jawsurgeryforums.com
General Category => Functional Surgery Questions => Topic started by: ITALIA on April 28, 2018, 12:27:56 PM
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Has any one had conflicting views from surgeons?
I've had consultations with Dr DF and Dr Alfaro..
Dr DF wants me to have a bimax / bsso with downgrafting - He says my face is too squashed with one side longer and lower than the other side. Also he says he wants to correct canting and asymmetry. I've seen him in London and Belgium.
I met Dr Alfaro last week in Barcelona. He doesn't believe I need anything doing. I told him I thought my face was too short and round with one side lower than the other. He was very clear that I didn't need anything and that I shouldn't allow anything to be done - He said my surgeon did a good job.
To say I was surprised was an understatement. I didn't push him because I didn't see the point but I wanted to ask if anyone has had a familiar experience and what should I do.
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Has any one had conflicting views from surgeons?
I've had consultations with Dr DF and Dr Alfaro..
Dr DF wants me to have a bimax / bsso with downgrafting - He says my face is too squashed with one side longer and lower than the other side. Also he says he wants to correct canting and asymmetry. I've seen him in London and Belgium.
I met Dr Alfaro last week in Barcelona. He doesn't believe I need anything doing. I told him I thought my face was too short and round with one side lower than the other. He was very clear that I didn't need anything and that I shouldn't allow anything to be done - He said my surgeon did a good job.
To say I was surprised was an understatement. I didn't push him because I didn't see the point but I wanted to ask if anyone has had a familiar experience and what should I do.
ALL THE TIME. MOST WILL RECOMMEND ONLY WHAT THEY KNOW HOW TO DO AND DISSUADE YOU FROM THE REST. THAT'S WHY ITS SO IMPORTANT TO PICK AND CHOOSE.
I believe I've seen your face and I'm with Alfara by far on this one. You don't need anything. You've have severe BDD.
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Has any one had conflicting views from surgeons?
I've had consultations with Dr DF and Dr Alfaro..
Dr DF wants me to have a bimax / bsso with downgrafting - He says my face is too squashed with one side longer and lower than the other side. Also he says he wants to correct canting and asymmetry. I've seen him in London and Belgium.
I met Dr Alfaro last week in Barcelona. He doesn't believe I need anything doing. I told him I thought my face was too short and round with one side lower than the other. He was very clear that I didn't need anything and that I shouldn't allow anything to be done - He said my surgeon did a good job.
To say I was surprised was an understatement. I didn't push him because I didn't see the point but I wanted to ask if anyone has had a familiar experience and what should I do.
I bet you have good bone balance in a ceph. Short and round is usually from soft tissue thickness.
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Jaw surgery is not an exact science, so you might get a different opinion from every surgeon that you see. In this case, I'd trust Alfaro more since Defrancq is old, outdated, and sucks. If you want a third opinion, consider Raffaini.
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I'd also be inclined to put more credence in what Alfaro said and would agree that he has more advanced techniques than does DeFrancq. Also the fact that he's not looking for 'employment opportunities' in the OP's face is a good sign.
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You'll always get conflicting opinions from professionals.
Unrelated procedure but I almost had Lasik in my early 20s after seeing only one surgeon who tried selling me on the procedure. I thought it wise to consult other surgeons before committing and the other two mentioned I had abnormally thin corneas and turned me down. Needless to say I didn't undergo it.
If one of them is telling you that you look fine, I'd take their word for it.
I've spoken to several surgeons in my area and they've all advised I not go down the route of jaw surgery and said I could get a genioplasty if my profile really bothers me. I'm seeing Gunson later this year just so he can humor me with some robust surgical plan.
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Surgery has so many different specializations, and within each specialization are separate sub niches which cater to different markets. A human surgeon simply can not be an expert in all of them. As a result, they will provide experience from their specialization, which will always vary widely.
It boils down to: Alfaro is a specialist in minimally invasive, cosmetic and functional corrections. He does loads of these surgeries. If he says you don't need surgery, I'm confident you don't need surgery.
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Alfaro is not a conservative surgeon. He is more than happy to operate where others wouldn't. If he says you don't need surgery, I'd listen to him.
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I bet you have good bone balance in a ceph. Short and round is usually from soft tissue thickness.
This is true regarding tissue thickness, but wouldn't lengthening the mid face negate some of this by the fact your creating more space?
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This is true regarding tissue thickness, but wouldn't lengthening the mid face negate some of this by the fact your creating more space?
