jawsurgeryforums.com
General Category => Emotional Support => Topic started by: Valoz on December 30, 2015, 03:29:00 PM
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I got Upper Jaw Sugery Lefort I 5mm advancement for Underbite and it's been about 4 weeks after the surgery and I'm wondering if a Lefort I was the right choice for me I feel like i ended up looking much less attractive and chimp like, the area under my eyes is super hollow now my nose is piggish.
I look like I have protruding mouth now, from the eyes down my whole face looks like it is protruding out abnormally. Does it look like my surgeon brought my upper jaw too forward ? Should I have got my lower jaw pushed back instead. There was so much build up to my surgery and with my results I feel so depressed, I won't even leave my house now ... I look COMPLETELY different now.
I also do not think the remaining swelling will make much difference between my appearance now and in 6 months, is my assumption correct ?
If anyone has gone through this please help... I'm considering a reversal.
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I know how is to regret something or eventually being depressed due to some problems postop..I have some issues after surgery - different type,
but hard to say if you really looks bad
Perhaps your lower part of face (mouth area) could be a bit less prominated ...little set backward..but i'm not sure
for sure it does not look very bad... I have to take another look
It's only 3 weeks postop. Wait some more weeks to judge
Regardless do you have some functional issues after surgery ?
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I got Upper Jaw Sugery Lefort I 5mm advancement for Underbite and it's been about 4 weeks after the surgery and I'm wondering if a Lefort I was the right choice for me I feel like i ended up looking much less attractive and chimp like, the area under my eyes is super hollow now my nose is piggish.
I look like I have protruding mouth now, from the eyes down my whole face looks like it is protruding out abnormally. Does it look like my surgeon brought my upper jaw too forward ? Should I have got my lower jaw pushed back instead. There was so much build up to my surgery and with my results I feel so depressed, I won't even leave my house now ... I look COMPLETELY different now.
I also do not think the remaining swelling will make much difference between my appearance now and in 6 months, is my assumption correct ?
If anyone has gone through this please help... I'm considering a reversal.
Who was your surgeon ? Where you in braces before the surgery ?
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Your still very very swollen. Certainly your upper lip has a lot of swelling and that is giving you a bit of that chimp look you mention. It will go down but can take several months. You will be fine and looking hot!
But it is a good reminder why too much is not a good thing. Many seem to think the more forward projection of the maxilla, the better and that is not true. Too much forward projection can make one look a bit chimp like. And that is not something to strive for ::).
But you will be fine, really. That upper lip has a lot of swelling and next to your mouth/nose there is still a lot of swelling too. Give it a lot more time.
OVERCORRECTION IS MUCH WORSE THAN UNDERCORRECTION OR EVEN MAIN PROBLEM. That told my surgeon.
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I agree that there is still swelling around the mouth. Also did your surgeon discuss your chin? A slight advancement there with a sliding genio could have made the difference. If this is bothering you you could try photoshop to see if you think that would look better.
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@Rico :) No actually functionality wise everything is great except I get this weird clicking in the left side of my upper jaw and also vibrations when I laugh. And I do agree overcorrection is WAY worse than my original problem... sigh I'll wait it out and see if it gets better...
@needadvancement My surgeon did discuss my chin a bit, however I think if I did a sliding genio I would look even more chimp like. My surgeon also discussed cheek implants, maybe I shall look into that ...
I believe my problem is that I originally had a flat face already, then after the lefort I it has made my eyes and cheekbone area very hollow looking and strange. It is like my whole face is flat then after the lefort I the 3/4 of my face is protruding. I hope this protrusion is due to swelling and not soft tissue.
Does anyone know what kind of procedures could increase the volume around the undereye / cheekbone area ? Fillers ? Implants?
Ugh maybe get double jaw surgery to push back both upper and lower jaws ?
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The protrusion you're seeing is definitely in partly from the swelling. You're still early in the healing process although have made great progress. Your nose unfortunately will probably stay a bit upturned as it is now, that is a unfortunate by-product of upper jaw surgery. It can be prevented or minimized with stitches by the surgeon but even then it can happen.
After a minimum of 6 months you should re-asses your face. The swelling should be mostly gone and bones partly healed. Then you can more objectively compare before/after. By 1 year your bones will have fused completely. To return your nose to it's previous form will require rhino of course and there are skilled/experienced doc who've done plenty of asian/ethnic nose jobs.
