jawsurgeryforums.com
General Category => Emotional Support => Topic started by: Serra on May 09, 2015, 08:39:16 AM
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Since jaw surgery last year, I noticed my face looked gaunt. What I noticed only later on is that one of my cheeks looks normal whereas the other looks like it's wasting away. I had BSSRO and genioplasty.
I asked a 2nd surgeon about this and she said it's hard to say. I don't trust my original surgeon. I'm too young for this to be natural. Has anyone heard of anything like this? :-[
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I just found out online it could be muscle atrophy due to denervated muscle. I'm devastated. Has anyone heard of this?
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i once had a blow to the side of my head and it left a very bad bruise. Several months later! There was an indentation and I thought it might be a dent in the bone, but it was actually the soft tissue had atrophied and fat had dissolved from that area. My doctor told me that happens sometimes when you receive a blow to the face or head area.
I think your problem might be asymmetry of the bones --in the sense that one side after the operation is draping the soft tissue in a different way.
Can you see a noticeable asymmetry in terms of how the mandible or maxilla is shaped on either side?
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The new surgeon said my chin area was naturally asymmetric and that's why my step-offs are different. The thing is, when I look at 3/4 view pictures before the surgery of the same gaunt cheek, it looks like my normal cheek - with soft tissue protruding outwards, not pulling inwards. :-\
Did your indentation ever get better?
It might also be worth noting that ever since the jaw surgery, my normal cheek often has this pulsating feeling in it, like a very slow spasm. The gaunt cheek never had this sensation. Rarely, I've also had some pain near my jaw joint in the gaunt cheek after the surgery (upon opening my mouth) but don't anymore.
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We are all asymmetrical to various degree to begin with. Unfortunately, advancing stuff may exacerbate any pre-existing asymmetry.
I had an LF1 advancement. My right side was more recessed and was advanced 1 mm further than the left. It looked fuller than the left for months and months after. This was, of course, worse in the morning, because everyone has a more swollen face in the morning, jaw surgery aside.
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I'm not discounting it could be natural asymmetry. Is it possible that one side is smaller because I chew more on one side? Isn't the hollow area where the buccinator muscle is or is it the masseter muscle?
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Regarding the bunching and balling of the chin muscles/scar tissue, I've found great help with manually pinching (hard) and massaging the area. Now obviously this won't help with any muscle related issues like ptosis but it's very effective for speeding up the softening of the scar tissue - I have a lot in my chin after a verrry complex bimax and genio revision and touch wood, it's the only real issue I've got at the moment.
I also started taking large doses of Serrapeptase three weeks ago, it's an enzyme from silk worms that has all kinds of health benefits, one of them is said to be 'dissolving' scar tissue. Sounds like new age crap I know but I've used it before and swear by it.
How long ago did you have your revision?
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I also started taking large doses of Serrapeptase three weeks ago, it's an enzyme from silk worms that has all kinds of health benefits, one of them is said to be 'dissolving' scar tissue. Sounds like new age crap I know but I've used it before and swear by it.
Do you take it orally? Is it supposed to work on external scars?
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Regarding the bunching and balling of the chin muscles/scar tissue, I've found great help with manually pinching (hard) and massaging the area. Now obviously this won't help with any muscle related issues like ptosis but it's very effective for speeding up the softening of the scar tissue - I have a lot in my chin after a verrry complex bimax and genio revision and touch wood, it's the only real issue I've got at the moment.
I also started taking large doses of Serrapeptase three weeks ago, it's an enzyme from silk worms that has all kinds of health benefits, one of them is said to be 'dissolving' scar tissue. Sounds like new age crap I know but I've used it before and swear by it.
How long ago did you have your revision?
Can you tell me about your genio revision? What was done? Did they use the same incision? How far apart were your surgeries?
My jaw surgery was in August 2014
The chin revision was Sept 2014
The last one was Feb. 26, 2015
I'll definitely look into that enzyme! How has it worked for you before?
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Can you tell me about your genio revision? What was done? Did they use the same incision? How far apart were your surgeries?
