jawsurgeryforums.com
General Category => Functional Surgery Questions => Topic started by: yxcvb on January 10, 2015, 11:41:28 AM
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Hi!
So I had my genioplasty done one day ago. Just got home from the hospital. I had a pleasant experience with everything so far and the surgery went without any complications.
The whole thing took 3 days because we had to done the lab work and EKG the day before so basically:
day 1: lab tests+EKG+consultation with surgeon
day 2: surgery, then rest
day 3: got home (today)
I believe my surgeon did a pretty good job. The end of my chin is still numb but it is already coming back. I have numbness at my lower teeth, but not in the lips. The lip position is also better than before surgery. The labiomental fold is almost gone, just like my surgeon promised. They did a 6mm advancement in both the forward and downward directions. Since my lower face is very swollen now of course its not what it's gonna look like but I'm already very happy with it.
This is the day before surgery:
(http://i.imgur.com/20kfdZ1l.jpg)
The official diagnosis was "microgenia". The distance between the eye and top of the head was greater than the distance between the eyes and bottom of the chin. Also I had a very deep mentolabial fold which caused skin problems as well as it looked ugly as hell. You can see it even from the side.
Right after I woke up from anesthesia:
(http://i.imgur.com/1ZBYX8cl.jpg)
At this point I couldn't really move my lower jaw because of the bandage. Got some painkillers and antibiotics for the night.
And this was today morning:
(http://i.imgur.com/AZXnaJQl.jpg)
You can see it was very swollen, and I had some pains. When they released me I got prescriptions for antibiotics and painkillers.
I took this a couple of minutes ago. Not the best quality sorry:
(http://i.imgur.com/letfRDll.jpg)
The swelling got a bit better already. My doctor said it could take 3-4 days till its all gone. The numbness is getting better and better by the minute. I already got tingling and itching sensations on my chin which is a pretty good sign.
From the front it already looks pretty good as far as the labiomental fold goes:
(http://i.imgur.com/H8ZwEfgl.jpg)
You can see that there is a lot of swelling going on there but getting better.
I'll keep this thread updated just so people see how all this goes down.
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Hey, good to see it went well and thanks for sharing your experience. This is so reassuring to me because I have been researching for my future SG for a while and it appears that your case is confirming everything: that the lower advacement will get rid of the mentolabial fold and is ideal for a chin that is already prominent but short.
I can't say for sure because of the swelling and your relatively high body fat, but this is a very good improvement. Chin height is so important for adult males and you already appear more manly. Your updates should be interesting.
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Hey, good to see it went well and thanks for sharing your experience. This is so reassuring to me because I have been researching for my future SG for a while and it appears that your case is confirming everything: that the lower advacement will get rid of the mentolabial fold and is ideal for a chin that is already prominent but short.
I can't say for sure because of the swelling and your relatively high body fat, but this is a very good improvement. Chin height is so important for adult males and you already appear more manly. Your updates should be interesting.
Yeah if you have a deep mentolabial fold, forward advancement isnt enough, you need downward advancement as well. I'll post some pictures in the following days once the swelling is gone.
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Yeah if you have a deep mentolabial fold, forward advancement isnt enough, you need downward advancement as well. I'll post some pictures in the following days once the swelling is gone.
Yeah. I'm just wondering, you sound like it wasn't a scary experience(got the pre surgery fears myself) so did you spend a day at the hospital? How was the pain and management? Also are you on a liquid diet for a while?
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Yeah. I'm just wondering, you sound like it wasn't a scary experience(got the pre surgery fears myself) so did you spend a day at the hospital? How was the pain and management? Also are you on a liquid diet for a while?
I had planned this for a year and it got postponed two times because of administration problems. By the time I got into the operating room I've seen a whole genioplasty on youtube. :)
So yeah I wasnt really afraid but when they wheel you into the room it can be a little scary first. The surgery was around 10:00 am and I spent the rest of the day at the hospital. Got some painkillers and could sleep well on the first night with an elevated head.
Now I cant really open my mouth more than 1cm so I ate some pudding and had a couple of protein shakes. I drank a lot of water so I'm not really that hungry. They said it can take 10 days till everything goes back to normal so I'm patient now.
Probably the worst area is around the mentalis (the muscle at the end of the chin) and that controls mouth movement so I guess I need to wait till it heals.
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I had planned this for a year and it got postponed two times because of administration problems. By the time I got into the operating room I've seen a whole genioplasty on youtube. :)
So yeah I wasnt really afraid but when they wheel you into the room it can be a little scary first. The surgery was around 10:00 am and I spent the rest of the day at the hospital. Got some painkillers and could sleep well on the first night with an elevated head.
