jawsurgeryforums.com
General Category => Functional Surgery Questions => Topic started by: UKMaxfac on December 17, 2016, 11:30:00 PM
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Hello everyone,
I wondered if anyone has had surgery with him in Belgium?
I consulted with him yesterday in London.
He seemed ok, but what surprised me most was he says firstly I wouldn't need braces
Secondly he said there are never problems with the upper jaw in terms of numbness post op in his practice
Thirdly you can be back to eating hamburgers within a week after bimax
Also most his patients can be back to work in 2 weeks.
Also downgrafting with bone and plates is very stable, dismissed my concerns on this (relapse)
Anyway I wondered if anyone had met or had surgery with him? Thoughts?
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No one at all? Surprised by that, then again I guess everyone here is obsessed with Gunson apparently
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Hello mate,
Also consulted with him recently and was told I wont need braces prior to jaw surgery. Seemed strange to me as the proposed plan included bimax, with palate expansion (device to be fitted at time of surgery). I'm not really sure how I feel about that. Obviously skipping orthodontics would be ideal but kinda goes against the norm. Did you discus anything about cheek augmentation with him?
Very interesting... personally I'm on his side, in the sense that when i look at my bite, I just can't understand why I'd need extensive preoperative braces..
http://imgur.com/w4sH01M
On the other hand surely there is a reason most surgeons say we need ortho work before?
He mentioned that my cheekbones were 'nice', but that if we do advancement and downgraft they might look a bit flat and we could discuss some grafting at a later stage. He wants to have 3d x-rays done (at quite a large expense I might add)
Should we be very sceptical about it ?
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He mentioned that my cheekbones were 'nice', but that if we do advancement and downgraft they might look a bit flat and we could discuss some grafting at a later stage. He wants to have 3d x-rays done (at quite a large expense I might add)
Ok CCW was just saying how counter clockwise rotation with posterior downgraft would help fill in the midface. Is Defrancq contradicting that or are you not talking about a posterior downgraft?
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This forum is obsessed with ccw and Gunson.
I don't know anything about ccw all I know is CW is what I need desperately.
Defrancqs results seem good and he updates them quite often which is reassuring, just a shame no one here has taken the plunge yet
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This forum is obsessed with ccw and Gunson.
I don't know anything about ccw all I know is CW is what I need desperately.
Defrancqs results seem good and he updates them quite often which is reassuring, just a shame no one here has taken the plunge yet
Make sure you see cases just like yours. CW is much easier to do, but can lead to chimpville if overdone.
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Make sure you see cases just like yours. CW is much easier to do, but can lead to chimpville if overdone.
Is there any way to improve tooth show on person with a flat occlusal plane without doing CW? I want to avoid the chimpface at all costs and Zarrinbal suggested CW to me.
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Is there any way to improve tooth show on person with a flat occlusal plane without doing CW? I want to avoid the chimpface at all costs and Zarrinbal suggested CW to me.
If the lip is long, lip lift.
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If the lip is long, lip lift.
My philtrum is in the average range for males, somewhere between 15 and 16mm.
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I got CW with substantial downgrafting for short face syndrom, and while i got the needed vertical length, my chin fell behind my lips in profile (because of the rotation) and i now need another bsso to bring it more forward. You correct one problem just to discover other shortcomings being revealed with increased bone projection.
If your zygos are weak pre-surgery, the chimplook in various degree is almost a given with forward lefort movement. You should then also plan for some kind of midface augmentation.
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I got CW with substantial downgrafting for short face syndrom, and while i got the needed vertical length, my chin fell behind my lips in profile (because of the rotation) and i now need another bsso to bring it more forward. You correct one problem just to discover other shortcomings being revealed with increased bone projection.
If your zygos are weak pre-surgery, the chimplook in various degree is almost a given with forward lefort movement. You should then also plan for some kind of midface augmentation.
Did you have surgery with him? How much did your maxilla get moved down (that's what a downgraft is, right?) Did you need a bone graft?
