Chin muscle repair after genioplasty

[kavan]

Good luck, I so hope you'll see some improvement! It would make me feel more confident about surgery too, as currently I'm still deliberating whether I even want this surgery due to the possible complications. Speech issues would be a real problem for me and could affect my career. You're young (unlike me), I'm sure you have a good chance of recovering well.

If you're still considering India, I can recommend a really good website - it has a lot of active members, both Indians and Westerners (including Americans / Canadians) with a lot of experience on different aspects of life in India. Some of the Western members have lived in India for years so they have a realistic idea of how things work over there. It's called IndiaMike (https://www.indiamike.com/india), you can register and post your question in the forum section. Most likely nobody will have any idea of jaw surgery but there will be people with experience of getting medical treatment / surgery in different kinds of hospitals. There might even be someone that knows about this particular doctor, or has read stuff about him in local languages, or they might know the hospital he works at.

The hospital he works at is called 'Richardson ' like is HIS name as in his own hospital. I don't have the link at my fingertips right now .

ETA: https://facesurgeon.in/

[InvisalignOnly]

The hospital he works at is called 'Richardson' like is HIS name as in his own hospital. I don't have the link at my fingertips right now.

That's right, he owns a hospital - so basically he can do whatever he wants there as nobody will ever check on him (and no, don't count on the Indian government to check a hospital or demand any standards are maintained). I Googled him again and apparently he completed more than ten thousand facial surgeries; he is 'the best maxillofacial surgeon' in Oman and a 'visiting professor' at Stanford University; he also does rhinoplasties; meanwhile, his CV is extremely vague and it's unclear where he actually worked and what he did for the past several years, no mention of him having trained in plastic surgery (but he does rhinoplasties!) etc. He speaks several languages including Spanish and German. Maybe, just maybe, this guy sounds a bit too good to be true...

[Post bimax]

That's right, he owns a hospital - so basically he can do whatever he wants there as nobody will ever check on him (and no, don't count on the Indian government to check a hospital or demand any standards are maintained). I Googled him again and apparently he completed more than ten thousand facial surgeries; he is 'the best maxillofacial surgeon' in Oman and a 'visiting professor' at Stanford University; he also does rhinoplasties; meanwhile, his CV is extremely vague and it's unclear where he actually worked and what he did for the past several years, no mention of him having trained in plastic surgery (but he does rhinoplasties!) etc. He speaks several languages including Spanish and German. Maybe, just maybe, this guy sounds a bit too good to be true...

I agree his website was a little sketchy.  Is he board certified?

[InvisalignOnly]

Basically, Richardson keeps spamming the internet with his achievements (such as https://www.quora.com/Why-should-I-prefer-Dr-Sunil-Richardson-over-other-maxillofacial-surgeons), but I cannot find a single independent source that would verify that anything he says about himself is even true. It's just his own marketing pitch being repeated online over and over again, calling him 'the best maxillofacial surgeon' in India, Oman etc.

India is a large country with thousands of maxillofacial surgeons, many of whom work in reputable hospitals in big cities like Mumbai or in other countries, the Middle East etc. How did this guy decide he's 'the best'? He certainly has a lot of confidence, a worrying amount, in fact. If you Google 'the best maxillofacial surgeons in India', you'll get a lot of results and this Richardson guy will be nowhere near among them. Anyway, I'll drop this subject now and let everyone make up their own mind.

[InvisalignOnly]

Is he board certified?

Board, what board lol? This is India. I am sure the guy has lots of colourful, shiny certificates, his walls are probably covered in them. I highly doubt there's even a way to verify whether he has any degress (not saying he hasn't, but verifying it would be another story). For the record, he's not listed here: https://www.aomsi.com/WebPages/MemberSearch.aspx. Even the name Richardson sounds a bit strange to me - I mean OK, there are Anglo-Indians and others with Western surnames in India, but Richardson? Weird.

[Post bimax]

Board, what board lol? This is India. I am sure the guy has lots of colourful, shiny certificates, his walls are probably covered in them. I highly doubt there's even a way to verify whether he has any degress (not saying he hasn't, but verifying it would be another story). For the record, he's not listed here: https://www.aomsi.com/WebPages/MemberSearch.aspx. Even the name Richardson sounds a bit strange to me - I mean OK, there are Anglo-Indians and others with Western surnames in India, but Richardson? Weird.

There's at least one international board and an OMS association specific to India:

https://www.ibcsoms.org/Index.aspx
https://www.aomsi.com/WebPages/AboutAomsi.aspx

I don't know much about them but it would be 'some' kind of evidence in his favor if he were.

[kavan]

That's right, he owns a hospital - so basically he can do whatever he wants there as nobody will ever check on him (and no, don't count on the Indian government to check a hospital or demand any standards are maintained). I Googled him again and apparently he completed more than ten thousand facial surgeries; he is 'the best maxillofacial surgeon' in Oman and a 'visiting professor' at Stanford University; he also does rhinoplasties; meanwhile, his CV is extremely vague and it's unclear where he actually worked and what he did for the past several years, no mention of him having trained in plastic surgery (but he does rhinoplasties!) etc. He speaks several languages including Spanish and German. Maybe, just maybe, this guy sounds a bit too good to be true...

