jawsurgeryforums.com

General Category => Functional Surgery Questions => Topic started by: thereishope on December 20, 2016, 07:37:57 PM

Title: Chin Wing 4th January by Dr. Z. - Advice
Post by: thereishope on December 20, 2016, 07:37:57 PM
I am getting a chin wing the 4th of January and am unsure about a lot of things. Not so much about the actual surgery, more about the recovery and such. I am going to be alone in Berlin.
Do any of you who have had surgery abroad, especially in Berlin with Dr. Z, have any general advice for me?
When can you walk around outside after the surgery? (does the hip bone graft have any effect on this?)
When will I look fairly normal after the surgery?
Can I only ingest liquids after the surgery and if so for how long? Are there any foods you recommend?
Do you recommend anything for passing the time? Both at the clinic and at the hotel
How many times do you visit Dr. Zarrinbal after you have returned to your hotel from the clinic?
I would just greatly appreciate any advice that can make the experience easier for me! Thank you very much
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: boyo on December 21, 2016, 09:23:18 AM
You probably will be dead numb in the lower lip when you wake up (the mandible nerve has to be lifted in surgery) so get a box of straws you can drink with in case of. I was out of the clinic after just two days, but Z will probably want you to stay for 4 days to reduce the risk of infection. Antibiotics are about €50. A lot of swelling the first week, but it decreases fast after that. I was visiting Z each other day for check-ups. Only liquids for two weeks because chewing solid food can open/infect the incisions in the mouth. Be prepared to lose weight.
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Vic on December 21, 2016, 11:23:10 AM
I suggest you stay in the hospital for the whole of your stay, probably 2 weeks. You should start walking around as soon as you can really as it helps with the swelling. If he says you have to be on liquids, then go to the supermarket at buy some soup because the soup in the hospital is terrible but if you're just having a chin wing, then you should be able to chew normal food quite soon after surgery to be fair. I stayed in the hospital for my whole stay, so literally walked across the hallway to his office every morning for a check up. Depends on the individual but most swelling is usually gone between 4 and 6 weeks
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: thereishope on December 26, 2016, 09:28:39 AM
You probably will be dead numb in the lower lip when you wake up (the mandible nerve has to be lifted in surgery) so get a box of straws you can drink with in case of. I was out of the clinic after just two days, but Z will probably want you to stay for 4 days to reduce the risk of infection. Antibiotics are about €50. A lot of swelling the first week, but it decreases fast after that. I was visiting Z each other day for check-ups. Only liquids for two weeks because chewing solid food can open/infect the incisions in the mouth. Be prepared to lose weight.

Thank you very much. What did you discuss during the check-ups? What did you eat after you had left the hospital and were you able to buy it yourself in the supermarket or someplace similar?

I suggest you stay in the hospital for the whole of your stay, probably 2 weeks. You should start walking around as soon as you can really as it helps with the swelling. If he says you have to be on liquids, then go to the supermarket at buy some soup because the soup in the hospital is terrible but if you're just having a chin wing, then you should be able to chew normal food quite soon after surgery to be fair. I stayed in the hospital for my whole stay, so literally walked across the hallway to his office every morning for a check up. Depends on the individual but most swelling is usually gone between 4 and 6 weeks

Thank you! You dont think two weeks at the hospital is a bit overkill for a chin wing? You had both chin wing and bimax right?
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Vic on December 26, 2016, 01:23:26 PM
Thank you very much. What did you discuss during the check-ups? What did you eat after you had left the hospital and were you able to buy it yourself in the supermarket or someplace similar?

Thank you! You dont think two weeks at the hospital is a bit overkill for a chin wing? You had both chin wing and bimax right?

You'll probably just need a week, but ask Dr Z. But I'm saying stay in the hospital for your stay instead of getting a hotel room by yourself.
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: ppsk on December 27, 2016, 12:15:14 PM
Vic, do you know if Z does online or phone consultations?

I'm balking at the thought of paying for a flight to germany JUST to get a consult, then another trip later for the surgery.
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Lestat on December 27, 2016, 12:27:37 PM
I am getting a chin wing the 4th of January

Why not side wing+sliding genioplasty? Would it not be better for your jaw angles?
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: thereishope on December 27, 2016, 06:37:14 PM
Why not side wing+sliding genioplasty? Would it not be better for your jaw angles?

