is so obvious, but not sure if I still need to fix the cant or not? By fixing the cant through a double jaw surgery it seems it could make the whole lower jaw more symmetrical.  I'm not sure how much only wing osteotomy might help my case.

kavan

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Re: The final decision time, with my CT scan pics
« Reply #3 on: November 09, 2017, 08:20:23 PM »
Here's a better look from the front.  The chin asymmetry is so obvious, but not sure if I still need to fix the cant or not? By fixing the cant through a double jaw surgery it seems it could make the whole lower jaw more symmetrical.  I'm not sure how much only wing osteotomy might help my case.

The cant is insignificant compared to the inherent asymmetry to the chin. I've given you my take.
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