Re: Surgery with Gunson

[treevernal]

Looking good Ryan, great result while still looking like yourself.  I hope the same for myself.   Glad you're feeling better too.

[pekay]

Marisama, did you have your jaw angle augmented? how long were you decommissioned for (unable to leave the house?) how long did your surgery last?

[Marisama]

Marisama, did you have your jaw angle augmented? how long were you decommissioned for (unable to leave the house?) how long did your surgery last?

My lower left angle was vertically lengthened with HA grafting to match my right side.

I would say that I didn't really do much for the first week or so. I was driving after two weeks.

Surgery lasted just over 6 hours.

[Kristen]

Looks great Ryan.    How much wider is your arch now in mm?

[Kristen]

Ryan .... Also if you don't mind answering... How did your surgical plan change and why from your original consult?

[Marisama]

Looks great Ryan.    How much wider is your arch now in mm?

I have no idea.  It's wide enough to fit perfectly over my lower arch.

[Marisama]

Ryan .... Also if you don't mind answering... How did your surgical plan change and why from your original consult?

Pre-surgery braces can change things a bit.  Also, after the surgeon ran new measurements through VSP orthognathics, his 3D software, the precise movements were a little bit different than what was estimated 3 years prior. 

[pekay]

Marisama: did you have any sort of rotation? if so how many degrees?

[Marisama]

Marisama: did you have any sort of rotation? if so how many degrees?

Not sure.  I don't have precise measurements.

[Kristen]

Pre-surgery braces can change things a bit.  Also, after the surgeon ran new measurements through VSP orthognathics, his 3D software, the precise movements were a little bit different than what was estimated 3 years prior. 

Where you able to get to see the projected changes from the front of your face on that software?   If so, how close are the projected outcomes to real life?

[CK]

Where you able to get to see the projected changes from the front of your face on that software?   If so, how close are the projected outcomes to real life?

VSP doesn't incorporate soft tissue analysis, it's hard tissue only.

[Marisama]

VSP doesn't incorporate soft tissue analysis, it's hard tissue only.

This is true

[CK]

not sue if you answered this already but what kind of lefort did you have?

[Marisama]

not sue if you answered this already but what kind of lefort did you have?

I had a 3 piece. I'm not sure if that picture above is considered a 3 or 4 piece.  I'm thinking it's a 3 piece, meaning that the upper jaw is segmented into 3 tooth bearing segments.  I could be wrong, and maybe that 4th piece in the middle is counted as well.

[Marisama]

Maybe that's a question for the doctor to measure precisely, but when I rest my lips, I can see just a little bit of upper teeth.  It looks completely natural to me and I'd imagine it to be somewhere between 2 and 3 mm.