jawsurgeryforums.com
General Category => Aesthetics => Topic started by: usedtobepretty on March 04, 2017, 04:04:18 AM
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I had double jaw surery for esthetic reasons (ortho + extractions ruined my face) All I wanted was my face back (lip support, getting rid of shortened profile)
My surgeon was cery conservative , I said I believe 8mm fwd is minimum he went with 5. + 5 mm downgraft.
3 months post op my lip is dropped I show no teeth at rest and they drop downwards (sad face) together w my cheeks. I am seriously devastated and dont know what to do. Terrified to even think of revision. Can anyone share some words of wisdom? Thank you
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I had double jaw surery for esthetic reasons (ortho + extractions ruined my face) All I wanted was my face back (lip support, getting rid of shortened profile)
My surgeon was cery conservative , I said I believe 8mm fwd is minimum he went with 5. + 5 mm downgraft.
3 months post op my lip is dropped I show no teeth at rest and they drop downwards (sad face) together w my cheeks. I am seriously devastated and dont know what to do. Terrified to even think of revision. Can anyone share some words of wisdom? Thank you
Just get a lip lift, it will sort out your issue straightaway with hardly any downtime or risk
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I had double jaw surery for esthetic reasons (ortho + extractions ruined my face) All I wanted was my face back (lip support, getting rid of shortened profile)
My surgeon was cery conservative , I said I believe 8mm fwd is minimum he went with 5. + 5 mm downgraft.
3 months post op my lip is dropped I show no teeth at rest and they drop downwards (sad face) together w my cheeks. I am seriously devastated and dont know what to do. Terrified to even think of revision. Can anyone share some words of wisdom? Thank you
I've heard this a few times about the drop in mid-face support. Were you impacted in the front?
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Just get a lip lift, it will sort out your issue straightaway with hardly any downtime or risk
Hi Vic, thank you, not an option umfortunatelly, my lip os actually on a short side and plastic surgeon said it would not do me good. The problem is not too long lip bit lack of teeth support (proper angle) :(
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I've heard this a few times about the drop in mid-face support. Were you impacted in the front?
Hi , yes, impacted 5mm and downgrafted 5mm.
I (now) am told downgraft less than 7mm is always going to produce lip drop ..before I didnt have this problem as I was camouflaged (teeth were aligned outwards ) after de - masking- and 5mm impaction . I have a narrow teeth arch as I had ortho extractions so my surgery plan was just too conservative (dr didnt take that into account) I said O thought 5mm is not enough my orthodontist as well but he insisted overimpaction is the worse thing that can happen. He admits it is esthetivally a bad result but also saying he does not see it as a reason to re-operate..
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Hi , yes, impacted 5mm and downgrafted 5mm.
I (now) am told downgraft less than 7mm is always going to produce lip drop ..before I didnt have this problem as I was camouflaged (teeth were aligned outwards ) after de - masking- and 5mm impaction . I have a narrow teeth arch as I had ortho extractions so my surgery plan was just too conservative (dr didnt take that into account) I said O thought 5mm is not enough my orthodontist as well but he insisted overimpaction is the worse thing that can happen. He admits it is esthetivally a bad result but also saying he does not see it as a reason to re-operate..
Ok so correct me if I'm wrong, but you're saying you had a 5mm POSTERIOR downgraft and 5mm ANTERIOR impaction?
This was hard to read, sorry.
Side note but related, I've been told by a local type max fac that for every 3mm maxilla forward movement, you gain 1mm in tooth show. Therefore, he thinks I should get anterior impaction despite a current 'perfect' amount of tooth show, because of his proposed ~5mm advancement to the maxilla. But when you impact the front where there was literally facial soft tissue connected to those hidden gums you're impacting, I would think your your whole mid face and lips would naturally sag down before it reattaches to the bone - like what maybe happened to the OP. It seems like a bad gamble to try to manage soft tissue, in the case of post op excessive tooth show, by adjusting the skeleton. Tooth show is represented in like 1-4mm, and I'm pretty sure no doc has confidence in soft tissue movement within that range as a result of boney surgery.
I mean unless you're removing excessive gum show as part of bimax, isn't it a fools game to try to manage the post op tooth show with class 2 skeletal bimax corrective surgery?
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Side note but related, I've been told by a local type max fac that for every 3mm maxilla forward movement, you gain 1mm in tooth show. Therefore, he thinks I should get anterior impaction despite a current 'perfect' amount of tooth show, because of his proposed ~5mm advancement to the maxilla. But when you impact the front where there was literally facial soft tissue connected to those hidden gums you're impacting, I would think your your whole mid face and lips would naturally sag down before it reattaches to the bone - like what maybe happened to the OP. It seems like a bad gamble to try to manage soft tissue, in the case of post op excessive tooth show, by adjusting the skeleton. Tooth show is represented in like 1-4mm, and I'm pretty sure no doc has confidence in soft tissue movement within that range as a result of boney surgery.
Bulls**t. Don't mess with the anterior maxilla if you don't have to. That's a recipe for an aesthetic disaster.
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This seems pretty legit. My jaw os narrow due to extraxtions so I was just not impacted (foreard mi ement) enoug. 3 mm would have made a difference. A dufference berween a great result from devastating one.
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This seems pretty legit. My jaw os narrow due to extraxtions so I was just not impacted (foreard mi ement) enoug. 3 mm would have made a difference. A dufference berween a great result from devastating one.
Didn't you say you show no teeth at rest?
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Yes. 3mm movement further would lift the lip and let me show 2-3mm which Id be fine with. Now its 0-1 mm. But thats not the only issue. Lip has no proper support when its dropping ober the teeth.