jawsurgeryforums.com

4mm is a lot. What happened to cause that much excess height?

I'm not sure on a surgeon who specializes in that...I think any good surgeon should be able to handle it. The big risk is cutting the mentalis a 2nd time. You could get droop, damage the muscle, erratic scar tissue that causes strange sensations, etc, so make sure to ask about all that.

Chin reduction isn't really an isolated type specialty. It's in the venue of procedures many max fax docs do along with double jaw surgery when chin reduction is needed in addition. Often done by removing a midsection of the chin and getting the bottom section to close the gap removed from the mid section.

It would need to be established IF in fact your candidacy was isolated ONLY to a chin reduction (and no jaw surgery) and what the millimeter excess was, something that would be established by going on consults.

I would not advise seeking out doctors who do only chin reduction, claim as a specialty. It is preferable to consult with surgeons who do chin reduction ALONG with the rest of the jaw surgery who can tell you if your issue is 'only' isolated to chin reduction.

My reply didnt register properly when I quoted you, but I said I will look into more articles.

I'll tell you what I don't agree with. I don't agree with spoon feeding people who fly in here seeking out MLF3 who need special advice because 'Earl had one'.  I'm including an entry to that effect that I made some time ago which applies to people who fly in here for any type of coaching in pursuit of what Earl had. Earl did this on his OWN. He is really smart guy to do on his own with NO coaching from anyone else. So, I use the same standard for other seeking what he had. Here is what I said long while ago and it still holds:
------------

"Ever since Earl's story, so many people come here wanting to be SPOON FED info about L3s and various permutations of 'modified' L3's.

Earl's real story is that he did research ON HIS OWN (medical journals), knew exactly what he wanted and WHY and had a very strong preference in favor of bone cuts over orbital rim implants and of course had the prominent eyes (bug eyes). I think he took a few years of lots of research into the medical papers and consulting around based on the knowledge he ACQUIRED on HIS OWN to cross reference with a good handful of doctors he traveled far to consult with and subsequently chose the doctor he chose.

So NONE of this stuff was handed to him on a platter (or spoon fed) on here as is the case of most of the people coming to JSF looking to be spoon fed info on L3s and various modifications thereof. In fact, a few people who just blindly fell into Earl's doctor's lap 'because Earl did it' could not have possibly been as well prepared as he was in terms of IDing themselves as ideal candidates for orbital rim area advancements this way because they didn't get the extent of improvement he got.

There is ample info out there on L3s and modifications thereof. But finding requires RESEARCH ABILITIES in addition to having the salient anatomy underbelt and ability to 'digest' medical articles and/or a long time to increase knowledge that way as to 'digest' conceptual material.

In essence Earl had the ability to FIND information on this (appropriate med journals) on HIS OWN and to PROCESS it in ACCORDANCE to his aesthetic situation and had all that UNDERBELT when he consulted with a variety of doctors. Also, he knew enough to pursue that surgery AFTER he got his jaw situation in balance.

Seriously, a LOT of the people flying in here wanting to know about L3s have acquired jacks**t info on their own, need to be spoon fed and demonstrate very little capacity to process information. Any doctor you consult with won't be spoon feeding it either and acquisition of knowledge, ON YOUR OWN (like Earl did) will be needed to increase the level of info you get from any consult you go on. That said, be careful about riding on someone else's coat tails for esoteric surgeries like chin wings and L3s . I find that people who are successful with the more esoteric surgeries are good researchers and good at processing complex information and don't need mother bird to chew up and spit out the worm for them.

That said, my policy on 'spoon feeding' is I will sometimes do it for people having a hard time with some of the JAW BALANCE relationships (Lefort1, BSSO and genio) but NOT for the L3s. This is because people coming to a JAW SURGERY forum demonstrate some to enough understanding of jaw to jaw relationships to fill in some of the blanks they have. But about 90-95% of those coming here wanting to know about L3s (or think they need them) are just TOO FULL of BLANKS to fill in for them.

Hence, my policy is for people wanting what Earl had is to BE LIKE EARL and do their own research as he did. Then come back with some demonstration of knowledge in that regard and only a FEW blanks needed to be filled in. Of course, my policy on this does not preclude others who want to tell you all about L3s in the absence of even seeing what you look like."