You mean in two separate surgeries? My chin is where I am lacking the most, and I think chin wing is superior to genioplasty for chin augmentation. Also, I am probably going to do another chin wing just for the jaw if I am not satisfied with the jaw after this one.
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Lestat on December 27, 2016, 11:56:13 PM
You mean in two separate surgeries? My chin is where I am lacking the most, and I think chin wing is superior to genioplasty for chin augmentation. Also, I am probably going to do another chin wing just for the jaw if I am not satisfied with the jaw after this one.

No i meant in one surgery.

I did have a side wing a week ago. Jaw angles improved in projection without being blunted in profile as some guy here claims. But the chin is what really gets improved, i got it vertically dropped and it's substantially more stronger now.
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Vic on December 28, 2016, 11:10:38 AM
Vic, do you know if Z does online or phone consultations?

I'm balking at the thought of paying for a flight to germany JUST to get a consult, then another trip later for the surgery.

Yes, you can speak to him on the phone prior to going over
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Vic on December 28, 2016, 11:14:38 AM
You mean in two separate surgeries? My chin is where I am lacking the most, and I think chin wing is superior to genioplasty for chin augmentation. Also, I am probably going to do another chin wing just for the jaw if I am not satisfied with the jaw after this one.

Chin wings not superior than a standard genioplasty for chin augmentation as you can only move the chin in two directions and only a certain distance dependant on where your nerves sit and how you square want your gonial angle to look.
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: thereishope on December 30, 2016, 04:12:44 AM
Chin wings not superior than a standard genioplasty for chin augmentation as you can only move the chin in two directions and only a certain distance dependant on where your nerves sit and how you square want your gonial angle to look.

I meant I like the results on the chin from chin wings better than genioplasties - even though it might doesn't make sense theoretically. Chin wings don't create the witch-like appearence that genioplasties sometimes can create.

No i meant in one surgery.


I told Dr. Z. that I wanted a stronger chin and lowered, more pronounced jaw angles, which he said was possible. I think he is going to do some kind of segmented chin wing, which might be similar to a genioplasty and a sidewing done in one surgery.
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Vic on December 30, 2016, 12:38:27 PM
I meant I like the results on the chin from chin wings better than genioplasties - even though it might doesn't make sense theoretically. Chin wings don't create the witch-like appearence that genioplasties sometimes can create.

I told Dr. Z. that I wanted a stronger chin and lowered, more pronounced jaw angles, which he said was possible. I think he is going to do some kind of segmented chin wing, which might be similar to a genioplasty and a sidewing done in one surgery.

Dr Z's Genio's don't cause a witches chin because he does the cut higher up
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: ppsk on December 30, 2016, 02:45:49 PM
I wonder if you can do a "side wing" and a genio at the same time.

This would be ideal, to address the width/flare of the back of the jaw, while also increasing the vertical length of the chin.
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Vic on December 30, 2016, 03:20:50 PM
I wonder if you can do a "side wing" and a genio at the same time.

This would be ideal, to address the width/flare of the back of the jaw, while also increasing the vertical length of the chin.

Yes, you can. It's exactly what I'm having done in April but with chin width increase aswell
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Lestat on January 02, 2017, 10:28:40 AM
Yes, you can. It's exactly what I'm having done in April but with chin width increase aswell

I think it should be also possible without increasing chin width? I would like to address only the width of the back of my jaw and let the chin completely how it is. Is that possible Vic? Thanks.
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Vic on January 03, 2017, 02:06:10 AM
I think it should be also possible without increasing chin width? I would like to address only the width of the back of my jaw and let the chin completely how it is. Is that possible Vic? Thanks.

Yes, that's fine, it's just I want a square chin from the front leading back to the mandible.
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Lestat on January 04, 2017, 04:40:34 AM
Yes, that's fine, it's just I want a square chin from the front leading back to the mandible.