Is that not the same or equivalent to a doctor in US owning his own surgical suite?
A maxfax doctor can do rhinos given they are moving the base of the nose in Lefort 1.
His website lists certificates for CV and certificates: https://facesurgeon.in/cv-and-certificates/

Perhaps regarding oversight of Indian gov as to owner operated hospitals/practices in venue of dentistry you're familiar with the BUDGET options?

I've never been to India. But I have watched a lot of YT videos where they have these STREET DENTISTS that perform dental work on the street.

ref=   https://www.youtube.com/watch?v=qoBYttpiqg8

His web site has him posing in front of a portrait which appears to be the Sultan of Oman. In the corner of the portrait is the Sultan in his 'naval' uniform. Not to digress, but years back in early 1990's, I was invited on the Sultan's ship (Tall Ships) and I had an autographed photo from the Sultan and hung it on my wall. I remember a neighbor taking some kind of umbrage or offence that I had a photo of a leader of a Muslim country on my wall and not the US president or something like that. Perhaps extraneous info and nothing to do with portrait of the Sultan on R's website. But the only other thing I'm able to ID with here is a suspicious reaction to me coincident with having a picture of the Sultan of Oman.

As to his posing with people (who could be 'Grand Wazoos' of some kind), his YT photo has him posing with someone who might be a maxfax. Looks sort of familiar but I can't pin point. I'm including screen shot here.

I have nothing to add that is either highly suspicious  or highly trustful of him.

[kavan]

Looks like he has/had a private practice in Oman
https://facesurgeon.in/private-oral-and-maxillofacial-surgery-practice-in-muscat/

Also YT video from Oman
https://www.youtube.com/watch?v=jAMr_g5I0po

Worked at Starcare Hospital in Oman

Oman very rich (small) country. As to gov oversight, not like India.  I'd imagine there would be high standards to vet the surgeons.

The only thing kind of 'weird' to me is that I didn't see the video from Starcare Oman in his video collection.

This is not to challenge 'suspicion' of doctors who do a lot of self promotion as I've challenged that sort of thing myself. I would imagine that IF he decided to sign up here and answer a lot of questions he would be welcome by members. Yes/No?

[Post bimax]

Yes.  At the very least we would have a better sense of his character and competence.

[InvisalignOnly]

Is that not the same or equivalent to a doctor in US owning his own surgical suite?
A maxfax doctor can do rhinos given they are moving the base of the nose in Lefort 1.
His website lists certificates for CV and certificates: https://facesurgeon.in/cv-and-certificates/

Perhaps regarding oversight of Indian gov as to owner operated hospitals/practices in venue of dentistry you're familiar with the BUDGET options?

I've never been to India. But I have watched a lot of YT videos where they have these STREET DENTISTS that perform dental work on the street.

Interesting story re: Sultan of Oman!

Re: street dentists in India, yes this does happen, of course they aren't qualified dentists, but there are many people that don't have access to 'proper' dentists and / or cannot afford their fees. On the other end of the spectrum, they also have highly qualified dentists - typically working in big cities - using the latest technology and charging (almost) Western prices. And there's everything in between these two extremes.

I had no idea that maxfac doctors could also do rhinoplasties without additional training - interesting.

Re: doctor owned surgical suites, I have no idea how this works in the USA and also don't know the legal framework behind it in India, but there are always stories in Indian newspapers about private hospitals offering unnecessary treatment, malpractice, overcharging patients and so on. There's practically nothing patients can do in these cases. Here is an article about this from a lawyer's perspective (it's quite long though - he's basically saying 'there is no accountability'): https://timesofindia.indiatimes.com/blogs/the-irreverent-lawyer/greed-and-the-rise-of-medical-malpractice-in-india/. I think this can be hard to imagine from an American perspective - at least I keep hearing that in America, patients can sue doctors quite easily and successfully.

[InvisalignOnly]

Oman very rich (small) country. As to gov oversight, not like India.  I'd imagine there would be high standards to vet the surgeons.

This is not to challenge 'suspicion' of doctors who do a lot of self promotion as I've challenged that sort of thing myself. I would imagine that IF he decided to sign up here and answer a lot of questions he would be welcome by members. Yes/No?

Yes, that's exactly what people imagine until they start living in the Middle East lol (but you're right, more accountability than in India). He keeps posting that he worked at that hospital but does not say when, for how long, and in what capacity etc. Anyway, of course, I'd personally welcome posts by any surgeons including Dr Richardson. To get it straight, I don't think he isn't a doctor or anything along those lines, I'm just highly sceptical about him saying he can perform some special procedures that nobody else can, basically. (Yes, I'm also sceptical about his ten thousand surgeries and so on, but that's purely because I'm a suspicious sort of person ).

