jawsurgeryforums.com
General Category => Functional Surgery Questions => Topic started by: Vic on December 04, 2016, 06:37:27 AM
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Has anyones nose got wider after upper jaw surgery?
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yes
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Yes, marginally.
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Any of you bothering to get it fixed?
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Any of you bothering to get it fixed?
I did not have a great nose to begin with. I would probably need rhinoplasty regardless. Iow, my nose does not look worse, just different.
Did you have an alar cinch?
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I did not have a great nose to begin with. I would probably need rhinoplasty regardless. Iow, my nose does not look worse, just different.
Did you have an alar cinch?
No, didn't have that
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No, didn't have that
Are you sure? It's almost default with lf1 these days (although some surgeons liked posnick don't believe in them). How big was your advancementt?
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Are you sure? It's almost default with lf1 these days (although some surgeons liked posnick don't believe in them).
Yeah, even NHS guys do alar cinches and ANS shaving. Widening of the nose is hard to prevent and in some cases impossible. I don't think it's always bad since for example LFS patients often have a very narrow nose that can sort of look unnatural. The slight widening actually makes it look better and more natural, I find (and I guess it also improves nasal breathing?). ANS shaving helps with upturning which can look (too) feminine on men, but it can also make a dorsal hump look less pronounced (often happens with downward growth). So nasal changes aren't always bad.
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Yes, my nose is much wider. I don't mind if much in repose. In animation, it's not OK with me. I've compensated by not smiling. I will be having that addressed surgically. I find it interesting just how much my nose got wider.
The after is on the right.
(http://oi68.tinypic.com/300s6k9.jpg)
I had maxillary impaction and forward movement. I think I shall be getting a rhinoplasty.
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Are you sure? It's almost default with lf1 these days (although some surgeons liked posnick don't believe in them). How big was your advancementt?
To be fair, i actually don't know. But will ask
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To be fair, i actually don't know. But will ask
Fwiw, I heard zarrinbal is a solid rhinoplasty surgeon. Wait 6-12 months for the swelling to subside and he can do an alar resection. It's not a major surgery.
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Yea, I'm back with Dr Z in April for the side wing, so will get him to do it then
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Yes, my nose is much wider. I don't mind if much in repose. In animation, it's not OK with me. I've compensated by not smiling. I will be having that addressed surgically. I find it interesting just how much my nose got wider.
The after is on the right.
(http://oi68.tinypic.com/300s6k9.jpg)
I had maxillary impaction and forward movement. I think I shall be getting a rhinoplasty.
I see your upper lip became shorter. Did you get lip lift surgery or was it from your jaw surgery?
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Yes, my nose is much wider. I don't mind if much in repose. In animation, it's not OK with me. I've compensated by not smiling. I will be having that addressed surgically. I find it interesting just how much my nose got wider.
The after is on the right.
(http://oi68.tinypic.com/300s6k9.jpg)
I had maxillary impaction and forward movement. I think I shall be getting a rhinoplasty.
Your lips look fuller too so it matches the nose. I think the after looks better than the before and wouldn't get any surgery. I bet you can breath better through your nose too something I dream of !
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Looks like lip lift, and looks like you already had rhinoplasty too? I would not opt for an even smaller nose. Your nose already seems like it is lacking some structural support and a good strong bridge and well-contoured but not too pointy tip that can make a face masculine. I think getting too much plastic surgery as a guy aiming to make features smaller and plastic surgery on soft tissue is not necessarily a good thing: can make a guy look too feminine.
That's why I want to aim at bone work rather than soft tissue.
Yes, you are correct about the lip lift and rhinoplasty. I don't believe the rhinoplasty didn't cause the widening of the nose. In many cases, bone/structural procedures might deliver a superior result to soft tissue procedures, in my opinion. That said, I think soft tissue procedures definitely have their place.
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I see your upper lip became shorter. Did you get lip lift surgery or was it from your jaw surgery?
It was from a lip lift plus mucosal reduction. If I hadn't gotten the mucosal reduction, I think the lip lift would have further rolled out the upper lip. For increase of tooth show, mucosal reduction can play a very important role.