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Hello everyone,
I wondered if anyone has had surgery with him in Belgium?
I consulted with him yesterday in London.
He seemed ok, but what surprised me most was he says firstly I wouldn't need braces
Secondly he said there are never problems with the upper jaw in terms of numbness post op in his practice
Thirdly you can be back to eating hamburgers within a week after bimax
Also most his patients can be back to work in 2 weeks.
Also downgrafting with bone and plates is very stable, dismissed my concerns on this (relapse)
Anyway I wondered if anyone had met or had surgery with him? Thoughts?
I'm supposed to have surgery with him soon.
He said I don't need braces either. I just had mine off last year, but I still thought I would need them to decompensate the movements my orthodontist did to mask my malocclusion. I think I need a bit of palate expansion because especially on the left side she had to flare out the top teeth/tip in the bottoms ones a bit and I'd rather have my teeth in a normal position.
With regards to the post op numbness, isn't that more of a lower jaw surgery thing? I'm not sure.
Hamburgers within a week--he didn't say that to me but yeah, I've never heard that before--don't most surgeons want you on liquids for like 4-6 weeks?
Back to work in two weeks--he actually told me I should take 3-4 weeks off but I can't; I plan on going back after 2 weeks.
Downgrafting is moving the maxilla down? That's what I'm doing--he said it could be unstable and relapse but if I do a bone graft it should be okay.
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I got CW with substantial downgrafting for short face syndrom, and while i got the needed vertical length, my chin fell behind my lips in profile (because of the rotation) and i now need another bsso to bring it more forward. You correct one problem just to discover other shortcomings being revealed with increased bone projection.
If your zygos are weak pre-surgery, the chimplook in various degree is almost a given with forward lefort movement. You should then also plan for some kind of midface augmentation.
Single jaw surgery for short face? First time I heard of this. How was your bite before and after surgery?
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I'm supposed to have surgery with him soon.
He said I don't need braces either. I just had mine off last year, but I still thought I would need them to decompensate the movements my orthodontist did to mask my malocclusion. I think I need a bit of palate expansion because especially on the left side she had to flare out the top teeth/tip in the bottoms ones a bit and I'd rather have my teeth in a normal position.
With regards to the post op numbness, isn't that more of a lower jaw surgery thing? I'm not sure.
Hamburgers within a week--he didn't say that to me but yeah, I've never heard that before--don't most surgeons want you on liquids for like 4-6 weeks?
Back to work in two weeks--he actually told me I should take 3-4 weeks off but I can't; I plan on going back after 2 weeks.
Downgrafting is moving the maxilla down? That's what I'm doing--he said it could be unstable and relapse but if I do a bone graft it should be okay.
Maybe with me he was referring to just getting a lefort 1 by itself, hence why the recovery seemed easier. Or maybe it was lost in translation slightly...
So you are going ahead without the braces?
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I got CW with substantial downgrafting for short face syndrom, and while i got the needed vertical length, my chin fell behind my lips in profile (because of the rotation) and i now need another bsso to bring it more forward. You correct one problem just to discover other shortcomings being revealed with increased bone projection...
Then it sounds like CW rotation was not indicated - you should have had an even downgraft resulting in no rotation. That or less CW rotation than occurred.
Single jaw surgery for short face? First time I heard of this. How was your bite before and after surgery?
He said another BSSO so it sounds like it was bimax with bad planning.
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Sorry if this comes across as stupid, but how can you have a relapse if you have plates in place? Doesn't this keep everything in place??
Also, money wise what are we talking about with this particular surgeon??
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Sorry if this comes across as stupid, but how can you have a relapse if you have plates in place? Doesn't this keep everything in place??
Also, money wise what are we talking about with this particular surgeon??
It seems like a sensible question to me. I have no idea why: -
1. People with good bites need braces, at all, at any point before or after surgery, you move the thing that houses the teeth, not the teeth themselves during the OP.
