jawsurgeryforums.com
General Category => Aesthetics => Topic started by: lamb on August 08, 2017, 02:06:44 PM
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Hi! I am new to the forum from Canada. I'm a bit older than most people here it seems. I never knew I had a mostly recessive bone structure until more recently (internet wasn't around growing up). I always knew that I didn't look as good as others but was hard to pinpoint why. My face was not one of those glaring jaw deformities and dentist or ortho never really suggested it. i did have braces as a teen for my goal of straight teeth. i had a class II malocclusion, and premolar extractions. i mostly focused on my nose which was bulbous. I ended up with an awful primary rhinoplasty which has taken me an additional 3 to get it looking normal. I also have had a sliding genio and upper lip lift. I went to a really good plastic and craniofacial surgeon in the states, so I don't have step offs and it looks natural and made a nice change. The addition of more bone support made me want to pursue more surgery. I should have had the full bimax at an earlier age but feel i am too old for it and its a big surgery. I have flat cheekbones and infraorbital rims and am interested in a zymgomatc/malar osteotomy. i would be happy with a conservative amount of forward movement. I need more anterior support. I'm looking for doctors who perform this. I am willing to travel to the States. So far the only ones I have heard about are in Europe? Do you have any recommendations? Thank you kindly.
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The search function should tell you all you need to know, these topics have been covered over and over again.
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OK thanks, I have done some reading here, just wanted to introduce myself. It seems the zygomatic osteotomy is still kinda rare in USA and not done in my country at all!
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How old are you?
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Hi GJ, 37.
I don't really have any functional issues. Would just like to get some more bony support of the cheekbones/rims. just a modest improvement would be fine with me. I don't like the idea of implants and I am glad I didn't get a chin implant.
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Hi GJ, 37.
You're fine with age. People get the surgery late 50s. It's more about health than age.
Of course risks go up with age, but if you're healthy you should be okay.
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A ZO is probably one of the least impressive surgeries. It will give you a little lateral projection and that's it. Filler does more.
BTW, where are you from?
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Hi Plosko Im from Toronto Canada
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A ZO is probably one of the least impressive surgeries. It will give you a little lateral projection and that's it. Filler does more.
BTW, where are you from?
I'm not disputing this, but i think i've seen some good results. I don't really know though, have you seen afters Plosko?
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Well a zso's potency depends on your starting point. Ofc this is true for many procedures.
But imo its a good procedure. It will give decent lateral prominence . You could also get a "modified zso" with iliac crest grafts as onlay. That will give you anterior projection too. I guess the only caveats would be placement and the graft is subject to resorbtion. But yeah even if like 50 - 70 % stays and you have also gained 5 mms laterally it could leave an abiding and noticeable augment.
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Crikey! Hip grafts would take it too far for me.
I would be happy with modest improvement. it would be a lot better than what i have now. i just spoke to my plastic surgeon who is also craniofacial surgeon. he doesn't do it, says it would be a big surgery requiring hospital stay, but from what i read its not that bad.