Not if your tissue isn't actually crowded due to a short bone structure. The soft tissue would remain THICK.
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Both of their aesthetics can be really off sometimes. DF veers between recommending aggressive solutions when they're not needed, and minimal solutions when aggressive ones are needed. Alfaro's results can be overdone or neglect essential parts. He also seems to focus on the overbite/underbite market more than the downgrafting one, whereas that's DF's speciality.
The truth lies somewhere in between. You are very handsome with a very slightly short midface. Thus not "perfect" but still better looking than 90%>.
The real question is, how much does it eat away at you and are you absolutely dead set on doing this?
You're not the first handsome guy who's used jaw surgery to tweak their looks but the stakes are high when you aren't unattractive.
I would see a third doctor, perhaps someone who will be open to a more simple downgraft without adding on unneeded extras. Then at least you can make an informed decision. Raffaini might be your man as he offered similar to an attractive young woman here.
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Both of their aesthetics can be really off sometimes. DF veers between recommending aggressive solutions when they're not needed, and minimal solutions when aggressive ones are needed. Alfaro's results can be overdone or neglect essential parts. He also seems to focus on the overbite/underbite market more than the downgrafting one, whereas that's DF's speciality.
The truth lies somewhere in between. You are very handsome with a very slightly short midface. Thus not "perfect" but still better looking than 90%>.
The real question is, how much does it eat away at you and are you absolutely dead set on doing this?
You're not the first handsome guy who's used jaw surgery to tweak their looks but the stakes are high when you aren't unattractive.
I would see a third doctor, perhaps someone who will be open to a more simple downgraft without adding on unneeded extras. Then at least you can make an informed decision. Raffaini might be your man as he offered similar to an attractive young woman here.
Excellent post.
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Both of their aesthetics can be really off sometimes. DF veers between recommending aggressive solutions when they're not needed, and minimal solutions when aggressive ones are needed. Alfaro's results can be overdone or neglect essential parts. He also seems to focus on the overbite/underbite market more than the downgrafting one, whereas that's DF's speciality.
The truth lies somewhere in between. You are very handsome with a very slightly short midface. Thus not "perfect" but still better looking than 90%>.
The real question is, how much does it eat away at you and are you absolutely dead set on doing this?
You're not the first handsome guy who's used jaw surgery to tweak their looks but the stakes are high when you aren't unattractive.
I would see a third doctor, perhaps someone who will be open to a more simple downgraft without adding on unneeded extras. Then at least you can make an informed decision. Raffaini might be your man as he offered similar to an attractive young woman here.
You need to seriously understand that jaw surgery is a very traumatic experience physically. You will almost definitely have a highly altered sensation in your face that does not go away as well as compromised speaking, tongue, even taste can be permanently affected. It is what is is: breaking both jaw bones and cutting through nerves and flesh to change things. I am two years post-op and the lip nerves feeling dead on one side is truly an awful feeling. It can lead to futher mental illness and you're already someone who suffers from servere BDD.
How's your love life by the way? Has it changed much since your days on Miss J's forums? Did the procedures help you in that sphere at all? Or do you think the 2 mm off your left mandible or some s**t is still holding you back?
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Both of their aesthetics can be really off sometimes. DF veers between recommending aggressive solutions when they're not needed, and minimal solutions when aggressive ones are needed. Alfaro's results can be overdone or neglect essential parts. He also seems to focus on the overbite/underbite market more than the downgrafting one, whereas that's DF's speciality.
The truth lies somewhere in between. You are very handsome with a very slightly short midface. Thus not "perfect" but still better looking than 90%>.
The real question is, how much does it eat away at you and are you absolutely dead set on doing this?
You're not the first handsome guy who's used jaw surgery to tweak their looks but the stakes are high when you aren't unattractive.
I would see a third doctor, perhaps someone who will be open to a more simple downgraft without adding on unneeded extras. Then at least you can make an informed decision. Raffaini might be your man as he offered similar to an attractive young woman here.
I'm guessing you've seen my photos from the other board - Those results have definitely deteriorated.
Any way...for me I have no choice but to improve my face....its about survival for me...People treated me like crap before. I was invisible, you can see it in their faces. I can tell you its not a nice feeling, especially from girls, when all you've done is look at them for more than a second.
Surgery improved things and also my career as well. So I need to make sure I get the right advice and work
I give off a weird vibe and I need to change that.
