Author Topic: Could I have surgery first any recommendations of doctors who use this approach  (Read 97 times)


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I have had braces to correct a slight underbite when I was younger
I now have a edge to edge bite
My profile and bone structure looks like I have a underbite
Small and back maxillary
Larger mandilla
Flat cheeks and a droopy nose
I assume my nose drops more then it would if the maxillary was more forward to support it
I have had a consultation with Prof Raffini
He said to correct the bone structure
He would advice
A set of orthodontics to create a underbite in my teeth position
Then do surgery
My teeth are straight
However the top have been pushed forward to mask the underbite
That if he done surgery without orthodontics
I would have a my bone structure corrected then my bite of
I have read that it's possible to do surgery first
Then use orthodontics
Could anyone recommend a maxillofacial surgeon
In Europe that could do that
I have seen also paranasal implants
In what I feel could improve my bone structure 
Could anyone recommend some where in Europe that can do that
I have searched the uk
I spoke with mr Paul Johnsons secretary
She said if I come for a consultation
He could see if surgery first was an option
Has anyone else had or read someone who has a similar case
I have a online face to face consultation with prof sailer from Sweden this week
I have also contacted the maxillofacialinsitution Brussels
They have asked me to mail some moles over
Could anyone give me some reviews on these surgeons


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Surgery first is good for people with underbite. But they still have to check whether you are a candidate for the braces to prep for it or if you can get them after the surgery.

Underbites are often associated with a retrusive upper jaw for which Lefort 1 to advance forward is needed. The forward advancement of the L1 also brings forward the PARANASAL area. So you would NOT need paranasal implants if you were getting a Lefort 1 which would be part of the maxfax surgery you would be getting, whether or not it was surgery first or surgery after braces.
Please. No PMs for private advice. Board issues only.


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Your post is written in stanzas like a poem. I kind of read it as one.

Paul Johnson has varied feedback here i.e. largely not great. Do you have any photos? Did Sailer recommend anything specific?