Hi everybody. It's been a while since I posted here.
Has anybody ever heard of Dr. Cohen?
http://www.facesplus.com/before-after/facial-procedures/jaw-surgery/I consulted with him a few weeks ago and he seems pretty amazing. He was so friendly, knowledgeable, and accommodating. He spent over an hour talking to me and answering all of my questions. Like Dr. Arnett, he is a perfectionist and has a fantastic aesthetic eye.
His surgical plan for me looks like this:
4mm impaction
double jaw (plain BSSO)
sliding genioplasty to replace my silicone chin implant
Dr. Arnett is also awesome, as you guys know. His plan was something like this:
BSSO with counter clockwise rotation (CCW)
HA grafting under orbital rims
no genioplasty (he wants to be very conservative with the risk of scar tissue, which I totally understand)
I really don't know who to go with. They both seem like great surgeons! It's not the worst problem you could have haha, but I am conflicted. On one hand, I'm worried that traditional advancement will make my face longer, even with impaction (I have a long face, as noted by both surgeons ... and my mirror
). On the other hand, I thought I heard something about CCW posing the risk of muscle pain. I don't know how true this is though. Cohen was half the price of Arnett and local, so I'm tempted to go with him but I still don't want to completely rule out Arnett.
For good measure, I will be consulting with Dr. Schendel. My mum insists on checking out all of my options, which I agree with. This is pretty big surgery.
Have any of you consulted with Dr. Cohen? What do you think about replacing a silastic chin implant (please don't get one! they suck!) with a sliding genioplasty? Lastly, what do you think would be better for a person with long face syndrome: CCW or traditional advancement? I'm not too concerned about my nose post-op because I plan to get corrective rhinoplasty after.
Thank you!