jawsurgeryforums.com
General Category => Functional Surgery Questions => Topic started by: Annaorrr on May 17, 2015, 04:01:31 PM
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Hey all:) I went through double jaw surgery in 2011 and I have recently made a blog to give people information about my surgery and advice. Please check it out at : http://banana2764.wix.com/jaw-breakker
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Thanks!! Yes from Scotland and super happy with the results. Has surgery in 2011 but its still a big part of my life. Are you having surgery?
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Now that's a truly life changing result, you must be thrilled, Anna!
Do you know what movements were done?
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Thank you:) and yes!! definitely life changing! I might get this wrong however, I had my upper arch widened, my lower jaw moved back and i also had bone taken from my hip to enhance my cheek bones x
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Thank you:) and yes!! definitely life changing! I might get this wrong however, I had my upper arch widened, my lower jaw moved back and i also had bone taken from my hip to enhance my cheek bones x
Was the bone from the hip used to lower your upper jaw so that you show more teeth?
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They used your hip bone to augment your cheekbones... In Scottland!? Was this private or on NHS?
You look great now congratulations.
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Sorry I am still trying to get a hang of this sight and amen't sure how to directly reply to people. I do not have photos. However, on my blog I have uploaded videos where I show my profiles. And.. yeh bone from the hip:/. It was put into my cheeks as I had a sunken face but didn't change my bite at all. It was just another procedure they did to fix my overall profile. Anna x
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and yes it was done through the NHS! :D
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Sorry I am still trying to get a hang of this sight and amen't sure how to directly reply to people. I do not have photos. However, on my blog I have uploaded videos where I show my profiles. And.. yeh bone from the hip:/. It was put into my cheeks as I had a sunken face but didn't change my bite at all. It was just another procedure they did to fix my overall profile. Anna x
Great result!
Goes to show you a lot of max facs are highly trained and can do way more than the regular surgery --but it's only some who feel comfortable doing such things, so you should always ask and cite such precedences.
Now the bone from the hip, if it was done simply as an overlay --may potentially resorb over time, but in fact may not. The field of max fac is very new and different doctors have different views on this.
I'm sure your measurements will be monitored over time to check if any resorption has occurred or you should just mention it to you doc to see how things have worked out.
My hope is that this great result remains throughout your life!
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You're very lucky that the surgeon decided to address your cheekbones, most surgeons in Britain are only concerned about function, especially if it is being funded by the NHS.
It's really interesting that he used a bone graft for the cheekbones, its been over 3 years, have you noticed any resorption?
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Yes I was fortunate to get such an experienced surgeon. I have never heard of resorption before but will consider looking into it as even though I trust my surgeon I should keep an eye on everything. I haven't noticed anything myself.
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Resorption is often worse with chin implants but due to cheek muscles and tissue being less active I think resorption will not be a problem, but thanks for the pointer :)
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Resorption is often worse with chin implants but due to cheek muscles and tissue being less active I think resorption will not be a problem, but thanks for the pointer :)
actually, from my understanding, resorption occurs more where the muscles and tissue DO NOT put some pressure on the bone to grow and fill in with one's own bone. But again, each case is different. You've been like 4 years out of surgery and hopefully haven't noticed anything.
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Annaorrr is talking about the resorption of the underlying bone, in which case I believe she is right.
If someone has a silicone chin implant then when the mentalis muscle activates, it will put pressure on the implant pushing into the bone.
Me and Lazlo were talking about resorption if the implant/graft itself. Some surgeons say that bone grafts to the face will resorb to some extent and unevenly... but surely you would have noticed this if it had occurred so that's positive.
I have rib cartilage implants on my cheekbones which should become my own bone in 3 years, I don't see why it would be different with a hip bone graft. If rib cartilage can integrate and become your own bone then it stands to reason that your hip bone graft will.
Did your surgeon say anything about it becoming part of your skull bone?
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Ah ok , so very similar surgery. What was your overall procedure? Yes, my surgeon did not mention the bone in my cheeks. However, he said mention how my jaw bone would grow together as a broken bone does but I am unsure to whether it is the same if a bone is taken from a different part of the body
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did*
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Yeah this is all somewhat uncharted territory as it's hardly mainstream practice to graft bones from other parts of one's body or from cadaver bone etc. to your face.
Sinn told me that where cadaver bone for example was used to fill-in parts that had been broken and augmented, that cadaver bone would gradually turn into one's own bone. I'm not sure if it's because the cadaver bone keeps the gap open as your own bone grows to fill in and take over that osteotomized gap OR whether it's cause your own blood vessels etc. fill in to the bone as they would to a medpor implant OR whether your own bone recognizes it as bone and begins to take over it and turn it to your own bone (the last seemed to be what Sinn was suggesting).
But everyone says that overlay grafts whether your own bone or cadaver (how Sailer uses it) will eventually resorb.
But really, we have so few actual case studies for even anecdotal evidence it's hard to say.
Regardless, you have great results and I'm sure if you haven't noticed anything over 3-5 years you're probably totally in the clear!
Interesting stuff.
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If someone has a silicone chin implant then when the mentalis muscle activates, it will put pressure on the implant pushing into the bone.
Why would a silicon implant do this but not the plate from a genio?
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Thank you and yes very interesting stuff :) I will let you know if anything changes. x
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surgeon i met with also said that chin implants cause bone resorption while cheekbone implants dont. Most likely the pressure causes the bone to recess. When its real bone the pressure probably causes it to absorb as bone. Plus rib/hib bone is different from maxillary bone.
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Why would a silicon implant do this but not the plate from a genio?
Does anyone know the answer to this?
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Does anyone know the answer to this?
Maybe because most silicon implants are not fixated with screws (are they?).
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Does anyone know the answer to this?
Bone resorption can also occur after a genioplasty.