jawsurgeryforums.com
General Category => Functional Surgery Questions => Topic started by: C4lifornian on December 02, 2015, 12:41:30 AM
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Hi all,
First time poster here and just wanted some insight. I am planning on consulting with Dr. Schendel soon regarding jaw surgery and perhaps a genioplasty too. Due to proximity, he would be my ideal choice. I have read on here that there were issues with the orthodontist he used back when he was practicing in Pacific Palisades. He is now practicing in Palo Alto, so I would assume he has changed orthodontists.
I also read that one user said his work was "sloppy." Any reason in particular? I'm looking for the most dramatic results I can get and I know some surgeons can be too conservative with the amount of added projection. I have read on here that Arnett and Gunson are good too, but are probably too far for me. If anyone could give me some more info about Schendel, or share their experience with him outside of a consult (i.e. results wise), that would be great.
Thanks.
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Hi all,
First time poster here and just wanted some insight. I am planning on consulting with Dr. Schendel soon regarding jaw surgery and perhaps a genioplasty too. Due to proximity, he would be my ideal choice. I have read on here that there were issues with the orthodontist he used back when he was practicing in Pacific Palisades. He is now practicing in Palo Alto, so I would assume he has changed orthodontists.
I also read that one user said his work was "sloppy." Any reason in particular? I'm looking for the most dramatic results I can get and I know some surgeons can be too conservative with the amount of added projection. I have read on here that Arnett and Gunson are good too, but are probably too far for me. If anyone could give me some more info about Schendel, or share their experience with him outside of a consult (i.e. results wise), that would be great.
Thanks.
He practices both in Paolo Alto and Pacific Palisades. Or has he left the latter practice altogether?
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He practices both in Paolo Alto and Pacific Palisades. Or has he left the latter practice altogether?
I believe he has left. He has his own practice in Palo Alto (not at Stanford) for sleep apnea, general jaw surgery and plastic surgery. He's not listed as a doctor at the old place (FaceCenterLA). He seems to have been replaced by Dr. Dorfman.
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You really owe it to yourself to consult with Arnett/Gunson. Consider yourself lucky that you only live a few hours away from Santa Barbara. People fly from all over the world just to get access to these guys!
I live in LA and consulted with Schendel/Jacobsen first. However, I ended up going with Dr. Gunson and am EXTREMELY glad I did. Schendel/Jacobsen proposed a lower only whereas Dr. Gunson performed a lower+upper+genio (CCW rotation). Dr. Gunson's surgical plan ended up being the right choice (hindsight is 20/20). Check out my previous posts if you want to read more about my experience.
And if you're worried about the drive, take the train. It's pretty convenient and saves you from having to navigate the rush hour traffic. You will however have to stay there at least 1 week post-op.
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You really owe it to yourself to consult with Arnett/Gunson. Consider yourself lucky that you only live a few hours away from Santa Barbara. People fly from all over the world just to get access to these guys!
I live in LA and consulted with Schendel/Jacobsen first. However, I ended up going with Dr. Gunson and am EXTREMELY glad I did. Schendel/Jacobsen proposed a lower only whereas Dr. Gunson performed a lower+upper+genio (CCW rotation). Dr. Gunson's surgical plan ended up being the right choice (hindsight is 20/20). Check out my previous posts if you want to read more about my experience.
And if you're worried about the drive, take the train. It's pretty convenient and saves you from having to navigate the rush hour traffic. You will however have to stay there at least 1 week post-op.
Thanks for the reply. As I understand it, they work in same practice but they perform surgery independently? If so, who is better Arnett or Gunson? I see you chose Gunson, what is the general consensus?
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I would travel if I were you ;) Dr Gunson is a fine choice. There are many other good surgeons as well. Your life simply isn't worth a f**k up.
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Thanks for the reply. As I understand it, they work in same practice but they perform surgery independently? If so, who is better Arnett or Gunson? I see you chose Gunson, what is the general consensus?