Now I cant really open my mouth more than 1cm so I ate some pudding and had a couple of protein shakes. I drank a lot of water so I'm not really that hungry. They said it can take 10 days till everything goes back to normal so I'm patient now.
Probably the worst area is around the mentalis (the muscle at the end of the chin) and that controls mouth movement so I guess I need to wait till it heals.
Informative stuff, thanks. I'm curious about where you had it done and the costs but I fully understand if you want to keep that private.
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Does upward advancement of a SG create a deeper mentolabial fold?
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Early days yet but it looks a good result. Thanks for sharing.
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So this was the 3rd day after surgery.
A lot of the swelling is gone now. Sorry cant take picture, but I'll add some tomorrow
The numbness is at 50% of its post surgery value which is already great. I could eat some tuna and baby carrots today finally after only liquids.
Face already looks much better without the swelling. I stopped taking the painkillers but I'll keep taking the antibiotics till its all gone. Could sleep well last night even on my side. A little pain here and there which is a good sign because that means the nerves started working again.
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Alright, new pictures ;D
The swelling is much better now. There is still a lot of tightness around the mentalis at the front of the chin, but its only 4 days since surgery, so I'm not worried.
Very good projection and chin height here:
(http://i.imgur.com/qjbcW41.jpg)
From the front its still a bit swollen, but looks already more symmetric.
(http://i.imgur.com/mbUsRgO.jpg)
All in all I'm very happy with the results and they changed my facial ratios completely.
Chin height from middle of lips to bottom if chin is now cc. 52mm btw. Distance between eye and bottom of the chin is 12.2cm, now the same as distance between eye and top of the head which is supposedly ideal. So far so good :)
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I think this is an amazing result. I really hope to be in your current position one day.
Have people around you commented?
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I think this is an amazing result. I really hope to be in your current position one day.
Have people around you commented?
I'm on a holiday now so dont know anyone here. I'll have to wait and see :)
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Okay, so now its been 12 days.
Most of the swelling is gone, but the stitches are still there. I dont know how long it takes for it to dissolve.
Most of the feeling came back around the chin, but my lower teeth are still kinda numb. Hopefully it gets better with time, my surgeon said nothing should be said before the 1 month mark regarding numbness, but I'm glad my lower lip is 100% normal already. Still have some tenseness at evenings especially around the side of the bone cut. But thats normal
I still have a hard time chewing with my lower teeth as the area under the lower front is still swollen and inflamed.
Antiobiotics are gone, I take 2mg diclofenac once a day because apparently it helps with the swelling and inflammation.
I lost some weight which is a nice plus.
I'll post pictures maybe tomorrow, I'll just keep bumping so people who want to have genio can see it it might go down.
BTW the whole thing costed around 700 Euros. One of the benefits of living in a second-world country I guess :)
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Congratulations! Looking great!!!
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TS could you posty an update on how it's going with the recovery? I'm especially interested by the nerves and final result.
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Hi!
So it's been 10 months since my genioplasty and I thought I'd share some update. I was busy living my life and forgot about this place but here is an update.
All the numbness and stiffness is gone now and I don't feel anything "weird" so I assume I have no nerve damage or similar which makes me very happy. I think my surgeon did a very good job with the "material" and I'm very happy with the result.
My face is more balanced now and very close to some kind of "ideal" which my surgeon actually followed.
I lost a lot of weight since January since my now "normal" looking face actually makes me motivated. You can see some excess skin on my face but that has nothing to do with the surgery.
Here is a pic:
(http://i.imgur.com/w7YsNqX.jpg)
You can see how the swelling went completely down and that I still have a deep mentolabial fold but now I have a good chin height which balances it well I think.
middle of lip to bottom of chin distance is 55mm (pre surgery was 49mm) so indeed my surgeon did the 6mm vertical advancement he promised. I also got a 6mm horizontal advancement, and I think both were equally important.
If you want to have a more masculine chin you need to address both the vertical and horizontal directions, surgeons often forget the former because it's more uncommon but if you have a short face this is an easy way to balance things out.
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Good to see you back with an update. Looking good and you didn't even have any of the bad side effects. Great deal, hopefully I'm as lucky when I finally get mine done in a month or two. So you had 6 mm forward and 6mm downward advancement, did you need to get some kind of bone grafting between the chin bone or did it all heal by itself?
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Good to see you back with an update. Looking good and you didn't even have any of the bad side effects. Great deal, hopefully I'm as lucky when I finally get mine done in a month or two. So you had 6 mm forward and 6mm downward advancement, did you need to get some kind of bone grafting between the chin bone or did it all heal by itself?
Didn't need any grafting but this is close to the limit they usually do (around 5-6mm). I've had a dental x-ray a couple of weeks ago which showed that bone is half consolidated, but still needs some time. I guess thats normal. I think bone grafting can be dangerous because it has a higher infection rate even though its your own bone so I wouldn't really want that.
