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uncleg:
I have been lurking for a while and I think this may be my first post. A little more info than you asked for, but thats the full picture, also I am a 52 year old male, who has had sleep issues my entire life.

I have severe sleep apnea.  I can not use a C-Pap machine due to insomnia, as in I never will go to sleep with it on and the few times I do I remove it.  My first sleep study had me at 101 interruptions and hour,  I have had implants in my nose to prevent nasal collapse and sinus material removed and now sleep with an oral appliance.  My last sleep study had me at 36 interruptions an hour, still severe and my oral surgeon say we can do better.  He sent me back to ENT who did previous surgeries, to see if I was a candidate for Pillar implants, I am not.

I meant with my surgeon yesterday discuss MMA surgery, cost, insurance etc.  I have decided to move forward with double jay surgery

My sleep specialist, oral surgeon and ENT have all three said I have to facial deformities that would make me a good candidate for this surgery.  I am told I have one of the smallest airways they have seen and often get choked for no reason when awake. I generally crash due to exhaustion 1 day a week, just to tired to carry on, and is starting to affect my work schedule.  AND to make matter worse I have developed TMJ over the last 2 years, load popping in left jaw and often painful when I chew.

I hoping for relief from sleep apnea and just feeling awake instead of sleepy all the time.   I will also admit that in the back of my head I hope it will make me look better.   I am not a good looking man, no jaw, almost no chin, my side profiles are terrible and really look deformed.  Looking at me straight on is like looking at a pie plate with a beak.  LOL  I learned to live with and know no one would ever find me attractive.  I am kind of excited at the prospect of looking normal.


kavan:
You sound like an excellent candidate for MMA bi-max surgery and that the LARGE advancements that sound like they are needed to BOTH jaws will improve your appearance. In general, it can make a very DRAMATIC change, one where you will look  a lot different to yourself and would be noticeable to people who KNOW you. So be 'braced' for those who know you blurting out; 'What happened to your face?' When they need to make LARGE advancements, even IF you look better with those, it's not like plastic surgery where those around you will notice something different they can't put their finger on and say stuff like; 'You look refreshed and well rested.'...'Did you lose weight?'  They will ask; 'What happened to your face?' or 'OMG, i did not recognize you.'  So on the 'psyche' front, you need to be ready to deal with those who know you blurting out responses like that.

Also, you need to take inventory of what parts of your face you are 'attached' to or you come to 'identify' with as being 'you'. For example, if it's your smile, that will CHANGE, usually for the better but it won't be what you are used to seeing. If it's your nose, that will change too. Might even be a TRADE OFF where it might look worse or some other part can look worse to you with the positive changes ELSEWHERE.

What I'm saying is that improvements in some places and especially relief from the apnea comes with trade offs in other places whether it be one feature having to be 'sacrificed' as not looking so good in order for the jaws to be in better balance or the trade off of looking DIFFERENT even though the difference is a better looking person but a different 'you'.

uncleg:
Thanx for the reply, fortunately I am not attached to my face, I avoid photographs and mirrors as much as possible except too shave and brush my teeth.  LOL

I am not sure how quickly all of this is going to happen, I go back o see surgeon in two weeks and they will show me a computer model of the changes being made to my jaw/face, at that point I guess I will be seeing an orthodontist to have braces put on again, I had them as a teen.

I have also talked with my bank today about a home equity loan to cover the surgery cost and there will be no problem setting that up when the time comes.  I am going to have to pay the surgeon his charges before the surgery as he accepts no insurance and wait to be reimbursed after claim is filed.

kavan:

--- Quote from: uncleg on December 01, 2017, 11:44:59 AM ---Thanx for the reply, fortunately I am not attached to my face, I avoid photographs and mirrors as much as possible except too shave and brush my teeth.  LOL

I am not sure how quickly all of this is going to happen, I go back o see surgeon in two weeks and they will show me a computer model of the changes being made to my jaw/face, at that point I guess I will be seeing an orthodontist to have braces put on again, I had them as a teen.

I have also talked with my bank today about a home equity loan to cover the surgery cost and there will be no problem setting that up when the time comes.  I am going to have to pay the surgeon his charges before the surgery as he accepts no insurance and wait to be reimbursed after claim is filed.

--- End quote ---

Be sure to request they give you the computer model and your cephs (in digital format) in the event you want to put them up here.

PloskoPlus:
Don't skimp on the surgeon. Most are absolute garbage.

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