I know it's hard and may seem unbearable but hang in there. The worse thing you can do is rush into another surgery before your face has healed and everything has settled soft tissue wise. Don't cause yourself more suffering. You look absolutely normal. Yes your face different, yes it may not be as aesthetically "ideal" as before but there is not one part of your face that should stop you from leaving your home. There is a solution for your nose but you need to be cautious and wait a bit. I promise things will improve over time and you'll have thanked yourself for not doing anything drastic.
Hang in there!!! :)
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@ Valoz, I have slightly advanced your chin and slightly reduced your upperlip tissue(I THINK it may look like that in a couple of months after it heals more)
(http://s4.postimg.org/flm51z5nx/IMG_2609_1.jpg)
In my opinion it looks beautiful there and not chimp-like at all and I think others would agree.
PS: In case you want the photo gone paste this link into your browser and you can delete the photo: http://postimg.org/delete/p65rouuzy/
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I believe my problem is that I originally had a flat face already...
I was thinking this before reading through the thread. Your retruded maxilla helped camouflage the lack of cheek volume and retrusive chin, plus probably kept your nose from being upturned. But I also think the lighting of your before/after profile shots are deceptive, because the before shot shows lighting directly on the front of your cheeks and the after shows a shadow where it's more apparent. Also keep in mind that those poses are going to subconsciously influence everyone's perception of your attractiveness. In the before shot it appears you have a confident, sexy attitude going on with your squinted eyes and in the second you look like a scared/unsure-of-herself puppy. If these were both before shots (same bone structure) but with the poses unchanged, the "first girl" is more attractive.
In any case, I think the best bang-for-your-buck improvements are in this order:
1) SG for chin
2) Nose straightening to bring less concave which would also bring the tip back down
3) Something for the cheeks
The sliding genioplasty should definitely have been performed during your lefort, and it's unfortunate that it was not. If I was you personally, I'd like to think that I'd get my chin advanced and call it good. The morph posted above by needadvancement is achievable with this and makes you look good. An ante face is a good thing, despite what some folks on here will say. After that, if you remain unsatisfied with your appearance, I'd definitely go to the nose before trying to mess with the cheeks, both because I think fixing the nose would provide more improvement and because it is an easier fix from what little I've read of both rhinoplasty and cheek augmentation. Messing with the cheeks via fillers or implants (or even lefort whatever #) sounds like a nightmare... somewhere I wouldn't want to go personally.
Please take all of this as a nitpicky opinion of mine only. I provided it because that's what you seek. At the same time, I hesitated to respond because I know it takes an emotionally low state to sign onto an internet forum and discuss the features you feel are unattractive about yourself... I certainly don't want you to feel like you won't be pretty unless you fix everything I've listed. That is simply not the case. I'm just trying to provide a comprehensive analysis based on my perception of you from your photos. Again, I think you'd look great with a sliding genioplasty to advance your chin to the rest of your profile as is shown in needadvancement's morph.
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I forgot to say, I certainly would not do another surgery to undo the first. You don't want an underbite for sure, and to pay for everything and go through it twice for nothing? f**k that.
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Can you post closeup photos of yourself smiling before and after? Can you post a lateral ceph? If your occlusal plane angle is high, the dominant upper lip may not go away, I'm afraid.
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Come on. She had surgery only 3 weeks ago in that last pic. People have a swollen upper lip months after Lefort I and swelling next to the nose for months and months. She will see a lot of change still. In fact, if you look at her tissues: her complete face is swollen still. Her tissues look puffy/puffed out, not in a relaxed position. And the upper lip is a common area for patients to complain about for months after surgery.
Well, I'm in exactly the same boat as her... 15 months later.
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if you do not have functional problems that means probably everything is OK... you need more time to see full effect
I mean it's a good indicator / prognosis
too big changes would cause Masseter muscle malposition and dysfunction ... for example I have problem with this muscle after my zygoma bone changed position
so you are lucky...and be patient
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And you had the same amount of forward projection at 3 weeks after surgery (similarly to her)?
About as bad.
You might not want to and that's understandable but it would be helpful. Is this a common issue with Lefort I?
Chimp lip is a function of the amount of advancement and the steepness of the occlusal plane. LF1 advancements are a bit dicier on Asians, although I don't think that was the case here.
kjohnt spotted the retrusive chin - that's probably the steep occlusal plane. I had the same thing happen. I went from a concave face to a convex one too because my plane was not normalised. Yet my advancement was minimal: 5-6 mm.