[ODog]

I will say that Richardson is indeed very confident the he can help me. For example he said pinch your mentalis muscle and and pull, and try moving your lower lip to speak, you’ll feel tightness. To be fair to him, he does “get” my problem. Seemed actually very routine to him. On the other hand, my surgeon just has nothing at all to say about the stitching, about any muscle incarceration, nothing.

He did a Skype consult with me for free. He also did mention off hand that if I didn’t want to come to India I may be able to find someone there.

So that’s what I’m trying to do at the moment. It appears that a craniofacial/ plastic surgeon is the kind of specialist who would know all about muscular problems in the face. There’s one Dr. Antonyshyn at sunnybrook in Toronto I’ll be consulting... same title as Richardson.. craniofacial/ plastic surgeon.

[kavan]

Interesting story re: Sultan of Oman!

Re: street dentists in India, yes this does happen, of course they aren't qualified dentists, but there are many people that don't have access to 'proper' dentists and / or cannot afford their fees. On the other end of the spectrum, they also have highly qualified dentists - typically working in big cities - using the latest technology and charging (almost) Western prices. And there's everything in between these two extremes.

I had no idea that maxfac doctors could also do rhinoplasties without additional training - interesting.

Re: doctor owned surgical suites, I have no idea how this works in the USA and also don't know the legal framework behind it in India, but there are always stories in Indian newspapers about private hospitals offering unnecessary treatment, malpractice, overcharging patients and so on. There's practically nothing patients can do in these cases. Here is an article about this from a lawyer's perspective (it's quite long though - he's basically saying 'there is no accountability'): https://timesofindia.indiatimes.com/blogs/the-irreverent-lawyer/greed-and-the-rise-of-medical-malpractice-in-india/. I think this can be hard to imagine from an American perspective - at least I keep hearing that in America, patients can sue doctors quite easily and successfully.

The article talks about PROFIT INCENTIVE in medicine. I mean profit incentive also plays a big role in US medicine too as does extreme difficulty for patients to pursue malpractice cases. Of course, there are differences between medicine in India and in US but both share some similarities in venue of profit incentive and difficulty in suing. So, VERY DIFFICULT for patients to sue US doctors. The 'system' has it that expert witnesses (like other doctors) have to be hired and that part is extremely costly. It's done. But a lawyer who takes on a case on contingency has to see big chance of winning BIG in situations where patients can't pay up front for the lawyer to pursue. Then he/she takes BIG chunk of change from the winnings. So, profit incentive there too. (There's a joke about lawyers: 'Why don't sharks attack lawyers?...Professional courtesy..')

Yes. In US and in Europe, docs can own their own surgical outfits. I don't know of all the technicalities though. Just that some kind of approval is needed and the outfits are not all in 'hospitals'. But of course, some could be within hospitals.

Anyway, this Indian doc looks to have a private hospital and most likely would have a board of directors involved. But I have no idea about Indian gov monitoring or quality control of private hospitals or even for public ones. I guess I would attribute a lot of vigilance to OMAN though and he did practice in their hospital.

Although I've been to neither Oman nor India, I can't imagine Oman having some things you will find in India. eg. the RAT TEMPLE where thousands (millions?) of rats are revered, have private COOKS to feed them daily and you've gotta enter the temple with your shoes off. Then there are those yogis in India that cover themselves with the ashes from burned (human) bones and make a practice of eating carrion found near on the shores of the Ganges. Maybe it's just me. But I think those would be major attractions for any tourist to India.

[kavan]

Yes, that's exactly what people imagine until they start living in the Middle East lol (but you're right, more accountability than in India). He keeps posting that he worked at that hospital but does not say when, for how long, and in what capacity etc. Anyway, of course, I'd personally welcome posts by any surgeons including Dr Richardson. To get it straight, I don't think he isn't a doctor or anything along those lines, I'm just highly sceptical about him saying he can perform some special procedures that nobody else can, basically. (Yes, I'm also sceptical about his ten thousand surgeries and so on, but that's purely because I'm a suspicious sort of person ).

Well, there are a lot of problems in the 'Middle East' and I guess I parallel Oman with Brunei as not having conflict from antagonistic factions or s**t stirring from US covert operations. Although Brunei probably has no conflict with (human) head hunters in nearby Borneo.

OK. I digress. But maybe there would be option for him to go to Oman to visit the Indian doctor. Oman is closer. No idea if flight times would be longer though. I mean, the R says he's the best doctor in OMAN. So, easy enough for the OP to ask if possible to see him in Oman.

[kavan]

Board, what board lol? This is India. I am sure the guy has lots of colourful, shiny certificates, his walls are probably covered in them. I highly doubt there's even a way to verify whether he has any degress (not saying he hasn't, but verifying it would be another story). For the record, he's not listed here: https://www.aomsi.com/WebPages/MemberSearch.aspx. Even the name Richardson sounds a bit strange to me - I mean OK, there are Anglo-Indians and others with Western surnames in India, but Richardson? Weird.

He's not on the aomsicom search. So, legit question why not. Membership logo of same is on his website.