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Looking good! With isolated genio's and deep mental-labial fold, it not worsening is a partial success on it's own and yours has been reduced abit too because you correctly opted for vertical lengthening.
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Looking good! With isolated genio's and deep mental-labial fold, it not worsening is a partial success on it's own and yours has been reduced abit too because you correctly opted for vertical lengthening.
I agree that probably vertical lengthening is the most important part when you have genio. As a guy obviously. Surgeons have this "ideal" with the equal facial thirds and such but I think thats a very bad approach and probably true only for the female face.
As for guys I strongly believe that a long lower third is the most important aspect regarding attractiveness. I can say that just based on my own face and how it changes all aspect of your face and makes you 100% more masculine.
The equal thirds thing is very outdated and you should almost always aim for more lower third height as it makes a masculine face. When I was researching my genio I realized that almost all attractive male faces have a longer lower third, it seems pretty universal:
(http://i.imgur.com/LSPP6m0.jpg)
99% of surgeons will follow the ideal and call you dumb for suggesting this, but I think it's pretty self-explanatory and you can try actually shorten these guys lower thirds to match the supposed "equal thirds" ideal and you'll see they'll be less attractive. 99% of guys become more attractive with a longer/larger chin.
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^Very wise words, I have to put my foot down soon because I have a feeling my surgeon will want to discourage me from the amount of lengthening I want. yxcvb, beforehand did they talk about the limits of the advancement? Things like say nerves being stretched, bone issues etc. I just want to know what these 'limitations' can be.
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^Very wise words, I have to put my foot down soon because I have a feeling my surgeon will want to discourage me from the amount of lengthening I want. yxcvb, beforehand did they talk about the limits of the advancement? Things like say nerves being stretched, bone issues etc. I just want to know what these 'limitations' can be.
Vertically the limitation is something like 6-7mm. Mostly because the gap gets too big and then you'd need bone grafting which might bring various problems like infections etc. But also the angle is an issue because the jaw line is supposed to be straight so you cant tip the end too much.
I think horizontally the limitations are more around 10mm but you'll most likely have the infamous triangle "gaps" at the side. Most likely 1-2 years of bone remodelling makes it invisible but first that could look concerning.
You can always do another genio if the first one wasnt sufficient but most surgeons will think you're nuts.
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I agree that probably vertical lengthening is the most important part when you have genio. As a guy obviously. Surgeons have this "ideal" with the equal facial thirds and such but I think thats a very bad approach and probably true only for the female face.
As for guys I strongly believe that a long lower third is the most important aspect regarding attractiveness. I can say that just based on my own face and how it changes all aspect of your face and makes you 100% more masculine.
The equal thirds thing is very outdated and you should almost always aim for more lower third height as it makes a masculine face. When I was researching my genio I realized that almost all attractive male faces have a longer lower third, it seems pretty universal:
(http://i.imgur.com/LSPP6m0.jpg)
Not to be a dick, and I'm not disputing your claim that a larger lower third is better, but I disagree with a couple things here:
1) Ideal male and female ratios, regardless of what those may be, are not much if at all different.
2) That picture of Hemsworth has inaccurate measurements. No way his face is 261mm long. I have a long face and it's about 225mm.
99% of surgeons will follow the ideal and call you dumb for suggesting this, but I think it's pretty self-explanatory and you can try actually shorten these guys lower thirds to match the supposed "equal thirds" ideal and you'll see they'll be less attractive. 99% of guys become more attractive with a longer/larger chin.
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Those arent measurements, those are ratios. Basically pixels in this case.
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Fantastic results. Who was your surgeon?
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looking awesome dude. i'm actually glad the mentolabial fold is back a bit after the swelling cause it looks very "superman/clark kent" chin. great results.
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(http://i.imgur.com/w7YsNqX.jpg)
You can see how the swelling went completely down and that I still have a deep mentolabial fold but now I have a good chin height which balances it well I think.
Do you still post here? You look a lot better now, what's the deal with people hating on mentolabial folds? I actually WANT a deeper fold, my chin was flat before surgery. I got a 13mm(!) advancement, the maximum you can get given the plate my surgeon uses, and a slight vertical shortening, the mentolabial fold is a bit deeper now but I think it's so swollen it will still show up more in the future.
I see that happened with you, how long did it take for the fold to get deep again?
https://media.springernature.com/original/springer-static/image/art%3A10.1186%2Fs40902-017-0102-8/MediaObjects/40902_2017_102_Fig2_HTML.gif
My chin looked like FG, now it's like DI/EH. I wish to be CG or even BF.
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this is exactly what i need