Gunson currently does 3-4 surgeries per week vs. Arnett's 1 per week at best. Gunson is currently more in his prime while Arnett primarily focuses on lecturing and teaching these days. Gunson has great bedside manner and genuinely cares so I highly recommend him. Can't comment on Arnett though. Keep in mind that Arnett is a legend and is the master and not the apprentice in the Arnett-Gunson relationship. But I chose Gunson because not only have I never heard a bad outcome from any of his patients but he's more in his groove at the moment.
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if I had money...... I would go even to Mars to undergo surgery ;)
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You really owe it to yourself to consult with Arnett/Gunson. Consider yourself lucky that you only live a few hours away from Santa Barbara. People fly from all over the world just to get access to these guys!
I live in LA and consulted with Schendel/Jacobsen first. However, I ended up going with Dr. Gunson and am EXTREMELY glad I did. Schendel/Jacobsen proposed a lower only whereas Dr. Gunson performed a lower+upper+genio (CCW rotation). Dr. Gunson's surgical plan ended up being the right choice (hindsight is 20/20). Check out my previous posts if you want to read more about my experience.
And if you're worried about the drive, take the train. It's pretty convenient and saves you from having to navigate the rush hour traffic. You will however have to stay there at least 1 week post-op.
Do they do purely cosmetic work?
I'm also unsure what experience they have on working on the orbital structure and cheek/zygo area which is what I am looking for.
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I don't believe so unless there is something functionally wrong. Some of Gunson's patients have gotten genio only but only because there was some underlying cause that needed to be addressed (i.e. lip incompetence). But I also haven't heard of them doing anything that involves that area of the face. The closest I've seen them get to that is using HA paste in those areas.
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I read a study claiming the ideal age for a surgeon is 50 and Gunson is approaching that. It's a tradeoff between experience and physical ability. Discussions abound about forced retirement for surgeons at 70. I'm not an HA paste fan for various reasons but Dr Gunson has an amazing personality to work with. That being said, if you want exactly their service but not at their price, I know one other surgeon too who provides the exact same services (medication for ICR, same HA grafts, etc). I don't know how he circumvents the patent or maybe he just don't worry about it. I also know of other surgeons who provide the same level of attention and good credentials and results at substantially less cost. It's a big world with lots of options but Dr Gunson is certainly an easy choice. But like I said, I'd opt out of HA paste augmentations.
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I read a study claiming the ideal age for a surgeon is 50 and Gunson is approaching that. It's a tradeoff between experience and physical ability. Discussions abound about forced retirement for surgeons at 70. I'm not an HA paste fan for various reasons but Dr Gunson has an amazing personality to work with. That being said, if you want exactly their service but not at their price, I know one other surgeon too who provides the exact same services (medication for ICR, same HA grafts, etc). I don't know how he circumvents the patent or maybe he just don't worry about it. I also know of other surgeons who provide the same level of attention and good credentials and results at substantially less cost. It's a big world with lots of options but Dr Gunson is certainly an easy choice. But like I said, I'd opt out of HA paste augmentations.
Do you know of any Gunson quality surgeons in NYC???
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I read a study claiming the ideal age for a surgeon is 50 and Gunson is approaching that. It's a tradeoff between experience and physical ability. Discussions abound about forced retirement for surgeons at 70. I'm not an HA paste fan for various reasons but Dr Gunson has an amazing personality to work with. That being said, if you want exactly their service but not at their price, I know one other surgeon too who provides the exact same services (medication for ICR, same HA grafts, etc). I don't know how he circumvents the patent or maybe he just don't worry about it. I also know of other surgeons who provide the same level of attention and good credentials and results at substantially less cost. It's a big world with lots of options but Dr Gunson is certainly an easy choice. But like I said, I'd opt out of HA paste augmentations.
Are you against HA because of the price?
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Are you against HA because of the price?
It's an irritant. It can chip, crumble and cause a ton of swelling.