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I commented on your post on realself.com
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So I'm guessing normalizing the oclussion plane regardless of class and being conservative I advancements is the best way to avoid the chimp look if you're getting a lefort 1/bsso?
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too much advancement relative to midface and left with weak chin, IMO.
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Swelling is brutal from a LF1. I'm Asian myself and had a 5 mm upper jaw advancement @ 5 months post-op with still lots of residual swelling around the area. I have the same exact effect as you--upturned nose, large upper lip, etc. Definitely give it lots of time as it will get better. Then evaluate.
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Can you post closeup photos of yourself smiling before and after? Can you post a lateral ceph? If your occlusal plane angle is high, the dominant upper lip may not go away, I'm afraid.
Is this picture any help ?
Also are you feeling good about your aesthetics results from surgery ?
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Just an update - 4 1/2 weeks
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Swelling is brutal from a LF1. I'm Asian myself and had a 5 mm upper jaw advancement @ 5 months post-op with still lots of residual swelling around the area. I have the same exact effect as you--upturned nose, large upper lip, etc. Definitely give it lots of time as it will get better. Then evaluate.
Yes I agree this swelling is brutal ... it's extremely frustrating not knowing whether my face looks like this or if its swelling ... From the 1 month post of point to your 5 months post op point, did your nose / upper lip shrink significantly ?
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I think you're going to end up being more happy with your results than you thought you would when you created this thread... you look good. But I maintain that the genio would give just a little boost... here's my attempt at a morph.
edit - your front picture appears to show that swelling went down considerably... your front profile is nice looking. You are pretty, really!
[attachment deleted by admin]
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Yes I agree this swelling is brutal ... it's extremely frustrating not knowing whether my face looks like this or if its swelling ... From the 1 month post of point to your 5 months post op point, did your nose / upper lip shrink significantly ?
I also had a LF1 advancement for an underbite. My jaws are not too dissimilar to yours. I have a lat ceph at 5 months - the lip was still convex, or straight at best. I also have a lat ceph at 13 months - and the lip is finally concave. No, it will never be like pre-op, and I still don't like it, but it's much better at 13 months vs 5 months. You may be happy in a years time. My ortho told me that he can often see a difference in the upper lip in 12 and 24 month photos post-op.
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I also had a LF1 advancement for an underbite. My jaws are not too dissimilar to yours. I have a lat ceph at 5 months - the lip was still convex, or straight at best. I also have a lat ceph at 13 months - and the lip is finally concave. No, it will never be like pre-op, and I still don't like it, but it's much better at 13 months vs 5 months. You may be happy in a years time. My ortho told me that he can often see a difference in the upper lip in 12 and 24 month photos post-op.
Is this only the case for LF1 or does it count for all jaw surgeries where a lot of swelling was on the upperlip?
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Yes I agree this swelling is brutal ... it's extremely frustrating not knowing whether my face looks like this or if its swelling ... From the 1 month post of point to your 5 months post op point, did your nose / upper lip shrink significantly ?
Yes very significantly and I still think it has some room to go.
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No actually functionality wise everything is great except I get this weird clicking in the left side of my upper jaw and also vibrations when I laugh. And I do agree overcorrection is WAY worse than my original problem... sigh I'll wait it out and see if it gets better...
it's overloaded TM joint. You may get TMJ disorder soon. Be aware.
Do some relaxations of the muscles there. You are under stress now so it can give you more risk
i don't believe that no muscle is irritated after such surgery...when at least one muscle connected with jaw doesn't work perfectly, the joint is overloaded
Ask your surgeon about the issue, to be sure he expected that and what if it's not gonna go away... a plan to avoid complications
PS upper jaw = maxillary bone. There is no upper and lower jaw ;) There is jaw and maxilla
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i think your results are very nice
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you look gorgeous!!!
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OMG.. My cheek (i.e the difference between pre and post) is quite similiar to yours at the pictures u gave on first post. Except that mine is much worse. And I'm already at alarmingly 7 weeks (49 days). :(
I have no symptoms but i look... like squirrel.
Hope mine is sort out miraculously.
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OMG.. My cheek (i.e the difference between pre and post) is quite similiar to yours at the pictures u gave on first post. Except that mine is much worse. And I'm already at alarmingly 7 weeks (49 days). :(
I have no symptoms but i look... like squirrel.
Hope mine is sort out miraculously.