My jaw surgery was in August 2014
The chin revision was Sept 2014
The last one was Feb. 26, 2015
I'll definitely look into that enzyme! How has it worked for you before?
Butchered Oct 2013
Revision March 2015
The genio revision was full reversal, setback 3mm, with some additional burring thrown in for good measure. The scar tissue was so tight initially that talking was virtually impossible for the first month or so. Since taking the Serra, my speech has improved and it just feels more comfortable, you know? My ortho actually commented today on how much improvement there was, how much looser things seemed.
I've used it before after a tit job, beautiful flat scars and soft squishy, well yeah you get the point ;D
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Do you take it orally? Is it supposed to work on external scars?
Yes, you swallow them down whole.
Think I have read of them working on external scars, they certainly won't do any harm.
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Butchered Oct 2013
Revision March 2015
The genio revision was full reversal, setback 3mm, with some additional burring thrown in for good measure. The scar tissue was so tight initially that talking was virtually impossible for the first month or so. Since taking the Serra, my speech has improved and it just feels more comfortable, you know? My ortho actually commented today on how much improvement there was, how much looser things seemed.
I've used it before after a tit job, beautiful flat scars and soft squishy, well yeah you get the point ;D
OMG, another person who sought a genio reversal. I sought one in my last one and the surgeon is lying to me that it's reversed. To read about it, go to my post history to my thread called "Damage control after botched surgery (...)"
Does the reduction of your scar tissue with the serra show up at all visually or it just reduces the stiffness in the chin?
Why did they burr down your chin more in the reversal if it was advanced in the first place?
Do you have severe dimpling?
Has your bottom lip changed?
Do you have xrays of pre-op, after first and second surgeries?
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OMG, another person who sought a reversal. I sought one in my last one and the surgeon is lying to me that it's reversed. To read about it, go to my post history to my thread called "Damage control after botched surgery (...)"
Does the reduction of your scar tissue with the serra show up at all visually or it just reduces the stiffness in the chin?
Why did they burr down your chin more in the reversal if it was advanced in the first place?
I read your thread, got upset that another innocent victim got butchered and lied to :'(
As the scar tissue softens I'm finding that the ugly pulling and dimpling is reducing, it's still evident, don't get me wrong but not as much, it's as if it's 'relaxed' a little. Now I'm only 3 weeks into serra treatment so I'm going to keep going and hope for further improvements, I figure it can't do any harm. If you get some make sure you go for enteric coated btw, much more effective that way apparently.
The burring was done just for a bit of prettifying, it's very subtle but nice, unlike the dreaded scar tissue. I changed surgeons btw, the revision was done by a professional surgeon not a lying, cheating butcher.
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I read your thread, got upset that another innocent victim got butchered and lied to :'(
As the scar tissue softens I'm finding that the ugly pulling and dimpling is reducing, it's still evident, don't get me wrong but not as much, it's as if it's 'relaxed' a little. Now I'm only 3 weeks into serra treatment so I'm going to keep going and hope for further improvements, I figure it can't do any harm. If you get some make sure you go for enteric coated btw, much more effective that way apparently.
The burring was done just for a bit of prettifying, it's very subtle but nice, unlike the dreaded scar tissue. I changed surgeons btw, the revision was done by a professional surgeon not a lying, cheating butcher.
Thanks!
Who was your professional surgeon? Is the result very close to your original structure?
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Paul Johnson, in the UK though.
Chin wise it's probably a little prettier than before (minus the dimpling), despite being a class ii originally my chin was kind of strong so that bastard butcher had no business advancing the thing - I did not consent to that or a whole bunch of other things *sighs*.
So your Dr Asshole didn't fully reverse it? What an asshole! What's your next move?
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Paul Johnson, in the UK though.
Chin wise it's probably a little prettier than before (minus the dimpling), despite being a class ii originally my chin was kind of strong so that bastard butcher had no business advancing the thing - I did not consent to that or a whole bunch of other things *sighs*.