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It was from a lip lift plus mucosal reduction. If I hadn't gotten the mucosal reduction, I think the lip lift would have further rolled out the upper lip. For increase of tooth show, mucosal reduction can play a very important role.
I've never heard of mucosal reduction, very interesting. If I'm understanding correctly, without the mucosal reduction the upper lip would protrude and curl more outwards and look feminine? Do you mind sharing who performed your lip lift? It's one of the best I've seen.
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It was from a lip lift plus mucosal reduction. If I hadn't gotten the mucosal reduction, I think the lip lift would have further rolled out the upper lip. For increase of tooth show, mucosal reduction can play a very important role.
How long does it take to recover from a lip lift with the swelling and scarring?
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I've never heard of mucosal reduction, very interesting. If I'm understanding correctly, without the mucosal reduction the upper lip would protrude and curl more outwards and look feminine? Do you mind sharing who performed your lip lift? It's one of the best I've seen.
I PM'd you information about my surgeon, Oscar Ramirez.
My own understanding is that the mucosal reduction tended to prevent the lip from curling out and looking more feminine. Basically, this is a "lip reduction," and I think it's more often employed in people who want to debulk their lips. I think it's a good pairing with the male lip lift in particular, or for someone who's purpose is to increase tooth show.
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How long does it take to recover from a lip lift with the swelling and scarring?
I think swelling has further come down since that photo I posted. It was a number of weeks until things started looking less swollen. Honestly, it took some time for me to adjust to having a shorter upper lip. I think that within two months I was more or less OK with the remnant reduced level of swelling. I'm at the 4.5 month point now. I don't notice the scarring. It's pretty well-concealed at the base of my nose and along with the crease where the nostrils meet the cheeks.
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I think swelling has further come down since that photo I posted. It was a number of weeks until things started looking less swollen. Honestly, it took some time for me to adjust to having a shorter upper lip. I think that within two months I was more or less OK with the remnant reduced level of swelling. I'm at the 4.5 month point now. I don't notice the scarring. It's pretty well-concealed at the base of my nose and along with the crease where the nostrils meet the cheeks.
Looks good.
Do you have any lip strain? Can you fully closed your lips?
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Looks good.
Do you have any lip strain? Can you fully closed your lips?
I definitely could not close my lips at first. Now I can close them and form a seal with not much effort. My resting position is not with the lips fully closed. At rest, the central lips are about 2-3 mm open. I imagine that with further reduction in the bit of remaining tissue stiffness/swelling that that might further reduce.
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Did Oscar Ramirez do the lip lift of this bloke too?
Edit apparently yes so, and the nose he says. And he had cheek implants with Oscar Ramirez.
to be honest, I don't like the cheek implants on that guy at all and it made his face look feminine. I can't figure out why though. Are the cheekbones set too low / are lower set cheekbones feminizing? Is there not enough lateral projection relative to the horizontal projection??
BTW, I got HA filler 2 days ago (malar and paranasal area) and while I'm definitely still waiting for the swelling to go down, it made my nose significantly wider. LF1 results could appear that way therefore due to post-surgical swelling, but my feeling is it's more likely an inevitable result of making the lower midface more convex.
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Yes, my nose is much wider. I don't mind if much in repose. In animation, it's not OK with me. I've compensated by not smiling. I will be having that addressed surgically. I find it interesting just how much my nose got wider.
The after is on the right.
(http://oi68.tinypic.com/300s6k9.jpg)
I had maxillary impaction and forward movement. I think I shall be getting a rhinoplasty.
Was your breathing worse after rhino? I went from having a short fat wide nose with a masculine bridge to a narrow scooped out piece of crap with a deformed tip after my OP, i hate it SO much and wish I could back and not do it, then beat my surgeons head in. My breathing is awful and even though it was very crooked before it was atleast masculine.
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My nose widened a little bit after my surgery, I'm waiting to see if it goes down a bit more since it's still very swollen. When I had my corrective septo-rhino my Dr didn't mess with the structure of my nose at all, just straightened my septum and straightened the bridge of my nose. I did go with a brilliant ENT though... some plastic surgeons do the most awful things, particularly where men's noses are concerned :(