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You need to seriously understand that jaw surgery is a very traumatic experience physically. You will almost definitely have a highly altered sensation in your face that does not go away as well as compromised speaking, tongue, even taste can be permanently affected. It is what is is: breaking both jaw bones and cutting through nerves and flesh to change things. I am two years post-op and the lip nerves feeling dead on one side is truly an awful feeling. It can lead to futher mental illness and you're already someone who suffers from servere BDD.
How's your love life by the way? Has it changed much since your days on Miss J's forums? Did the procedures help you in that sphere at all? Or do you think the 2 mm off your left mandible or some s**t is still holding you back?
I've had two genios so I understand about the changes to the face. I'm not going to jump into anything like this without being certain it would make a noticeable difference.
Love life - After my second surgery I had a honey moon period where things definitely improved but I don't bother anymore, its not not meant to be for some people. This is now more about my own sanity and career
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Both of their aesthetics can be really off sometimes. DF veers between recommending aggressive solutions when they're not needed, and minimal solutions when aggressive ones are needed. Alfaro's results can be overdone or neglect essential parts. He also seems to focus on the overbite/underbite market more than the downgrafting one, whereas that's DF's speciality.
The truth lies somewhere in between. You are very handsome with a very slightly short midface. Thus not "perfect" but still better looking than 90%>.
The real question is, how much does it eat away at you and are you absolutely dead set on doing this?
You're not the first handsome guy who's used jaw surgery to tweak their looks but the stakes are high when you aren't unattractive.
I would see a third doctor, perhaps someone who will be open to a more simple downgraft without adding on unneeded extras. Then at least you can make an informed decision. Raffaini might be your man as he offered similar to an attractive young woman here.
Thanks for saying, but I'm definitely not handsome - People who see me would laugh
'm seening my own surgeon in the next few wks so I'll see what he suggests.
I have looked into Raffaini, so I'll probably see him for an opinion.
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IDK what you look like, but I can't imagine you like hideous or deformed as another forum member on here claims to be.
BTW did you have any of your genio surgeries in the states?
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IDK what you look like, but I can't imagine you like hideous or deformed as another forum member on here claims to be.
BTW did you have any of your genio surgeries in the states?
I had all my surgeries in the U.S
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I had all my surgeries in the U.S
Were any of them done in California by chance? I've been looking into one myself, but are undecided yet.
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Thanks for saying, but I'm definitely not handsome - People who see me would laugh
'm seening my own surgeon in the next few wks so I'll see what he suggests.
I have looked into Raffaini, so I'll probably see him for an opinion.
I have to ask. Do you have laddish friends who "rib" you about your appearance? Do you frequent bars where the girls are stuck up? Are you working in some kind of Boiler Room type job where everyone insults each other as a matter of course?
What you say vs. how you look has me scratching my head. I can only guess that this could be a product of the culture where you live and work, the people you hang around with and the places you go. It's like a malignant form of negativity that has developed over a long period of time.
It also sounds like you're a suicide risk. Lazlo raised a relevant point about the possibility of any functional issues being the final straw. I understand if you are driven to do this (to be "happy") but I detected a great deal of sadness in what you wrote so I'm really not sure what to suggest.
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Were any of them done in California by chance? I've been looking into one myself, but are undecided yet.
I had my surgeries in Cleveland.
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I have to ask. Do you have laddish friends who "rib" you about your appearance? Do you frequent bars where the girls are stuck up? Are you working in some kind of Boiler Room type job where everyone insults each other as a matter of course?
What you say vs. how you look has me scratching my head. I can only guess that this could be a product of the culture where you live and work, the people you hang around with and the places you go. It's like a malignant form of negativity that has developed over a long period of time.
It also sounds like you're a suicide risk. Lazlo raised a relevant point about the possibility of any functional issues being the final straw. I understand if you are driven to do this (to be "happy") but I detected a great deal of sadness in what you wrote so I'm really not sure what to suggest.
There is sadness to a degree but I'm used that - its my normal so to speak.
Suicide definitly not - I make above average money so it allows me to at least save and have the option of improving things. I don't really socialise so its mostly girls at my work place or who I see about in the city who act the way they do. Its just the way things are. As I said I probably give off a certain vibe.
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Last I saw you you looked like a young marlon brando with a shaved head.
i think i saw you after your initial surgeries with dr. guyron.
I have a few questions, just cause of self-interest.
Did you ever get a facel-lift? And how was thist, if so.
Also did you ever get a rhinoplasty?And if so how was that
And did you ever get any cheek augmentation?
I can't remember what procedures you had.
