Surgery for moderate function + aesthetics

[logan]

No, I've been having trouble getting any detailed plan from my (2) consults so far. Maybe I'm not asking directly enough. We seem to run out of time before there is space to discuss specifics, and they both implied that the exact plan would be determined right before surgery, after orthodontic preparation, so I didn't press it. Ears open to advice about how to get a more specific plan prior to committing to one surgeon.

This was just a 30 min virtual consult, the next step would be to go in person for their 3D images, but I'm not sure I can justify the trip unless I've committed (it's 6 hrs RT, which seems excessive when I already have the cephalometric scan and can talk virtually).

[logan]

Just to make sure we are talking about the same person... my consult was with Derek Steinbacher at Yale, and I think the post you linked refers to Douglas Steinbrech in NY?

This is the guy I just video chatted with: https://dereksteinbacher.com/

NOT this: https://www.drsteinbrech.com/about-us/dr-steinbrech

[logan]

I also have some skepticism about the fat grafting since this is the first I've heard of it for functional jaw surgery, but Dr. S @Yale has done some reasonably convincing research showing that it helps with inflammation and healing
https://pubmed.ncbi.nlm.nih.gov/28906330/
https://pubmed.ncbi.nlm.nih.gov/30817538/

[logan]

Dr. S @ Yale also wrote a text book published last year, "Aesthetic Orthognathic Surgery and Rhinoplasty" which looks like fun light reading 
https://onlinelibrary.wiley.com/doi/pdf/10.1002/9781119187127

Ok and last off-topic advertising I will do is to share his instagram which has some fascinating posts including reconstruction of someone born WITHOUT A NOSE https://www.instagram.com/p/CB8u3s6DATt/?utm_source=ig_web_button_share_sheet

[GJ]

No, I've been having trouble getting any detailed plan from my (2) consults so far. Maybe I'm not asking directly enough. We seem to run out of time before there is space to discuss specifics, and they both implied that the exact plan would be determined right before surgery, after orthodontic preparation, so I didn't press it. Ears open to advice about how to get a more specific plan prior to committing to one surgeon.

This was just a 30 min virtual consult, the next step would be to go in person for their 3D images, but I'm not sure I can justify the trip unless I've committed (it's 6 hrs RT, which seems excessive when I already have the cephalometric scan and can talk virtually).

Ah, the next step is to get a plan in writing. You have to be forthright. Email them and request it. If he doesn't produce a plan, I wouldn't use him.

If you have recent records already, he can probably use those. This is best anyway to keep radiation down.

[kavan]

Just to make sure we are talking about the same person... my consult was with Derek Steinbacher at Yale, and I think the post you linked refers to Douglas Steinbrech in NY?

This is the guy I just video chatted with: https://dereksteinbacher.com/

NOT this: https://www.drsteinbrech.com/about-us/dr-steinbrech

Thanks for pointing that out. You're absolutely RIGHT. I got the WRONG one due to the names being so similar. So, totally different people. I'll delete my mention of the wrong one.