Hi all, I'm looking for guidance, insight, opinions, advice, anything really.
Background
Had my 2nd jaw surgery with same OS (very experienced, renowned) here in Toronto in Feb, 2020, nearly 10 years after 1st jaw surgery with him (2011) - he didn't charge me anything btw, but spent nearly ~7k for braces again. I was never happy with profile from first surgery, but given the large emotional commitment and life events I didn't pull the trigger until last year. The ONLY objective was to move jaws forward. However I also talked to my ortho about tooth-show and the aging process and figured I could use a little MORE tooth-show (to achieve 1-2 mm of gum above front teeth in smile) which would help defend against aging. I brought this up in my consultation with OS. He told me since I was moving my top jaw forward ~6 mm it would increase tooth show, and he might even need to shorten top jaw, which surprised me.
Fast forward to day of surgery. He tells me the final measurements of moving top jaw forward 6mm, bottom jaw 10 mm, and shorten top jaw 3mm - I was shocked. I nervously asked him again - so this is to offset the forward movement? He reiterated that was the case so not to have a gummy smile..
Literally the moment I was able to see my mouth in the hospital I knew something seemed very off - my top teeth were way up high under my top lip, which was noticeably different from Surgery 1. Of course, OS said it's just lots of swelling, everything will be fine.
Longer story short - I have battled this depression and stress from the beginning. The first couple months were very hard, it was all I could think about and consumed me. OS always would say, give it time - he even said if he were to do it again he would use the exact same measurements. I haven't seen him in maybe 4+ months and the last time he was still saying give it time. He also said he had to impact also so I could close my mouth etc (but wouldn't that mean he completely ignored my wishes of 1-2mm gum show and did his own thing without telling me?). It is obvious now he really messed up.
Present
The pictures I'm attaching don't even do the damage justice imo, but I'm too lazy to take updated pictures. Suffice to say you see NO top teeth at rest or at any time (even when talking for the most part) unless I start to smile, and even then you see only half of my front teeth unless I try smiling extra hard.
I'm so unhappy with what's happened, especially because this is a NEW problem I never had before. I enjoyed smiling and now I don't - only closed mouth smiles for pictures. I feel so much anger and can never accept how this OS could have been THAT off - like 4+mm imo and in the wrong direction than what I asked (to reveal more tooth/gum, not much less).
Even worse, I'm very nervous, fearful, and emotionally unprepared to have a third jaw surgery, especially with a supposedly very risky downgraft procedure, which may leave me unhappy again after #3. But to be honest, that is what I wish to do, I don't want to live being unhappy with my smile and black hole in my mouth when it's open. Not to mention this will get worse as I age I would think.
Ugh. Anyway, I'm open to any advice, suggestions, etc. I plan on organizing several consultations with new OS's here in Toronto as soon as covid calms down a bit, to see what they think about the risks of a third surgery, etc. This OS has said he would do it if I wasn't happy again and also said I would not need braces as it's just one movement with top jaw, but I don't know how I could possibly trust him again.
Edit: I cannot stress how much the AFTER smile in this picture doesn't look as bad as how it seems 95% of the time. Maybe because I was smiling harder and teeth were just polished/cleaned, I don't know. Also, my nose is noticeably a lot wider post-op which I obv don't like either, but would not care at all about it if I were happy with my jaw outcome.
Edit #2: I should also note I AM happy about my profile improvement and have relayed that to my OS along the way. This was the reason I got a revision and I'm pretty happy with the profile positioning. It's a shame this other problem out of the blue has really erased much of this joy and any excitement post-op