You're a veteran of PS and serious cranio work so you have a lot of very very valuable advice to share with us.
I'm sorry you're feeling so down. I wish I had the words to make you see otherwise. As for a weirdish vibe yeah you just gotta practice being social and s**t. You sound like a genuinely nice person.
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There is sadness to a degree but I'm used that - its my normal so to speak.
Suicide definitly not - I make above average money so it allows me to at least save and have the option of improving things. I don't really socialise so its mostly girls at my work place or who I see about in the city who act the way they do. Its just the way things are. As I said I probably give off a certain vibe.
You say definitely no suicide, as your earnings can allow you to remain in an inertia-like state and continue to entertain "options" whilst you stall...
You know, I think your biggest issue is one of conviction. You can either decide to adjust whatever you see fit and commit to that, seeing it through until the bitter end, or you can make peace with your face and challenge yourself to move forward. The options you feel you're giving yourself are in fact barriers you've constructed to protect yourself from these hangups becoming realities. Thus, you are able to avoid doing things that might affirm your fears concerning women, etc.
Unfortunately shy people can sometimes come across as unfriendly. There will literally be no other reason for colleagues, who see you every day, to look at you strangely.
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I had my surgeries in Cleveland.
Are you overall happy with your results?
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Are you overall happy with your results?
Relative to what I was it is a good improvement.
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Relative to what I was it is a good improvement.
BTW, didn't you see Dussen after you had surgery the last time? He does jaw work on occasion but not sure about downgrafting (lefort 1 definitely).
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ITALIA,
You have to keep in mind that the justification for downgrafting the upper jaw is if your upper teeth DON'T SHOW and that the justification for maxfax/bi max or the BSSO part of it is jaw RETRUSION. Basically some kind of jaw or bite IMBALANCE. It isn't a procedure aimed at people with round faces because they have THICK SOFT TISSUE if that is what you are pursuing it for.
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ITALIA,
You have to keep in mind that the justification for downgrafting the upper jaw is if your upper teeth DON'T SHOW and that the justification for maxfax/bi max or the BSSO part of it is jaw RETRUSION. Basically some kind of jaw or bite IMBALANCE. It isn't a procedure aimed at people with round faces because they have THICK SOFT TISSUE if that is what you are pursuing it for.
Dr DF said it would make the face less round. I'm not expecting the soft tissue to be thinner but if the face is longer and more balanced it would make my face look better and would be a good compromise in my eye.
The face may still have fat (mainly the result of dr g fat transfer) but my face may carry it better.
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Last I saw you you looked like a young marlon brando with a shaved head.
i think i saw you after your initial surgeries with dr. guyron.
I have a few questions, just cause of self-interest.
Did you ever get a facel-lift? And how was thist, if so.
Also did you ever get a rhinoplasty?And if so how was that
And did you ever get any cheek augmentation?
I can't remember what procedures you had.
You're a veteran of PS and serious cranio work so you have a lot of very very valuable advice to share with us.
I'm sorry you're feeling so down. I wish I had the words to make you see otherwise. As for a weirdish vibe yeah you just gotta practice being social and s**t. You sound like a genuinely nice person.
I never had a face lift - I had 4 rounds of surgery, the last 2 being just fat.
I initially had a genio, cheek impants, buccal fat removal from my right side, lateral browlift, some lipo to my jawline and neck work.
Second surgery was a second genio with burring and fat to lid cheek junction.
It was a good transformation overall but you go through honeymoon periods where things look better and on top of that you still age.
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Do you live in the US? Get another opinion from Gunson.
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Dr DF said it would make the face less round. I'm not expecting the soft tissue to be thinner but if the face is longer and more balanced it would make my face look better and would be a good compromise in my eye.
The face may still have fat (mainly the result of dr g fat transfer) but my face may carry it better.
Can you explain to me what kind of 'down graft' he's proposing for you. Posterior downgraft or over all downgraft to give MORE tooth show.
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Can you explain to me what kind of 'down graft' he's proposing for you. Posterior downgraft or over all downgraft to give MORE tooth show.
He did refer to lack of tooth show so I'm presuming anterior downgrafting as he said there would be some cw rotation.
I have pasted what he emailed me.
((The proposal is a bimax
—Lefort I canting and extrusion with some advancement. Eventually we will need a modest bone graft for this.
---Since there is a canting we need to adapt the lower jaw to it. BSSO slight advancement + canting.
PS : The canting will eliminate for a great deal the lower border asymmetry))
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He did refer to lack of tooth show so I'm presuming anterior downgrafting as he said there would be some cw rotation.