Thanks mate.
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Milli_Meters on January 04, 2017, 03:49:05 PM
Hi OP. Hope your surgery went well and you will update.
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: thereishope on January 08, 2017, 07:57:12 AM
Hi OP. Hope your surgery went well and you will update.

Thanks.

I can't say much about the results yet except that my jaw angles are lower and my chin is enormous, but I don't know what is swelling and what is not. The swelling has been very bad.
The recovery has been surprisingly brutal, and I have had a pretty hard time. The non-English speaking male nurses have been so f**king frustrating!
I just left the hospital and arrived at the hotel.
Will update when the swelling decreases.
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Vic on January 08, 2017, 08:14:30 AM
Thanks.

I can't say much about the results yet except that my jaw angles are lower and my chin is enormous, but I don't know what is swelling and what is not. The swelling has been very bad.
The recovery has been surprisingly brutal, and I have had a pretty hard time. The non-English speaking male nurses have been so f**king frustrating!
I just left the hospital and arrived at the hotel.
Will update when the swelling decreases.

Did Dr Z tell you how much lateral and vertical projection he done? Your swelling is probably at its worst today so try not to worry about it, the swelling will take a couple months to be back to be normal
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Chinwingpls on January 08, 2017, 01:48:10 PM
Thanks.

I can't say much about the results yet except that my jaw angles are lower and my chin is enormous, but I don't know what is swelling and what is not. The swelling has been very bad.
The recovery has been surprisingly brutal, and I have had a pretty hard time. The non-English speaking male nurses have been so f**king frustrating!
I just left the hospital and arrived at the hotel.
Will update when the swelling decreases.

Hope to hear more upgrade too, since this is exatly the same operation I'm going to have in april ahah ^^
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: thereishope on January 08, 2017, 07:55:10 PM
Did Dr Z tell you how much lateral and vertical projection he done? Your swelling is probably at its worst today so try not to worry about it, the swelling will take a couple months to be back to be normal

A little more than a cm laterally. Vertically around a cm at the jaw angles, maybe a little less, and a couple of mm at the chin.
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Lestat on January 09, 2017, 09:57:22 AM
I hope you guys will post some decent photos ONLY of your lower third (to hide your identity) some months after the operation. Come on! It would help us so a lot!
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: ditterbo on January 09, 2017, 03:23:30 PM
I hope you guys will post some decent photos ONLY of your lower third (to hide your identity) some months after the operation. Come on! It would help us so a lot!

Ditto. A cm lower jaw angle/plane sounds huge.
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Lazlo on January 09, 2017, 11:41:42 PM
How's the numbness in the lower lip? if any....
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: thereishope on January 10, 2017, 01:13:12 AM
How's the numbness in the lower lip? if any....

Very numb and swollen lower lip. But it is improving now.
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: stupidjaws on January 10, 2017, 03:23:36 AM
good luck and i think you will ascend
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: thereishope on January 10, 2017, 06:36:03 AM
good luck and i think you will ascend

Thanks mate. You have been a great inspiration for me
I've also begun acom. When do you think I can begin using it again after chin wing?
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: Lazlo on January 10, 2017, 02:14:34 PM
Thanks mate. You have been a great inspiration for me
I've also begun acom. When do you think I can begin using it again after chin wing?

what is acom?
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: thereishope on January 12, 2017, 03:23:42 AM
what is acom?

myofunctional device
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: stupidjaws on January 13, 2017, 10:02:10 PM
myofunctional device

who gave it to you. i have a lot of ppl who asked me for it but my doctor treats only patients he/some doctor he knows can directly follow him...so basically it's super tough. it'd be a huge coincidence if it's the same network of doctors!
Title: Re: Chin Wing 4th January by Dr. Z. - Advice
Post by: thereishope on January 13, 2017, 10:29:03 PM
who gave it to you. i have a lot of ppl who asked me for it but my doctor treats only patients he/some doctor he knows can directly follow him...so basically it's super tough. it'd be a huge coincidence if it's the same network of doctors!

I've got it from an dentist in my country who is originally from Italy. He is listed on the acom website that you have referred to before. It was pretty hard to track him down.
He made an extremely thorough examination of my face, mouth, and teeth, so he is legit and very competent.

But do you know when I can use the device again after the chin wing?