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General Category => Functional Surgery Questions => Topic started by: Optimistic on June 01, 2015, 10:53:39 PM

Title: What are "Cutting Guides"?
Post by: Optimistic on June 01, 2015, 10:53:39 PM
Had consult with Dr Sinn, he was able to clarify a lot of my questions and concerns. Interestingly he never referred to it as a "modified Le Fort III" or "Le Fort III", he only ever called it "infraorbital rim advancement".

When we were discussing CAS he mentioned he didn't do it for THIS TYPE OF OPERATION due to the nature of it, however I could pay extra for "cutting guides" which would "add a level of exactness" to the operation.

My question is, what are cutting guides? Where can I read more about them? Is it worth paying for do you think?
Title: Re: What are "Cutting Guides"?
Post by: PloskoPlus on June 01, 2015, 10:59:00 PM
I'll send you the paper.  In fact , I may already have.
Title: Re: What are "Cutting Guides"?
Post by: Optimistic on June 01, 2015, 11:21:49 PM
I'll send you the paper.  In fact , I may already have.

I save all papers I receive, and I couldn't see one about cutting guides. Maybe I forgot to save? Anyway, I'd appreciate that thanks!
Title: Re: What are "Cutting Guides"?
Post by: earl25 on June 02, 2015, 04:04:33 AM
from what I remember they do a practice surgery on a model then mAke tools that can duplicate those cuts during surgery and no I didn't have that in my surgery
Title: Re: What are "Cutting Guides"?
Post by: Rico on June 02, 2015, 04:32:06 AM
optimistic... any guide just give a little help for a surgeon. You nerver get 100% guarantee You will be very satisfied after surgery, but it's high probablity, and with CAS (if necessary) or other guide systems this high probablity turn into a a bit higher than high probality :P but it never reach 100% :)
The same problem I have with my surgery..CAS helps a little, but in my case I do not have to pay more.

interesting fact is most Sinn's patient (I know that from other user) regain 100% of feeling in this type of surgery. (as he claims). So I do not know how he streatchs these nerves in the way he has better results than other surgeons ;)  You have to know that cutting nerve is a surgical error, in that type of surgery the main risk is with stretchng nerves

i'm still waitng for Sinn's answer about my stupid case

Sinn is superior surgeons to other ? if he is in minority who can do LF3 (or similar) in nonsyndromic patient ?  I can't get it. I'm confused

EARL: are you very satisfied with your surgery, or just satisfied ? I'm asking because You still looking for some solutions. Why similar to LF3 procedure has not resolved your aesthetic problem with eyes ?
Title: Re: What are "Cutting Guides"?
Post by: earl25 on June 02, 2015, 05:36:24 AM
there more that goes into the bug eye look than just the lower orbital rim. I am happy but I had other issues also that have to be addrrssed
Title: Re: What are "Cutting Guides"?
Post by: Rico on June 02, 2015, 05:46:55 AM
why it could not have been "repaired" during "LF3" ?
Title: Re: What are "Cutting Guides"?
Post by: earl25 on June 02, 2015, 05:58:07 AM
because that surgery only addressed the lower orbital rim
Title: Re: What are "Cutting Guides"?
Post by: Rico on June 02, 2015, 06:02:48 AM
ah understand ... How you found Sinn ?  have you consulted some other surgeons before ?  I looked at his answer to one user from here and he seems to be very self confident

for me it is always kinda mystery: if a surgeon who talks with super confidence is really so experienced or just too optimistic / or he encourage a patient to undergo surgery

I'm just wonder what you think about your surgeon ...and your way you chose him
Title: Re: What are "Cutting Guides"?
Post by: Optimistic on June 03, 2015, 07:15:46 AM
ah understand ... How you found Sinn ?  have you consulted some other surgeons before ?  I looked at his answer to one user from here and he seems to be very self confident

for me it is always kinda mystery: if a surgeon who talks with super confidence is really so experienced or just too optimistic / or he encourage a patient to undergo surgery

I'm just wonder what you think about your surgeon ...and your way you chose him

Earl has discussed a lot of this previously on the forum. He e-mailed a tonne of surgeons asking if they would do mod. LF3 on a nonsyndromic patient. Those that said yes he consulted more with. Eventually he narrowed his choice down to Dr Sinn.
Title: Re: What are "Cutting Guides"?
Post by: Rico on June 03, 2015, 07:46:46 AM
and yes intertesing for me is how he narrowed... what was important for him
Title: Re: What are "Cutting Guides"?
Post by: healer on June 05, 2015, 09:27:12 PM
earl25, wouldn't orbital decompression solve bug eyes ?

(http://tabanmd.com/wp-content/uploads/2014/08/CosmeticOrbitalDecom_1.jpg)

(http://tabanmd.com/wp-content/uploads/2014/08/CosmeticOrbitalDecom.jpg)
Title: Re: What are "Cutting Guides"?
Post by: Rico on June 06, 2015, 02:38:01 PM
any surgeon do orbital decompression only for aesthetic reason ?  it's risky surgery. High precision necessary
Title: Re: What are "Cutting Guides"?
Post by: Apotheosis on June 06, 2015, 11:27:25 PM
Props to you for getting the ball rolling. Did he quote you a price at all?
Title: Re: What are "Cutting Guides"?
Post by: Mark505 on June 09, 2015, 10:12:31 PM
Props to you for getting the ball rolling. Did he quote you a price at all?

I noticed nobody will tell you, it's like some secret agenda. Last time I told the price quota I was given,in a exchange other patient told me his price was in a range of 0 to Infinity. Ridiculous. I won't discuss prices any-more.
Title: Re: What are "Cutting Guides"?
Post by: Optimistic on June 11, 2015, 04:53:38 AM
I noticed nobody will tell you, it's like some secret agenda. Last time I told the price quota I was given,in a exchange other patient told me his price was in a range of 0 to Infinity. Ridiculous. I won't discuss prices any-more.

Prices have been quoted by Earl in his thread. I can't get a quote until I provide CT scans.

Not sure what you mean tbh. Everyone tells me the cost on here.