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I'm not an HA paste fan for various reasons but Dr Gunson has an amazing personality to work with. That being said, if you want exactly their service but not at their price, I know one other surgeon too who provides the exact same services (medication for ICR, same HA grafts, etc). I don't know how he circumvents the patent or maybe he just don't worry about it. I also know of other surgeons who provide the same level of attention and good credentials and results at substantially less cost. It's a big world with lots of options but Dr Gunson is certainly an easy choice. But like I said, I'd opt out of HA paste augmentations.
What is the patent about ?
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It's an irritant. It can chip, crumble and cause a ton of swelling.
@PloskoPlus doesn't reply to my messages anymore (:P) but he's absolutely right here. I hate to speak against a surgeon online, especially one that I like otherwise, but these HA augmentations are begging for trouble long term and deliver mediocre results short term. 50 years is a really, really long time to live with a foreign body people. Look around you and tell me what physical things you see that don't show substantial degredation over that time period. Removal is not an option, increasingly so as surgery becomes too risky with age. No one can predict what 30+ years is going to look like with this stuff in your face. Even that new CT-bone product is probably wrought with problems, think what happens when the underlying facial bone changes shape but the augmentation cannot because of the unchanging scaffold. What's nice about standard implants, which cause problems too, is that they can be easily removed, though usually the aesthetic result is even worse afterwards. This is the main reason that most surgeons don't do this crap. Technology hasn't advanced beyond s**tty options yet. Personally, I believe we'll get there but we need another 10-15 years. When it comes to your health, you don't want anything less than 95%+ success rates, 99%+ even for an elective procedure like this.
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@PloskoPlus doesn't reply to my messages anymore (:P) but he's absolutely right here. I hate to speak against a surgeon online, especially one that I like otherwise, but these HA augmentations are begging for trouble long term and deliver mediocre results short term. 50 years is a really, really long time to live with a foreign body people. Look around you and tell me what physical things you see that don't show substantial degredation over that time period. Removal is not an option, increasingly so as surgery becomes too risky with age. No one can predict what 30+ years is going to look like with this stuff in your face. Even that new CT-bone product is probably wrought with problems, think what happens when the underlying facial bone changes shape but the augmentation cannot because of the unchanging scaffold. What's nice about standard implants, which cause problems too, is that they can be easily removed, though usually the aesthetic result is even worse afterwards. This is the main reason that most surgeons don't do this crap. Technology hasn't advanced beyond s**tty options yet. Personally, I believe we'll get there but we need another 10-15 years. When it comes to your health, you don't want anything less than 95%+ success rates, 99%+ even for an elective procedure like this.
What are the alternatives though, apart from doing nothing?
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It's a I'd opt out of HA paste augmentations.
It's an irritant. It can chip, crumble and cause a ton of swelling.
+1
I will almost always recommend against it and I had HA paste applied successfully to give me prominent cheekbones.
But the results seem inconsistent, the costs of it can be stupid high and the abnormal swelling it sometimes causes is just f**ked up.
Now I'm 2.5 years post-op and my cheeks look good, no degradation. But I still have residual swelling one one side and still can remember the horror of my basketball sized face post-op and the months of anxiety/shame/frustration until my face looked normal enough not for ppl to know something was off.
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What are the alternatives though, apart from doing nothing?
Doing nothing is a fine alternative. Surgery changes. Wait until a product or procedure hits the market that you're comfortable with. Anything less than high 90s satisfaction rates isn't worth the risk. You want it to be routine and well studied. And, ideally, you want to wait until you can cover up some of the losses of aging. That's right, whatever you get is only going to look good for some time, as facial bones recede with age. Best case, you need more augmentation. Worst case, that s**t separates from the bone and turns into a mess of shards you can never get rid of. Good as new is hard to come by.
The main reason to consider jaw surgery is that the alternatives are often worse and overall it can improve your health despite the problems it may cause. As it happens, it is a well studied problem with high success rates now. Other than surgical risks biggest issues are with fixation problems, easily addressed later, and thinning of bone.