So your Dr Asshole didn't fully reverse it? What an asshole! What's your next move?
Does Johnson say the dimple is from scar tissue only? That occurred only after the revision, right?
Lol, he says he did but he didn't. From my profile, I can barely tell a difference from before the last surgery and the difference between now and pre-op is staggering. He says it's all soft tissue/scar tissue, lol! The only thing he says now is he can offer me botox every 4 months for $250 a pop, which apparently is cheaper than a plastic surgeon's office. From what I've read online, his botox price for chin dimples is very inflated. He also told me he's had the same thing happen with other chin surgery patients. THEN WHY DIDN'T YOU TELL ME PRE-OP WHEN I KEPT ASKING YOU ABOUT THE RISKS? Ugh.
I've contacted a lawyer and am waiting to hear back. I hope he doesn't want to not take my case. He told me to call him back after my last appointment with Dr. Asshole. I've seen other drs and one has offered a mentalis resuspension but no one wants to touch the bone.
How's your bottom lip though? Has it changed in size or appearance?
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VERY glad to hear the fix up went well Modigliani. :D
What would you say the aesthetic problems were with the genio before your revision took place?
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Yeah, he reckons it's just scar tissue, he did warn me before the revision that it was a possibility. He saw me 5 weeks post op when it was at it's worst and just said it would soften over the coming months. I went home and cried as I was convinced it was just the usual bulls**t surgeon brushoff but it has softened considerably in just weeks.
Feeling is coming back in my lower lip, with just the right corner remaining numb, funnily enough feeling came back in the same exact pattern before. At first it was thin and kind of inverted, very odd looking but it's slowly returned back to normal, maybe a touch thinner?
Cheers ra, it's been a loooong road as you know ;)
The butchered genio was a masculine block that stuck out like a shelf, it had no business being on my face and anyone with eyes in their head could see that. To be honest, I was more bothered by the open bite and zero incisor show (PJ ended up using mandible bone to downgraft the maxilla 4mm so I avoided the dreaded hip scar, clever stuff) but yeah the chin was a horror story too.
Just remembered PJ said something about how he was going to angle his cuts to 'fill in' the step off, it was more him thinking out loud and I didn't press him because as I said, the chin was the least of my worries. The right side still has a small step off if I'm going to be critical but overall I'm thrilled :)
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Hooray! :D It's always good to hear about positive outcomes emerging from horrendous f**k ups. ;D And great that you're thrilled already because it's still very early days for you. That step off could probably be tackled with filler - I wouldn't bother with that bone putty stuff unless it's a very large gap.
Was the surgeon's goal to achieve your desired outcome prior to the botch job, or restore you to your original appearance as much as possible?
It's amazing how a 4mm change can be so major when bone's involved (I swear my chin was about 2 inches bigger initially), yet these ham fisted doctors treat peoples' faces like martial arts chopping blocks.
IMO, that masculine block look is the hallmark of an unskilled surgeon's work. Hacking a great big vertical chunk off the front of the face and shoving it forward is the maxillofacial equivalent of giving someone a 60s nose job, or a "screamer" face lift. There are many ways in which the bone can be cut and advanced, and IMO it should never be done like that.
I hope that one day, these dangerous doctors find themselves on the dole queue where they belong.
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Modigliani, did you have Bimax + Genio with Mommaerts? What was your original diagnosis, class 2 long face?
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Modigliani, did you have Bimax + Genio with Mommaerts? What was your original diagnosis, class 2 long face?
Yes to all of the above.
The man needs a bullet, put us all out of our misery.
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I now have my clinical photos of pre op, and after the first and second surgeries. My cheeks/chin line in 3/4 view were the same.
I don't have 3/4 view clinical photos of now, after the third surgery, but all my own pictures are consistent.
It seems like my chin was put on crooked (one side more advanced) and is making me severely asymmetrical.
FML.
I need a 4th surgery on my chin, and with each one the soft tissue gets worse. And no one wants to touch me because of what that asshole did against my consent in my 3rd surgery.