jawsurgeryforums.com
General Category => Functional Surgery Questions => Topic started by: Ben30 on July 17, 2015, 07:25:41 PM
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Here is a picture of me smiling, please what is your opinion on the position of my upper jaw?
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Thanks for that 27f
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I agree with the above, you would benefit from a CCW LeFort I advancement. Your upper maxilla and lower jaw look good already.
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27f those are pretty large movements your morph shows, what do you expect would happen to my nose..could it become pig like up turned?
charles you say my upper maxilla and lower jaw look good already perhaps bicuspids extractions have played a part in the dished in appearance of my mouth.
Some on here know I've already had surgery to advance my upper jaw, but it was only advanced a small amount.
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27f those are pretty large movements your morph shows, what do you expect would happen to my nose..could it become pig like up turned?
charles you say my upper maxilla and lower jaw look good already perhaps bicuspids extractions have played a part in the dished in appearance of my mouth.
Some on here know I've already had surgery to advance my upper jaw, but it was only advanced a small amount.
What were you movements? Has your breathing improved? Why did you have extractions (you were a class III, not class II)? Did you manage to get a refund from the first surgeon?
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Hi movements, supposedly advanced about 2mm. Im still engaged in seeking a refund. My nose is still blocked a significant amount of time. The Latest thing im testing to resolve it is dietary fasting, ill see where that takes me. I was borderline class 3, I geuss the extractions where an effort to mask this.
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The surgeon was pleased with the result, although he was sorry the planned expansion was not achieved. To me there where many problems with my treatment including 19 months of braces prior to surgery during which the orthodontist achieved no decompensation and infact only further compensated my teeth.
The surgeon has gotten some opinions from some of his colleagues they've have stated that my profile is pleasing. That any reasonable patient would be happy with the results. The maxillofacial surgery is largely subjective and so on.
I would like to get some more opinions from anyone and hopefully some surgeons who visit this site will also chime in. My simplified opinion at this stage is that my upper jaw is recessed by about 8mm.
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would you post a profile pic with a neutral expression? Smiling pulls back the soft tissue and can alter the appearance. On spec, i personally would not have any surgery done if this was me.
People are quick to state that you need jaw surgery because your jaw is recessed. Unless you have a problem and the source of his problem is jaw recession, then there is no reason to do anything.
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would you post a profile pic with a neutral expression? Smiling pulls back the soft tissue and can alter the appearance. On spec, i personally would not have any surgery done if this was me.
People are quick to state that you need jaw surgery because your jaw is recessed. Unless you have a problem and the source of his problem is jaw recession, then there is no reason to do anything.
He still has breathing problems. Actually both jaws are advanced in class iii cases more often than one would think. A reduction genio would also be required then.
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If my overbite was reduced and the left side of my jaw was uprighted my bite would likely be ok. Having a 4mm overbite with little over jet is not working for me nor is the open bite on the left side due to the complication encountered during expansion. Then there is the breathing which is a huge deal for me and the unsightly recessed look of my mouth also not ideal.
How are surgeon to fix an abnormality if it isn't known what one is?
it has been said my lower teeth are compensated to mask the class 3. it's my understanding if this isn't unmasked before fixing the top jaw position then my upper jaw is still not positioned correctly.
Thanks for the comments so far everyone they are all appreciated. I have a hearing in 6 weeks so this all helps to get my head straight and plan the best way forward
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Here's a normal profile shot
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You look normal in your relaxed profile pic to me.
In your smiling pic, your jaws look ever so slightly recessed to me.
I'd say your jaws are similar to mine. Orthos have NOT suggested surgery for me, saying that my case is too mild to warrant major jaw surgery. (My jaws are slightly recessed I think)
I also have retroclined teeth and an overbite which I think makes it look even worse.
Also, I actually think you look better in your original smiling pic than you do in the 'morphs'.
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But he has breathing issues due to extractions... he needs revision.
Not sure his nasal issue will be corrected with advancement. Also, his breathing issues might have nothing to do with his extractions. It's a minor point, but it's generally best not to state suspicions as fact.
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Q: "how am I stating 'suspicions as facts'?"
A: "He has breathing issues due to extractions"
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Yeah and also he most likely does have breathing issues due to extractions.
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BEN you look normal!
IANAD, but you may be misled by the chin. You can have a big projecting chin and recessed jaws.