I have pasted what he emailed me.
((The proposal is a bimax
—Lefort I canting and extrusion with some advancement. Eventually we will need a modest bone graft for this.
---Since there is a canting we need to adapt the lower jaw to it. BSSO slight advancement + canting.
PS : The canting will eliminate for a great deal the lower border asymmetry))
IDK. It doesn't sound like it's going to do much for you.
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IDK. It doesn't sound like it's going to do much for you.
seriously what a waste of time. you really think this is gonna not only make you better looking but fix all your related problems too?
I'll tell you what, why don't you just pay the money you would spend on jaw surgery and hire me to teach you how to stop giving off weird vibes and talking to women.
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Your presumption tells us it is NOT posterior downgrafting but rather a type of down grafting to show more upper teeth.
I will make some assumptions here too and draw my conclusions from them. In that way, YOU will know if my assumptions are correct in order to compare them to my conclusions.
ASSUMPTIONS:
I'm assuming your major complaint was NOT lack of tooth show and that you did NOT go in there saying something like: 'When I smile, NONE of my upper teeth show'.
I'm assuming your major complaint was NOT lower border asymmetry of the mandible NOR any canting of the maxilla. Basically that the asymmetry there was NOT a major issue for you.
I'm assuming BASICALLY, that lack of upper teeth show and canting of the maxilla and also canting of the mandible were NOT your MAJOR complaints when you consulted with him.
CONCLUSIONS:
The extent of a down graft to the maxilla whether it be an entire one to the whole of it or just an anterior down graft where BOTH could be used for MORE TOOTH SHOW, can only be as much as the LACK of tooth show. So if YOU did not go in there with major complaint of lack of tooth show and HE brought THAT to your attention, this 'lack of tooth show' would be MINOR and therefore MUCH LESS than that would be needed to distribute your soft tissue so your face looked MUCH LESS round to you. So, if the lack of tooth show was INSIGNIFICANT enough for YOU not to notice it or even have it as a complaint, the amount of 'extra face space' to distribute your soft tissues so all looks SIGNIFICANTLY LESS round to you will be as INSIGNIFICANT as the lack of tooth show you never noticed.
Usually, when a doc wants to cant the maxilla, it's because it's the maxilla cant that's responsible for some canting to the mandible. So canting of JUST ONE is all that is needed. So, his canting of the maxilla does NOT auto fix any cant to the mandible and just results in his needing to ALSO cant the mandible BECAUSE he cants the maxilla and all this is just going to result in some MINOR advancement of the lowerjaw.
Hence, I would conclude this surgery was being proposed to you based on HIS objectives where he may have found some 'employment opportunities' in your face that were NOT your MAJOR CONCERNS.
Therefore, IMO, you would be getting a surgery to address HIS findings which are MINOR and this surgery would tend to do very little for you with reference to YOUR reasons for getting it.
In terms of the major differences in opinion of Alfaro and him. They both see 'BACCALA'.
Alfaro, sets you straight and the other one looks for employment opportunities for himself.
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^^^^
Your assumptions are correct up to a point. I should say I agree with some parts of what he says regarding my face being too short. Wouldn't a lack of tooth show be indicative of this?
Also, from reading an other email, he says my upper jaw is shifted to the right and lower jaw to the left which would be corrected and also one side of my face was longer than the other. My own surgeon said this and tried to mitigate it with all the surgeries.
But as I understand it you think I would be wasting my time? I hope Dr DF isn't using me as an employee opportunity, I mean who would that, especially with the type of surgery involved.
I just know I need to do something.
Anyway.. thanks for all your help.
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seriously what a waste of time. you really think this is gonna not only make you better looking but fix all your related problems too?
I'll tell you what, why don't you just pay the money you would spend on jaw surgery and hire me to teach you how to stop giving off weird vibes and talking to women.
I really don't know what to do !?
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seriously what a waste of time. you really think this is gonna not only make you better looking but fix all your related problems too?
I'll tell you what, why don't you just pay the money you would spend on jaw surgery and hire me to teach you how to stop giving off weird vibes and talking to women.
I hope life coaches, dating coaches etc. get an industry certification and become health insurance eligible some time in the next 5-10 years. I'd pay for one if they didn't cost a small fortune. Psychologists are pretty useless where practical experience is lacking. Healthy mind, healthy life, especially for the newest generation of kids who are most detached socially with all the technology distractions from face to face interaction. Kids that stay socially awkward in adulthood, not making babies because they can't form deep relationships hurts society in the long term kind of how physical ailments can kill people off before sexual maturity. Hope we don't go the route of Japan and sell toy dolls and digi-girls for companionship.
