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General Category => Aesthetics => Topic started by: Marco90 on March 23, 2016, 01:26:14 AM

Title: This before and after
Post by: Marco90 on March 23, 2016, 01:26:14 AM
How many mm do you think he had downgrafted? I'm scheduled for a 5mm maxilla downgraft in two months so just trying to get an idea of
how much my teeth show will increase.
This result looks pretty amazing to be honest, he also had a bsso.

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Title: Re: This before and after
Post by: Lazlo on March 23, 2016, 03:14:05 AM
Insane! But I guess he didn't have CCW? His face got longer --I mean he needed it but i don't want my face to get longer even though i do want more teeth show.
Title: Re: This before and after
Post by: JimmyTheGent on March 23, 2016, 08:55:53 AM
How many mm do you think he had downgrafted? I'm scheduled for a 5mm maxilla downgraft in two months so just trying to get an idea of
how much my teeth show will increase.
This result looks pretty amazing to be honest, he also had a bsso.

Lazlo is 200% right when he said "amazing".  That looks like his much better looking brother in the after pics.  Can they shorten my face, take away some length instead of adding it?  I'm like the opposite of this guy. 
Title: Re: This before and after
Post by: Bobbit on March 23, 2016, 04:06:48 PM
My take on this:

1) Several years older;
2) Teeth in braces for a long time;
3) Lost a lot of baby fat from the face - - probably going through  the last half of puberty (that changes a lot of boney structures.)
4) Very different hair cut;
5) Noticeable Adam's Apple - -  not perceptible in the before pictures - -  due to weight loss and puberty.

This is a great result.  But a significant portion of the result is just getting the teeth fixed and then the difference between boys and young men.

Title: Re: This before and after
Post by: PloskoPlus on March 23, 2016, 05:36:27 PM
Vertical movements produce the most drastic before and afters.
Title: Re: This before and after
Post by: buzzhead on March 23, 2016, 06:54:48 PM
This was the affect my CW 5 mm down graft had on my smile.
Title: Re: This before and after
Post by: Marco90 on March 23, 2016, 08:42:16 PM
This was the affect my CW 5 mm down graft had on my smile.

That's good to hear, 5mm doesn't sound like a lot to me but i guess it is.
Would you say you gained a lot of confidence after the operation? Was it worth it for you?
Title: Re: This before and after
Post by: kjohnt on March 24, 2016, 12:35:53 AM
I like this result a lot.

who did his surgery?
Dr. Defrancq - shown in upper center of pictures ;)
Title: Re: This before and after
Post by: strongjawman on March 24, 2016, 10:45:17 PM
In all of the after pictures his face is closer to the camera, thus giving the illusion that his face is much longer in comparison to the before. He looks great though, fantastic result.
Title: Re: This before and after
Post by: Tezcatli on March 25, 2016, 02:14:20 AM
Lazlo is 200% right when he said "amazing".  That looks like his much better looking brother in the after pics.  Can they shorten my face, take away some length instead of adding it?  I'm like the opposite of this guy.

They can shorten the maxilla but sometimes the result isn't that great because the soft tissue remains in the same place. You can also shorten your chin if that is the problem. Shortening the midface(nose area) is not really doable
Title: Re: This before and after
Post by: PloskoPlus on March 25, 2016, 02:28:52 AM
They can shorten the maxilla but sometimes the result isn't that great because the soft tissue remains in the same place. You can also shorten your chin if that is the problem. Shortening the midface(nose area) is not really doable
There is a paper where a woman had impaction combined with a lip lift. She looked like the Grinch in the before (average length nose).   One of those wow results.
Title: Re: This before and after
Post by: Tezcatli on March 25, 2016, 01:27:57 PM
There is a paper where a woman had impaction combined with a lip lift. She looked like the Grinch in the before (average length nose).   One of those wow results.

