jawsurgeryforums.com
General Category => Aesthetics => Topic started by: mindwitch on September 16, 2021, 04:08:21 PM
-
I had a surgeon named jefferey jumaily do a revision sliding genioplasty/teosetomy because i didn't like how the last one i had looked on me. Instead of fixing my previous issues hes left my jaw uneven and now i have a dent on left side of chin and a depressed dot under my lips. Is any of this normal? Im four weeks post op
-
No that's not normal.
I can't even guess what that is...
-
No that's not normal.
I can't even guess what that is...
For both pictures?
-
No that's not normal.
I can't even guess what that is...
'teosetomy' is probably an osteotomy spelled wrong.
-
Do you happen to have before and after xrays and the movements performed?
-
Do you happen to have before and after xrays and the movements performed?
No i was told that since this would be my 5th ct scan in one year it may cause me cancer.
-
It looks concerning but it's possible that uneven swelling is contributing to at least some of the effect. It's hard to tell without additional pictures and x-rays. I would wait a couple of months longer for the swelling to go down and then try to assess what, if anything, has gone wrong.
-
The strangest part is that indention. When I said I have no idea what that could be, I was referring to that.
-
Similar to what I had, the chin bone wasn't line up straight when it was screwed back on(or the cut wasn't done right) and it could also be because one side of the wound didn't heal as well. Most likely the surgeon didn't do a good job here. Nice features, you deserved a good outcome. Should follow up with the surgeon for sure.
-
FWIW after my first surgery I fell asleep on my face in the recovery room immediately after surgery (they propped me too upright) and I think it pushed my chin off-center as well, causing a bit of an indent on the right side. I would get an x-ray evaluation if I were you.
-
That would seem unlikely since the screws should secure the chin by that point.
Another thing I didn't mention is that it's possible that there was pre-existing asymmetry before the surgery and after the enhancement it became more apparent. My question is, do surgeons ever shave down the bone into a specific shape before they start cutting the bone?
-
don't worry, that dent can definitely be improved with some filler and fat to shape the chin or fill the depression. Asymmetries and healing factors often produce such issues. Even my genio needs a bit of filler to look more symmetrical etc.. What I'm saying is it is not "normal" but I wouldn't worry about it too much since it can be fixed.
-
That would seem unlikely since the screws should secure the chin by that point.
Another thing I didn't mention is that it's possible that there was pre-existing asymmetry before the surgery and after the enhancement it became more apparent. My question is, do surgeons ever shave down the bone into a specific shape before they start cutting the bone?
Gunson suggested bone shaving for my chin in my revision but I declined because I’d rather achieve symmetry via genio revision or not at all. So in short, yes I believe they will sometimes shave bone for symmetry.
-
That would seem unlikely since the screws should secure the chin by that point.
Another thing I didn't mention is that it's possible that there was pre-existing asymmetry before the surgery and after the enhancement it became more apparent. My question is, do surgeons ever shave down the bone into a specific shape before they start cutting the bone?
You would think, but I had 1) severe swelling on that side 2) lost the nerve in a canine on that side 3) parasthesia on that side and 4) asymmetry due to that side
-
Similar to what I had, the chin bone wasn't line up straight when it was screwed back on(or the cut wasn't done right) and it could also be because one side of the wound didn't heal as well. Most likely the surgeon didn't do a good job here. Nice features, you deserved a good outcome. Should follow up with the surgeon for sure.
..thankyou. do u have the dent right under your lip as well or the one on my chin is what ur referring to. I noticed that my lips were seen up back to my gums crooked which is wat i think caused it
-
My guess is that the dent below the lip is probably a type of suture pucker, especially so in the following circumstance:
Incision inside the mouth to perform the genio where what was detached to do it had to be re-attached (sewn back up) but where (some of) the sewing went into (some) superficial tissue. Basically, suturing back the tissue needs to be really deep to the tissue (periosteum) directly over the bone. If the needle used to suture the periosteum back up catches on to a piece of soft tissue superficial to that, it might leave an indent.
-
My guess is that the dent below the lip is probably a type of suture pucker, especially so in the following circumstance:
Incision inside the mouth to perform the genio where what was detached to do it had to be re-attached (sewn back up) but where (some of) the sewing went into (some) superficial tissue. Basically, suturing back the tissue needs to be really deep to the tissue (periosteum) directly over the bone. If the needle used to suture the periosteum back up catches on to a piece of soft tissue superficial to that, it might leave an indent.
Thats what i believe what can i do to fix it?
-
Thats what i believe what can i do to fix it?
It might be time to cut (potential) further losses with continued revision surgery to 'fix' prior
failures and just leave it alone. That or you may refer to Reply # 11 on this string.
-
It might be time to cut (potential) further losses with continued revision surgery to 'fix' prior
failures and just leave it alone. That or you may refer to Reply # 11 on this string.
U don't think it would resolve in time on its own?
-
U don't think it would resolve in time on its own?
Can't predict whether it will or not.
-
FWIW I had a genioplasty almost 3 years ago, and when I flex my chin or smile there is a a tri-pattern shape of indents on my chin that look somewhat similar to yours. However, it's near the pogonion. These may be sutures as Kavan suggested, or some other form of soft tissue bunching/pulling. Either way I don't think it's going away.
https://imgur.com/a/NgL4tv7
-
FWIW I had a genioplasty almost 3 years ago, and when I flex my chin or smile there is a a tri-pattern shape of indents on my chin that look somewhat similar to yours. However, it's near the pogonion. These may be sutures as Kavan suggested, or some other form of soft tissue bunching/pulling. Either way I don't think it's going away.
https://imgur.com/a/NgL4tv7
And theres nothing that can be done to fix it?
-
And theres nothing that can be done to fix it?
I don't know of a solution, you would need to show a surgeon and ask them. If it's due to suture/wound healing though I don't think any solution would require a full revision.
-
I don't know of a solution, you would need to show a surgeon and ask them. If it's due to suture/wound healing though I don't think any solution would require a full revision.
Would it be a maxillofacial surgeon or a regular plastic surgeon i should seek out?