I have a pretty significant update for this thread. Dr. Sinn DOES do osteotomies. I’m pretty sure his staff told me incorrectly. As I related it in a different thread about Dr. Yaremchuk, Dr. Sinn proposed after consultation that custom implants would work best for my orbital rim and modfafe issues. Well yesterday he emailed me and told me that he wanted to call me today. I just got off the phone with him. He said he was not really comfortable after thinking about it for a while, with the custom implants. He thinks they are overpriced and he hasn’t used them very often.
He instead of proposed an osteotomy that he has done several times recently which could give me as much as 8 mm of forward projection in the orbital rim area. I don’t think I would need that much, but it’s nice to know that it’s available. He said the cut would go farther over toward the nose than the other osteotomy that I had mentioned before, which I posted a picture of.
He said that this osteotomy was designed by an Australian doctor. He didn’t tell me the name of the doctor, but I did ask him if he would send me the article he was referencing.
This sounds really exciting, as I am really reluctant to go the route of further implants. I have to say that in my interactions with Dr. Sinn, I am incredibly impressed with him. He is concerned about aesthetics, concerned about cost, completely honest in recommending or not recommending procedures. He doesn’t care about his own bottom line. It’s very clear that he cares about the outcome and cost to the patient. That’s rare in a doctor.