Yeah these lip lifts are great but there are possible side effects like loss of sensibility forever.
Title: Re: This before and after
Post by: PloskoPlus on March 25, 2016, 01:34:00 PM
Yeah these lip lifts are great but there are possible side effects like loss of sensibility forever.
Never heard of that after a lip lift -maybe a few months if the muscles are cut (they are also cut during a Lefort i).  Anyway, I now have permanent numbness in my upper lip because the infraorbital nerve was damaged during a Lefort I.
Title: Re: This before and after
Post by: Lazlo on March 25, 2016, 10:17:46 PM
Never heard of that after a lip lift -maybe a few months if the muscles are cut (they are also cut during a Lefort i).  Anyway, I now have permanent numbness in my upper lip because the infraorbital nerve was damaged during a Lefort I.

f**k man I didn't realize your outcome was so bad. Is it something that's always bothering you? When my cheekbone got shattered I was numb down the whole left side of my face but as the swelling went down it dissipated and I have complete sensation again thank god. I mean my cheekbone is still in three friggin pieces but I'm doing okay. But it's scary that that can happen with a routine advancement!! You basically never hear of this as a result of lefort 1 advancements. if anything you guys are unscathed. it's the bsso that creates numbnmess usually.
Title: Re: This before and after
Post by: Lazlo on March 25, 2016, 10:20:15 PM
listen could we stop arguing about the "reality" of this outcome. it's clear this was one of those guys whose face finally "POPS" as a result of the movements. He was quite odd looking before and the advancement of both jaws and the lengthening of his chin naturalized his facial proportions and there was a nascent "goodlookingness" there that was allowed to express itself finally. So this is 90 percent because of the jaw surgery and maybe 10 percent him being older, losing fat etc . So again, I say great results. Hey if we didn't see results that had such aesthetic potency --and there are quite a few-- would any of us take a risk on this surgery??? Nope. We're all taking a gamble we'll at least achieve that degree of betterment. Right?
Title: Re: This before and after
Post by: PloskoPlus on March 26, 2016, 01:18:45 AM
f**k man I didn't realize your outcome was so bad. Is it something that's always bothering you?
"Bothering" would be the understatement of the year.  I feel like a cripple because of it.

Quote
You basically never hear of this as a result of lefort 1 advancements. if anything you guys are unscathed. it's the bsso that creates numbnmess usually.
I thought I won the lottery when I found out I would need a single jaw surgery only (to truly win would be to never need these s**tty surgeries in the first place), because realistically lower jaw surgery almost always produces some sort of permanent numbness in older patients.  I guess my surgeon had to make sure I don't have it too easy. 

Anyway, I don't have lower lip numbness (yet) to compare with, but my guess is that the lower lip mainly just hangs there.  So a bit of numbness is mostly unnoticed.  My upper lip numbness is deep in the lip and cheek - I don't think I have any surface numbness. So any kind of animation - talking, breathing through the mouth, smiling, manifests itself as stiffness, a rubbery or "bruisy" feeling.  The trouble is that the upper lip is probably the most dynamic part of the face.

I would not feel so s**t about it if the result was good, but I still look off after this simple lazy surgery.  I have a class I bite, but other than that it feels like I am going through hell for nothing.
Title: Re: This before and after
Post by: PloskoPlus on March 26, 2016, 01:20:33 AM
listen could we stop arguing about the "reality" of this outcome. it's clear this was one of those guys whose face finally "POPS" as a result of the movements. He was quite odd looking before and the advancement of both jaws and the lengthening of his chin naturalized his facial proportions and there was a nascent "goodlookingness" there that was allowed to express itself finally. So this is 90 percent because of the jaw surgery and maybe 10 percent him being older, losing fat etc . So again, I say great results. Hey if we didn't see results that had such aesthetic potency --and there are quite a few-- would any of us take a risk on this surgery??? Nope. We're all taking a gamble we'll at least achieve that degree of betterment. Right?
The "POP" from the front happens only when the face changes length - a long face is shortened, a short face is lengthened, which is what we have here. Other than that, jaw surgery has the greatest impact on profile.
Title: Re: This before and after
Post by: Tezcatli on March 26, 2016, 02:13:29 AM
The "POP" from the front happens only when the face changes length - a long face is shortened, a short face is lengthened, which is what we have here. Other than that, jaw surgery has the greatest impact on profile.

Yeah I've realized that too, a lefort I advancement does make your cheeks fuller but it is a small improvement.