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IANAD, but you may be misled by the chin. You can have a big projecting chin and recessed jaws.
I think the dentist who did my extractions and braces as a teen somewhat created my chin. One of the few things i remember him saying at the end of treatment when he was summing up was: "you've got a nice masculine chin now"
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27F, if you want to maintain any form of respect from others, then re-read your post and remind yourself that is one way not to do it.
I'm simply referring to his nasal breathing issues. First, they might not be related to the extractions at all. Many people have nasal congestion, just like many have had extractions. Second, advancement alone does not guarantee there will be any form of improvement to this (may I remind you this was listed as his only functional issue). Seeing a picture and saying he "has to have surgery" is dramatic.
If you take this kind of black and white aggressive approach in a consultation with a surgeon, then good luck to you. Nobody wants to work with a know-it-all patient.
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Dentures go over the gum, so that's why her lips looks better supported in the after pic.
I don't think moving someones teeth really effects the look of the lips much since it's the gum/jaw that protrudes the most, with the teeth sitting underneath.
You'd need to move the jaw forward.
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Dentures go over the gum, so that's why her lips looks better supported in the after pic.
I don't think moving someones teeth really effects the look of the lips much since it's the gum/jaw that protrudes the most, with the teeth sitting underneath.
You'd need to move the jaw forward.
The teeth definitely affect how the lips look. The surgeon that botched my surgery tried to explain my weak upper lip that I was left with by saying that the apperance of the lips depends on how much the teeth flare etc. That's not to say that the upper jaw doesn't need to come forward though.
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As a kid my orthod didn't expand my palate he just shifted everything as far back as he could to mask my overbite. Now i have a narrow palate, wide 14 year old molars which prove the braces kept the rest of my palate narrow, a constant stuffy nose and sleep apnea.
You thought about a SARPE procedure as a possible treatment option? It's been discussed before but in such a case it's likely best to avoid touching the turbinates and focus on improving the room for them via surgical expansion. The sleep apnea is more tricky as it's more common in class II individuals because of the recessed lower jaw, but can definitely be exacerbated by increased nasal airway resistance.
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Dammit i just wrote a massive reply explaining things in great detail painfully on my cellphone and lost the whole thing. 4th time this has happened now. Grrrr
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You thought about a SARPE procedure as a possible treatment option? It's been discussed before but in such a case it's likely best to avoid touching the turbinates and focus on improving the room for them via surgical expansion. The sleep apnea is more tricky as it's more common in class II individuals because of the recessed lower jaw, but can definitely be exacerbated by increased nasal airway resistance.
hey yes i have considered sarpe, i would have had it in the first operation but i was instead advised to have single stage surgery with a multi piece leforte.
Removing turbinate tissue yes i don't consider it as an option it just doesn't make sense to me.
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I don't have sleep apnea just an intermittent stuffed nose which sounds minor but has nearly driven me to suicide when it was blocked solid for 6 months once in the past. For now it just comes and goes as it pleases. Ive been trying anything i can think of to resolve it.
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Also i just wanted to say my bite is distressing. It doesn't seem apparent to orthos and surgeons ive seen but who new a 4mm overbite with tiny over jet at least in my case just doesn't work.
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A surgeon in my country talked about transverse maxillary distraction, i went to see him had a full consultation got all the records ct scan and talked to him at which point he didn't seem to know what distraction osteogenisis was. It's all been a bit disapointing. I have to find the right surgeon somehow. I've thought about just getting a straight simple advancement of the upper jaw followed by decompensating The lower teeth to suit.
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Why technically did the surgeon say the planned expansion was not achieved?
Opinions from colleagues: I think they call this "circling the wagons."
27F I like your direct-style input.
Hello the buccal tubbing on molars became entangled causing incomplete expansion and the left side of my jaw to become canted inwards. As obvious to me as this was they would not acknowledge it.
I was as a courtesy he said offered an rpe device at 2.5 month post op. No sorry it was offered by him as a sign of good faith. While surgeon was initially unconcerned by the botched expansion my persistence prevalled. Although ultimately i rejected the intervention and ened treatment at 3 months post. I feel had many strong reasons for ending it.
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The only thing that is certain is that daily Afrin will make things definitely worse in the long term!
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Empty nose syndrome scares the s**t out if me. Never let surgeons remove or f**k with your turbinates.
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they trim them mofo, but don't get them fully removed fo sho.