jawsurgeryforums.com

General Category => Functional Surgery Questions => Topic started by: pekay on May 28, 2013, 11:33:58 PM

Title: dream patient, unsatisfactory outcome?
Post by: pekay on May 28, 2013, 11:33:58 PM
(http://i.imgur.com/dJ3UMBu.jpg)

(http://i.imgur.com/5atmJ2Q.jpg)

(http://i.imgur.com/i1WWou6.jpg)

@HW: what do you think?
Title: Re: dream patient, unsatisfactory outcome?
Post by: pekay on May 29, 2013, 05:04:11 AM
why the hell is Alfaro doing bi-max surgery in 50-60 minutes? no wonder adrian hates him
Title: Re: dream patient, unsatisfactory outcome?
Post by: stupidjaws on May 29, 2013, 06:28:53 AM
I think it's a great result!

Just a little too much of gum show (1/2 mm) but she def looks great!!

-Alfaro is doing bimax in 50 minutes????' BLOODY HELL!
Title: Re: dream patient, unsatisfactory outcome?
Post by: Kristen on May 29, 2013, 10:30:35 AM
She could definitely fix that gumminess with laser gum sculpting.   As her front two teeth are pretty good and others could easily be made even with them.
Title: Re: dream patient, unsatisfactory outcome?
Post by: stupidjaws on May 29, 2013, 10:53:32 AM
She could definitely fix that gumminess with laser gum sculpting.   As her front two teeth are pretty good and others could easily be made even with them.

yeah, true story. her teeth are small so i think the skeletal position is correct, it's just teeth that are too small.
Title: Re: dream patient, unsatisfactory outcome?
Post by: CK on May 29, 2013, 11:31:45 AM
didn't know this

this girl could have been completely stunning if it wasn't for the slight gummy smile

you think?

she looks really good, i wonder if it was possible to shorten the chin or make the lower jaw less masculine.
Title: Re: dream patient, unsatisfactory outcome?
Post by: stupidjaws on May 29, 2013, 11:34:28 AM
guys she looks hot.

you're gay.
Title: Re: dream patient, unsatisfactory outcome?
Post by: pekay on May 29, 2013, 11:36:24 AM
you think?

she looks really good, i wonder if it was possible to shorten the chin or make the lower jaw less masculine.

gummy smile and pointy chin. I don't know why Alfaro is rushing through major double jaw surgery, makes no sense tbh

yes she is hot but she could have been HOTTER
Title: Re: dream patient, unsatisfactory outcome?
Post by: stupidjaws on May 29, 2013, 11:39:22 AM
gummy smile and pointy chin. I don't know why Alfaro is rushing through major double jaw surgery, makes no sense tbh

yes she is hot but she could have been HOTTER

everybody could be hotter. Even angelina jolie.

The thing is she passed from ugliesh/average to pretty/well above average.

That's a great result.
Title: Re: dream patient, unsatisfactory outcome?
Post by: CK on May 29, 2013, 12:10:39 PM
gummy smile and pointy chin. I don't know why Alfaro is rushing through major double jaw surgery, makes no sense tbh


yeah that is disturbing. 3-5+ hours under is the greatest thing but the risk is marginal compared to a surgeon rushing an operation so he cant beat his time record.

really it's just to save OR time even if it hurts the patient.
Title: Re: dream patient, unsatisfactory outcome?
Post by: Kristen on May 29, 2013, 12:12:22 PM
guys she looks hot.

you're gay.


LOL
Title: Re: dream patient, unsatisfactory outcome?
Post by: Sharptoys on May 29, 2013, 01:25:09 PM
yes she is hot but she could have been HOTTER

(http://i44.tinypic.com/17pbf6.gif)
Title: Re: dream patient, unsatisfactory outcome?
Post by: Sharptoys on May 29, 2013, 01:27:11 PM
why the hell is Alfaro doing bi-max surgery in 50-60 minutes? no wonder adrian hates him

Before I'd ask why, I'd ask how. A genio alone would take up most of that time.
Title: Re: dream patient, unsatisfactory outcome?
Post by: pekay on May 29, 2013, 01:43:08 PM
Before I'd ask why, I'd ask how. A genio alone would take up most of that time.

dunno

watch the video for this one

http://institutomaxilofacial.com/casos-clinicos/3-nacho (http://institutomaxilofacial.com/casos-clinicos/3-nacho)

bi-max in 1 hour and 22 mins
Title: Re: dream patient, unsatisfactory outcome?
Post by: Cmonster on May 29, 2013, 08:38:37 PM
Is this surgeon trying to race the clock holy crap lol thats so fast! A friend did a bi-max and genio under 3 hours and I thought her surgeon was nuts.
Her results are quite good, her teeth are considered smaller than average so with some gum reshaping there would be more balance (my teeth are small too)- but yeah her lower jaw could have been brought back a tad back.

Title: Re: dream patient, unsatisfactory outcome?
Post by: fedfan on May 30, 2013, 09:33:08 PM
I agree with OP that while the result was good, it could've been a lot better.

If the surgeon was more aggresive and wanted to improve her aesthetics as much as possible, he could have suggested a nasion reduction, since hers is pretty shallow. This is more noticeable in profile, where if you didn't know beforehand how her front looked, you would probably think she has a long nose because of how shallow her nasion is which makes her nose appear longer than it is.

Another thing, as another poster already pointed out, is that her jaw looks a little too big and masculine. She would've benefited from having her chin shortened and her jawline shaved down.