I want to get upper jaw shortening to remove the gummy smile and chin lenghtening so I think I will change quite a lot. I really hate my gummy smile, makes me want not to smile in pictures. My soft tissues are normal so I'm lucky I look like crap mostly when I smile
Title: Re: This before and after
Post by: PloskoPlus on March 26, 2016, 02:18:39 AM
Yeah I've realized that too, a lefort I advancement does make your cheeks fuller but it is a small improvement.

I want to get upper jaw shortening to remove the gummy smile and chin lenghtening so I think I will change quite a lot. I really hate my gummy smile, makes me want not to smile in pictures.
I guess we all want the stuff we lack.  I expected more tooth show after surgery, yet I'm still 2 mms short of ideal.  My surgeon made excuses - long upper lip, your age, bla bla. The LF1 made my upper lip dominate my lower third.

Beware that as you age, your lip will lengthen.  It's better to show a little bit of gum rather than none at all as it is ageing.  There are quiet a few before and afters on the web of people who were over impacted.  They look older.
Title: Re: This before and after
Post by: Tezcatli on March 26, 2016, 02:27:56 AM
I guess we all want the stuff we lack.  I expected more tooth show after surgery, yet I'm still 2 mms short of ideal.  My surgeon made excuses - long upper lip, your age, bla bla. The LF1 made my upper lip dominate my lower third.

Beware that as you age, your lip will lengthen.  It's better to show a little bit of gum rather than none at all as it is ageing.  There are quiet a few before and afters on the web of people who were over impacted.  They look older.

Thanks for the tip, I plan on leaving maybe 1mm of gum show, I know it is not always that precise but it is my idea.
Title: Re: This before and after
Post by: Vic on March 26, 2016, 02:42:40 AM
It's the chin, that makes the big difference from the front. The power of a good genioplasty can give you that sharp angled face and also tighten the skin
Title: Re: This before and after
Post by: PloskoPlus on March 26, 2016, 03:21:24 AM
Thanks for the tip, I plan on leaving maybe 1mm of gum show, I know it is not always that precise but it is my idea.

There is also a thing called a hyperactive upper lip.  My tooth show at rest is -1 mm (the norm is 1 mm, but opinions differ).  My surgeon said that I have a hyperactive lip and down grafting would leave me with a gummy smile.  I think it's bulls**t because my smile looks 2 mm too shot as well.
Title: Re: This before and after
Post by: Bobbit on March 26, 2016, 09:12:35 AM
What is it with this forum and hating on good results?
It's always 'she's tilting her head up more after' or 'he's got a tan in the after' or 'she's wearing makeup and got her hair done after'

Shut up ffs

Nobody hates good results.   

But then there is reality and rational evaluations of cause and effects - -  verses name calling and acronyms for expletives.

In this case,  puberty likely played a significant role in the good results,  right along with the skilled hands of a surgeon.

 
Title: Re: This before and after
Post by: JimmyTheGent on March 29, 2016, 04:31:30 PM
Never heard of that after a lip lift -maybe a few months if the muscles are cut (they are also cut during a Lefort i).  Anyway, I now have permanent numbness in my upper lip because the infraorbital nerve was damaged during a Lefort I.

Is cutting the infraorbital nerve something that is listed in the possible complications that you sign a waver for or is that negligence?  Is it a loss of feeling or is it paralysis?
Title: Re: This before and after
Post by: PloskoPlus on March 29, 2016, 06:02:57 PM
Is cutting the infraorbital nerve something that is listed in the possible complications that you sign a waver for or is that negligence?  Is it a loss of feeling or is it paralysis?
It was probably in the waiver. All surgeons mention permanent paraesthesia as an unlikely but possible complication.

Cutting the nerve causes paralysis. It's enough to overstretch it (it is retracted to cut the bone) or bruise it (during plate installation) to cause numbness however. I think the incidence of permanent paraesthesia for upper jaw surgery is about 2%.
Title: Re: This before and after
Post by: boyo on March 29, 2016, 11:52:02 PM
I also got numbness in some parts of the upper lip after double jaw surgery. Not sure if permanent, but it surprised my surgeon who claims permanent numbness in this part is very rare. A bigger issue for me is the feeling of tightness around the healed surgical incisions in my mouth, it's annoying at best. 
Title: Re: This before and after
Post by: Rikenen on May 13, 2016, 03:19:43 AM
Outstanding result