Hey I am about 8 weeks post op now and I can totally relate to what your feeling, I'm still super unhappy with my results so far but I guess we just need to wait out the 6 months before we start freaking out !!
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i'm after 2 months and I know I have overcorrection... I'm really annoyed
and it's not only about aesthetic .. due to this my joints are extremely overloaded. I have already partially damaged.
My dentists says 2 max 4 weeks and kaput - irreverible damage occour
I try to to get help from my surgeon to correct this as soon as possible
f... the look, my joints are more important
Stay strong.. have u consulted with ur surgeon and look for 2nd opinion? Hope everything turns out wel
Hey I am about 8 weeks post op now and I can totally relate to what your feeling, I'm still super unhappy with my results so far but I guess we just need to wait out the 6 months before we start freaking out !!
I can relate to ur emotion and tbh, I am quite relieved that there is someone out there who can understand my feeling. Lots of people seems to think such problem is trivial and only in our mind. But tbh, it is NOT!
And 6 month sounds really too long to me :(. But I guess it's much better than permanent damage to our face :(
Btw hang in on there! Let's do our best together!
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Hate to be a party-pooper. If you don't like the way you look 4 weeks after surgery, you never will. The whole "wait till the swelling comes down" is just a diversion used by doctors. At 8 weeks 90% of the swelling should be gone.
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I think you are pretty, in the last pics without the starting swelling, the profile is coming to be prettier :D , girl, seems like it is going better and better isn't it? :)
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Hate to be a party-pooper. If you don't like the way you look 4 weeks after surgery, you never will. The whole "wait till the swelling comes down" is just a diversion used by doctors. At 8 weeks 90% of the swelling should be gone.
This is a harsh generalization; everyone heals differently. I looked like a monster up until recently when the swelling finally started to subside significantly.
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This is a harsh generalization; everyone heals differently. I looked like a monster up until recently when the swelling finally started to subside significantly.
Your swelling was caused by ha. 99% of jaw surgery patients don't get ha.
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Your swelling was caused by ha. 99% of jaw surgery patients don't get ha.
what is ha? how do we know we have ha or not
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3 weeks vs 8 weeks post op
Swelling has come down a lot during my 3 weeks to 8 weeks post op points, hopefully my face settles a bit more.
I pretty much have no more numbness in my face and lips, however I am concerned about my speech, currently I sound like I have a retainer in my mouth / I sound like I have a lisp still? and I also have no sensation in my upper gums.
***To anyone who has had the surgery is this normal for the 8 weeks point ? ***
I'm just curious because I've seen others' jaw surgery experiences and they seem to sound normal and look pretty normal around the 8 week point.
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3 weeks vs 8 weeks post op
Swelling has come down a lot during my 3 weeks to 8 weeks post op points, hopefully my face settles a bit more.
I pretty much have no more numbness in my face and lips, however I am concerned about my speech, currently I sound like I have a retainer in my mouth / I sound like I have a lisp still? and I also have no sensation in my upper gums.
***To anyone who has had the surgery is this normal for the 8 weeks point ? ***
I'm just curious because I've seen others' jaw surgery experiences and they seem to sound normal and look pretty normal around the 8 week point.
you look great right now. I'm nearly 4 months post op and I still have numbness on my upper gums and imo I still got abit of swelling on my upper lip
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every surgeon tells me "go to your surgeon". F...
but I see myself that it's something wrong
overloaded joints - mild pain as far, but it will be worse
still deviated jaw... masseter muscle can;t adjust... too big change from the original bone position
today i found out that there is no union on my zygmatic arch.. when i push the bone i hear grinding...
It's 2 months since surgery.... not good
I gave my surgeon all observations in PDF... to help him in proper diagnosis
Surgeon gave me next consultation on 28.02.
i asked him 3 times about earlier new date and no response. I begged... nothing
it looks like he was sued many times. That's why he does not respond on mails. I do not know any reason to not write anything for a patient who is worried
I called secretary today. She told me he should answer me today, and nothing :/
i obiously need correction until the bone union on the rest part will be too strong
What surgeon did your operation? and what did you have done?
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I am in the same condition i hate my profile alot my face has gone small and round which i dont like. My bottom jaw line looks like it swillen or something, it makes me look fat. When i had jaw surgery back in july 2015. Can anyone tell me a surggeon in england who would do the reversal please.
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Hate to be a party-pooper. If you don't like the way you look 4 weeks after surgery, you never will. The whole "wait till the swelling comes down" is just a diversion used by doctors. At 8 weeks 90% of the swelling should be gone.