Here is what I think the outcome could've been had she undergone the procedures I mentioned above:

(http://i.imgur.com/vyslK9F.jpg) (http://i.imgur.com/tmjsULR.jpg) (http://i.imgur.com/3VReOZe.jpg)
Title: Re: dream patient, unsatisfactory outcome?
Post by: CK on May 30, 2013, 09:51:29 PM
i have yet to see a case of jawbone shaving, though i have heard about it several times here. chin shortening is a definite possibility though i think it could have been accomplished, i imagine the risks are more or less the same as a genio.

this seems ideal, but i doubt a surgeon would have the time or willingness to do this. everything is done according to a standard these days. you have to fit into the mold.

Title: Re: dream patient, unsatisfactory outcome?
Post by: stupidjaws on June 06, 2013, 03:24:41 PM
i'm worried that 2mm impaction (on one side and 1.5 mm impaction is too little for my case....does it make a significant impact? (on the lengthiness of the face)??'
Title: Re: dream patient, unsatisfactory outcome?
Post by: stupidjaws on June 06, 2013, 03:35:45 PM
(It's anterior impaction...so basically ccw!!)....i know it will shorten it...but will it be ENOUGH? will it make a significant impact?
Title: Re: dream patient, unsatisfactory outcome?
Post by: stupidjaws on June 06, 2013, 03:38:43 PM
enough to achieve a not long ugly face.

I don't know if i want more...i don't know if 1.5/2 mm actually makes a difference at all!!
Title: Re: dream patient, unsatisfactory outcome?
Post by: stupidjaws on June 06, 2013, 03:49:25 PM
i hope that too.

Title: Re: dream patient, unsatisfactory outcome?
Post by: Heavyweight on June 06, 2013, 04:44:23 PM
I think this is a fantastic result. Her surgeon made all the right movements, imo.
Title: Re: dream patient, unsatisfactory outcome?
Post by: molestrip on August 24, 2015, 12:46:38 PM
I consulted with him and was told mine would take 3-4 hours, which is on par with other surgeons. There are legit reasons to want to minimize surgical time, though, if it can be done with the same results and invasiveness. These surgeries used to take twice as long a decade ago. Maybe he also saves money in OR fees, though that's largely passed on to the patient in the US.
Title: Re: dream patient, unsatisfactory outcome?
Post by: 2jawkorea on August 25, 2015, 11:26:55 AM
jaw bone shaving is common procedure in korea,

the mandible is shaved on an angle to produce a steap sharp jawline combined with genioplasty, sides of the chin may also be shaved down to produce a v shaped look or a t osteotomy may be performed to make the chin look less wide.

Title: Re: dream patient, unsatisfactory outcome?
Post by: buzzhead on August 25, 2015, 12:20:34 PM
I think that a woman can get away with more gum show.  Looks young and refreshed in my opinion.
Title: Re: dream patient, unsatisfactory outcome?
Post by: terry947 on August 25, 2015, 12:34:52 PM
ive read a thread on here that the sorter the surgery the faster the healing. Also shorter times under anesthesia is also a good thing. Also Alfaro does a lot of surgical planning pre-surgery which is why its done at a faster pace, vs other some other surgeons.

I think this girl had amazing results.
Title: Re: dream patient, unsatisfactory outcome?
Post by: PloskoPlus on August 25, 2015, 12:43:47 PM
I think she just has either short crowns or excess gum.
Title: Re: dream patient, unsatisfactory outcome?
Post by: jesterofmalice on August 25, 2015, 02:24:38 PM
She's gorgeous! I bet she's delighted with the result.
Title: Re: dream patient, unsatisfactory outcome?
Post by: ForeverDet on August 25, 2015, 10:28:47 PM
Yeah other than the front two teeth, the rest are a bit too small. Exposing them would reduce her gum show a bit. However occasionally you'll have even natural Class I's with perfect everything with one or two "defects" e.g. gummy smile, excessively steep occlusal plane, zero upper incisor display at rest, etc.

Which just shows that a lot of imperfections aren't actually defects but rather normal variation that are not typical.

She had a great result, super cute too. 
Title: Re: dream patient, unsatisfactory outcome?
Post by: molestrip on August 26, 2015, 12:11:54 AM
I wish Dr Alfaro operated here. He was my favorite of all the surgeons I consulted. The flight is 15 hours, different country, ... just too much.
Title: Re: dream patient, unsatisfactory outcome?
Post by: PloskoPlus on August 26, 2015, 01:21:20 AM
I wish Dr Alfaro operated here. He was my favorite of all the surgeons I consulted. The flight is 15 hours, different country, ... just too much.
How did you get 15 hours from America to Spain?  Anyway, I'm considering an 18 hour flight for my op.  But at least the language would be the same.
Title: Re: dream patient, unsatisfactory outcome?
Post by: molestrip on August 26, 2015, 06:22:18 AM
I just put it into kayak? You're traveling 18 hours for which surgery? What if there's a problem, how you going to get to the doctor in time?
Title: Re: dream patient, unsatisfactory outcome?
Post by: terry947 on August 27, 2015, 01:32:10 AM
I remember Lazlo  saying that it your having surgery abroad it's good to have a local surgeon who's on the same page/ just in case. Not sure if this is possible though?
Title: Re: dream patient, unsatisfactory outcome?
Post by: jesterofmalice on August 27, 2015, 11:48:41 AM
If you are in the UK, could one not get surgery done in another country where it's really cheap and if anything goes wrong, you just go to the hospital and have them fix it as an emergency. (free due to the NHS)
Title: Re: dream patient, unsatisfactory outcome?
Post by: molestrip on August 27, 2015, 02:54:26 PM
I didn't look too hard but good luck finding a surgeon who wants to be backup. These guys don't make money removing plates. They make money doing procedures.