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61
Aesthetics / Re: What surgery did she do?
« Last post by TripodGap on April 18, 2025, 12:52:48 PM »
Does anyone have any leads or photos from this ?

I'm desperate to shorten my midface, so I'm curious if anyone remembers what was done to supposedly change a midface by 8-10 points
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Functional Surgery Questions / Re: Any Canadian orthos willing to work with Ramieri?
« Last post by kavan on April 15, 2025, 10:14:14 AM »
Quote from: AtypicalPatient on April 13, 2025, 06:44:05 PM
Hi friends, I recently had a consultation with Dr Ramieri and he said that surgery first is not an option for me and that I would most likely need to find an orthodontist first and extract my 2 lower premolars.

Are there any orthodontists in Canada that have worked with Ramieri or other European surgeons before or would they generally be reluctant to work with EU surgeons?

Not sure but I think the reluctance of North American orthos (Canada and US) to coordinate with EU maxfax doctors is in circumstances of the SURGERY FIRST method which is not common in North America. Since you are not getting the surgery first method, seems to me your options would be open to find an ortho in Canada to coordinate your ortho treatment with the EU doctor.
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Functional Surgery Questions / Any Canadian orthos willing to work with Ramieri?
« Last post by AtypicalPatient on April 13, 2025, 06:44:05 PM »
Hi friends, I recently had a consultation with Dr Ramieri and he said that surgery first is not an option for me and that I would most likely need to find an orthodontist first and extract my 2 lower premolars.

Are there any orthodontists in Canada that have worked with Ramieri or other European surgeons before or would they generally be reluctant to work with EU surgeons?
64
Aesthetics / Re: bimax with or without implant?
« Last post by kavan on April 13, 2025, 08:24:36 AM »
Quote from: Sequelae on April 13, 2025, 03:12:56 AM
No that's not my case, I am just getting it on one side
ok
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Aesthetics / Re: bimax with or without implant?
« Last post by Sequelae on April 13, 2025, 03:12:56 AM »
No that's not my case, I am just getting it on one side
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Aesthetics / Re: bimax with or without implant?
« Last post by kavan on April 12, 2025, 02:56:01 PM »
Quote from: Sequelae on April 12, 2025, 01:46:49 PM
The specific reason for this in my case is to increase vertical height on the shorter side. It also costs another 6k in addition to the 6k for custom plates.

You have one GOOD side but the video of the titanium implants has them on both sides. Is that video of your case or someone else's or I guess I should ask if you are getting 2 of these 'implates' that are better called titanium IMPLANTS than some confusing marketing term of 'implants'. No idea why this doctor is telling different people different things either.
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Aesthetics / Re: bimax with or without implant?
« Last post by Sequelae on April 12, 2025, 01:46:49 PM »
The specific reason for this in my case is to increase vertical height on the shorter side. It also costs another 6k in addition to the 6k for custom plates.
68
Aesthetics / Re: bimax with or without implant?
« Last post by Tomasjohn on April 12, 2025, 07:37:46 AM »
Yes good point.
So my apologies I might have been wrong.

I was specifically told that implate is a technique where custom plates are used during jaw surgery and that they mitigate the risk of infection in contrast to medpor, silicone or peak implants and that they can't be used to add vertical height in contrast to these "implants" and that's why I concluded that they are not a "classical implant".

So yeah, maybe the fixation plate also has the function of the implant. You get all in one go, and you probably just pay extra for the custom plates.
69
Surgeon Reviews and Leads / Re: I need Advice - Complicated Case
« Last post by kavan on April 09, 2025, 07:35:41 PM »
Quote from: SavingFace on April 08, 2025, 05:36:33 PM
Sorry if I was unclear about what I was asking. Of course that has to be treated first. It has been under treatment for over 2 years now, including wound debridement twice. And no, the hole has not been on my face since 2021. I said it's there now. Somewhere in the intervening time, the infection caused a break in the skin that led to it not healing. My question is not whether I need to take care of that. Of course that has to be done. It's much more complicated than that, but I don't want to go into the explanation of everything.  Long story short, there is actually a potential antibiotic that could completely cure the problem, but it's in an experimental phase. So that's kind of what I've been waiting for, but I can't wait any longer. So my question is about surgeons who would be qualified to do both the jaw surgery and take care of the implants by removing them, either in a separate surgery (most likely) or the same surgery (less likely). Since I'm having the implants removed, I need a doctor who is able to handle a very complicated case. That's my point, not whether I should address the infection. One of the main complications is that I currently have implants, so my face appears fuller then it would if the implants were removed, which they will be. So I want a doctor who is trained enough and sophisticated enough to take those things into account when calculating the movements.

And even if the doctor is not someone who can handle both issues, who is the best jaw surgeon to address midface issues with a high cut LeFort I? I'm not going to ask the surgeon for that, but I want the surgeon to be someone who is able to do it if that's what's indicated. I have had at least one prominent surgeon tell me that's what I needed.

Hope that helps clarify what I was getting at.

I can't tic all of the boxes as to 'high lefort', 'best for midface' and surgery performed with on going infection as to target doctors. There is a good doctor named Pushkar Mehra who is head of maxfax at Boston city hospital. He himself is very skilled but the practice gets bad reviews. A doctor who has been discussed on these board who has done revision surgery is Steven Sullivan in Oklahoma.  Another possibility is consulting with the department heads at MGH hospital in Boston. Yaremchuk used to be head of the cranio-facial dept. Maybe they could give some leads
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Surgeon Reviews and Leads / Re: I need Advice - Complicated Case
« Last post by SavingFace on April 09, 2025, 04:50:56 PM »
Appreciate the reply. I am in the Washington DC area. I wasted all of last year, planning to get it done. But everyone was talking about how easy it was to get approved and the Kaiser system. It sure was, but finding a surgeon to do it was next to impossible. The first doctor I saw was Dr Agarwal, And he told me he never moves more than 8 mm regardless of the patient. Maybe that's all I would need, but I don't want a doctor who limits based on an arbitrary number. After that, I simply ask Kaiser for the name of another doctor I could consult who they had a contract with. It was to be an external referral, because in this region they don't have jaw surgeons and network. For the entire rest of the year, they refuse to give me the name of a single surgeon that could do it. They denied me the benefit under the plan that I was entitled to. So now I'm starting all over with Aetna Insurance. At least that way I can travel outside this region if needed to find a good doctor. The quality of the doctor is more important to me at this point than the location. With that said, I have a consultation planned next week with Dr Brian Farrell in Charlotte North Carolina. I saw some good things about him on a Facebook for him, but he doesn't seem to be one of the more well-known doctors for the surgery.

Appreciate any and all input. I work a very busy job comment it's so hard for me to find time to research all of this. I've felt a bit overwhelmed.
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