True. But i would say 6-8 weeks on average. This whole 'you should wait at least 3 months' is definately not true. Not only based on my experiece, but other people's experiece as well. If 80 percent of swelling is gone, and you don't like your face, the final 20% less swelling aren't going to change the structure of your face. That is just a matter of soft tissue details, ot really important. The moment the structure of the face is visible, and you don't like it, in the vast amount of cases, you will never like it.
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honestly little things change up to 3 months post op. little things. there were little things i didn't like that did change for the better, but f**ked up things that stayed. but if you're full on chimp freak there are things that can be done. share a pic. don't be a b*tch.
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You guys are posting on a thread that was made over two years ago by a person that was last online in 2016. Come on, bruh. ???
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honestly little things change up to 3 months post op. little things. there were little things i didn't like that did change for the better, but f**ked up things that stayed. but if you're full on chimp freak there are things that can be done. share a pic. don't be a b*tch.
I do not disagree with that. Little things. Small details. Definition. What do you mean with there are things that can be done.
I do not believe surgeons are psychopaths. I think most of them want to make someone better looking and give him or her a good feeling (and avoid revisions and even court cases). But they miscalculate alot of times. Overcorrection happens alot of times. Also, it's just very difficult to make someone better looking. You take a look at Hollywood actors and even 90 percent of these actors are worse off after PS.
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3 weeks post op and my face still looks huge. Partly due to soft tissue excess, partly because of the structure. It looks like a disaster until now. Most of the swelling seems to be gone. I haven't seen changes for the last couple of days. I'm losing hope.
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Sorry to hear that man. I would give it longer though: even if you do not see it you must still have a lot of swelling. Take it easy and let go of it for a few months. I know that's difficult when you're having regrets but you'll have a better idea a few months from now.
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If you're not completely satisfied 4 weeks post op, you'll never be. Having said that, I would not rush into a revision. Chin wings have a tendency to relapse some. Wait 12 months.
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The problem with me is that i have a chin implant with sides as well. It was concluded before surgery that this would be shaved down during surgery. I already knew before surgery, that if not shaved down, in combination with the cw, it would look too big overall. Without the implant and previous surgeries, the cw wouldn't be a problem. I'm frustrated it wasn't shaved down. I understand that there is a higher chance of bone resorption if you detach the soft tissue to shave the implant, but before the surgery, the surgeon said he would 100 percent do the shaving. So, I based my decision on this information and agreement. The surgeon told me afterwards he didn't do the shaving. This should simply have been told to me beforehand, not afterwards. If beforehand, he would have told me that there is a small chance he could do the shaving and he would base his decision during the surgery, or he could only do it 3 or 6 months after the cw, I would have had complete information. I'm not buying a television or a soccerball, this is my face, i need complete information, and i think that is a reasonable expectation.
So the problem almost 4 weeks post op is not swelling. The structure is too big because of the implant (and also partially soft tissue excess). I do not need a cw revision, I only need additional shaving of the chin implant + sides. Is this possible 3 months after cw? No new bone cut is needed.
On a sidenote, i would highly recommend people to not get implants. Jaw implants have the tendency to bloat up the soft tissue, especially silicone implants don't look natural and there is easily overcorrection. With cw and genio, overcorrection often doesn't take place, cause of the smooth soft tissue that wraps around the bone. I think overcorrection with osteotomy, from what i see, often takes place with women. Women don't need big jaws and chin but more of an oval/hartshape form, and cw can in some cases make a women's jaw/jawline too wide, but this is only my opinion, maybe i'm wrong.
If you do need an implant though, i would recommend to be conservative in the amount of width, or probably use medpor which looks less unnatural. But overall, implants caused me alot of problems aestethically, although i have to admit that i'm partially to blame with that, cause i revised it three times, while i should have accepted the second revision, which didn't look completely natural, but was within the range of something acceptable, looking back. With the third implant revision, the bloated face and extreme overcorrection was back. The only advantage silicone implants have is that you can take them out, although with me it caused the masseters to retract, causing a slight masseter bulge.
So overall, if i didn't have the chin implant with sides (i had wrap around before, but they took out jaw implant part), the cw would look ok. Now, it's not ok, not natural and lean. I hope by correcting the chin implant, a natural harmony comes back. Taking out the implant completely will probably cause sagging soft tissue and witch chin, so that's mnot an option.