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^^^^
Your assumptions are correct up to a point. I should say I agree with some parts of what he says regarding my face being too short. Wouldn't a lack of tooth show be indicative of this?
Also, from reading an other email, he says my upper jaw is shifted to the right and lower jaw to the left which would be corrected and also one side of my face was longer than the other. My own surgeon said this and tried to mitigate it with all the surgeries.
But as I understand it you think I would be wasting my time? I hope Dr DF isn't using me as an employee opportunity, I mean who would that, especially with the type of surgery involved.
I just know I need to do something.
Anyway.. thanks for all your help.
Well, of course you agree with your face too short. lol due to the roundness. But you are not going to have as much lack of tooth show as the increase in vertical dimension that you WANT for the 'face space'. There will be a LIMIT in how much he can drop down your upper jaw for that. That's what I'm saying. I'm also saying that IF it was not YOU, yourself who went in there with a complaint of asymmetry, but rather HIM who found some, this surgery is unlikely to give you the ALL the face space you want to distribute your roundness.
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Well, of course you agree with your face too short. lol due to the roundness. But you are not going to have as much lack of tooth show as the increase in vertical dimension that you WANT for the 'face space'. There will be a LIMIT in how much he can drop down your upper jaw for that. That's what I'm saying. I'm also saying that IF it was not YOU, yourself who went in there with a complaint of asymmetry, but rather HIM who found some, this surgery is unlikely to give you the ALL the face space you want to distribute your roundness.
I see alot of asymmetry, some genetic but also down to fat transfer and cheek implants moving from Dr G.
With the maxfax I need to determine whether the pain is worth it or I may need to look at other options.
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You say definitely no suicide, as your earnings can allow you to remain in an inertia-like state and continue to entertain "options" whilst you stall...
You know, I think your biggest issue is one of conviction. You can either decide to adjust whatever you see fit and commit to that, seeing it through until the bitter end, or you can make peace with your face and challenge yourself to move forward. The options you feel you're giving yourself are in fact barriers you've constructed to protect yourself from these hangups becoming realities. Thus, you are able to avoid doing things that might affirm your fears concerning women, etc.
Unfortunately shy people can sometimes come across as unfriendly. There will literally be no other reason for colleagues, who see you every day, to look at you strangely.
I understand your point regarding ' conviction' but I don't want to rush any decision. I did that with my fat transfer. Also surgery costs a ton of money. I've spent over 30k . What ever I do next will be it.
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Both of their aesthetics can be really off sometimes. DF veers between recommending aggressive solutions when they're not needed, and minimal solutions when aggressive ones are needed. Alfaro's results can be overdone or neglect essential parts. He also seems to focus on the overbite/underbite market more than the downgrafting one, whereas that's DF's speciality.
The truth lies somewhere in between. You are very handsome with a very slightly short midface. Thus not "perfect" but still better looking than 90%>.
The real question is, how much does it eat away at you and are you absolutely dead set on doing this?
You're not the first handsome guy who's used jaw surgery to tweak their looks but the stakes are high when you aren't unattractive.
I would see a third doctor, perhaps someone who will be open to a more simple downgraft without adding on unneeded extras. Then at least you can make an informed decision. Raffaini might be your man as he offered similar to an attractive young woman here.
Does anyone know of any cases where he downgrafted? (Large enough movements to necessitate grafts)
It's also possible that he doesn't downgraft (though it's unclear where DF is proposing to do this), and therefore can't help you. Normally I think he is receptive to aesthetically-motivated patients. (You have asymmetry and canting, and he told me "models" with less asymmetry than I had have surgery with him.)
If I were you I'd consult with (an)other surgeon(s) who you know downgraft/have executed plans similar to what DF recommended. I'd be interested to hear what the other doctors say. Good luck ITALIA :)
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Do you live in the US? Get another opinion from Gunson.
I've been told you need a referral to get an appointment.
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I've been told you need a referral to get an appointment.
Yee. You need a referral from a doctor (ortho, dentist or something similar). I had an old referral letter for something and just changed the dates to something more recent since they told me it needs to be within the last 6 months. The question you have to ask yourself is what will you do if someone like him says he wont operate despite your self proclaimed "flaws'. Even with most people that post on here that have some form of recession don't look legit deformed or bad in my eyes.