2. Why relapse happens if there is bone used in downgrafting combined with plates and screws.
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Bumping thread. Has anyone actually had surgery with him? I can't find any actual reviews from patients post op. I'm looking for a surgeon to do revision on jaw. if you want details about which surgeons to AVOID i can tell you more depth in private.
Was considering Dr M due to cost being cheap but after all the negative reviews can't go ahead with it. Now is a toss up between Defrancq and Raffaini.
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Bumping thread. Has anyone actually had surgery with him? I can't find any actual reviews from patients post op. I'm looking for a surgeon to do revision on jaw. if you want details about which surgeons to AVOID i can tell you more depth in private.
Was considering Dr M due to cost being cheap but after all the negative reviews can't go ahead with it. Now is a toss up between Defrancq and Raffaini.
I don't like Defrancq and here are three (http://www.facialsculptureclinic.com/en/case/jaw-surgery/open-bite/46/) examples (http://www.facialsculptureclinic.com/en/case/jaw-surgery/open-bite/172/) why (http://www.facialsculptureclinic.com/en/case/jaw-surgery/-lower-jaw-too-short-overbite-deep-bite/68/). He doesn't do CCW and uses a posterior impaction to close an open bite. This makes the OP steeper, puts more strain on the joints, doesn't fix the airway, or the face. He then does a huge ugly genio to camouflage the recession, which would be unnecessary if he did CCW. If you don't routinely do CCW when it's indicated, you're not a good surgeon in my opinion. I wouldn't have surgery with him.
I'd go with Raffaini.
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Bumping thread. Has anyone actually had surgery with him? I can't find any actual reviews from patients post op. I'm looking for a surgeon to do revision on jaw. if you want details about which surgeons to AVOID i can tell you more depth in private.
Was considering Dr M due to cost being cheap but after all the negative reviews can't go ahead with it. Now is a toss up between Defrancq and Raffaini.
I dont know really. I've heard bad things about so many surgeons nowadays it seems like Russian roulette going with any of them.
What I liked about Defrancq consultation:
- His staff were very nice and professional with a great amount of attention to detail
- I got 3d scans of my skull with simulation of the intended result post-op - it was pretty detailed and was the first proper imagery I could use to form an impression of whether getting surgery was worth it. I am very glad I did this.
- Many of his results are very subtle - which is exactly what I want. Though people have said bad things about the results, I'd say considering the amount on his website, many of them are stellar - I've compared them to other surgeons and the only other surgeon whose results ive seen which are life changing are Woolford.
- For my particular deformity, he has great results. If I had a weak chin / or just needed a bsso or whatever or had a long face, I'd probably go with someone else, but for maxillary downgrafting he seems to be good.
- He is very good at responding to emails very promptly and with good detail.
What I didn't like:
- When I met him in London it was quite unprofessional - the room wasnt available in the hotel where he consults so he had to look at my teeth etc in the hallway!
- Expensive to get the scans done etc (though this price is detracted from the final surgery cost)
- He maintains (I pushed him on this repeatedly) that there will be practically no relapse in my case and that the recovery is much shorter than all other surgeons have said to me (I don't believe him)
- His English is lacking.
So it's a mixed bag.
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How do surgeons gauge if you are at risk of relapse?
I dunno. They just tend to say maxillary downgraft is the least stable procedure, god knows why if its held in place with plates, screws and bone grafts.
He was referring to downgrafts generally, not to me specifically. A skull is a skull at the end of the day, they arent that different.
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How much of a downgraft did he recommend for you , if you do not mind sharing?
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How much of a downgraft did he recommend for you , if you do not mind sharing?
nearly 7mm in the front
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Thank you very much. I have seen some stellar downgraft results by him on males. Wish you the same.
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Thank you very much. I have seen some stellar downgraft results by him on males. Wish you the same.
thanks. Hopefully it will change my life, but thats not guaranteed by any means.