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That's insane. Hopefully you sued.

Relle and his crew are good jaw surgeons and have experience with implants. They probably take that insurance. Schendel doesn't know anything about modern surgery, so you dodged a bullet avoiding him. There's a Dr. Henry on the East Coast who I've been told is good. I forget his first name offhand. Where are you located?

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.

If you look at this image of his implate, it looks to be an implant, no?

Your right it does. Assuming the chin plates and screws are titanium, it looks like titanium implant. I wonder if it is some kind of marketing gimmick  to call it an 'implate' instead of a titanium implant.

1: Your asymmetry at the jaw angle is pretty minor. I think I told you before that there was a good chance of addressing it with filler (which can be dissolved if you don't like it). Whether or not you didn't like the idea of filler, it's still a lower infection risk than putting an implant over a fresh bone cut.

2: Even though it seems you would rather risk having an implant placed directly over a fresh bone cut (because both can be done at same time) which increases the risk of infection, the suggestion of filler (even though you don't like the idea of it) suggests that the asymmetry at the jaw is MINOR.

3: Thomasjohns description of the 'imPLATE' was not incorrect. He was correct in the sense that it is something that pushes the bone out; separates one part from the other to push one part out (or away from an other part). It is just a matter of SEMANTICS that the material used; titanium, that doubles as a plate was also a 'foreign' material. Hence, the 'implate' thing is SEPARATING the bone. That is different from slapping an implant directly over a fresh bone cut because it (the implate) is not an OVERLAY over a fresh bone cut as would be the case if you slapped an implant over a fresh bone cut. Bones are separated all the time in maxfax surgery and the separation is held in place by plates and screws. So, what you are being offered via the 'imPLATE' is similar concept in the sense it will push part of the jaw angle in the direction to match the other side.

4: Since your jaw asymmetry is minor, your risk of infection is lower by getting the imPLATE rather than slapping an implant over a fresh cut.

If you look at this image of his implate, it looks to be an implant, no?

I don't think you are correct; he pretty explicitly referred to an implant. He mentioned that he normally prefered to use PEEK for implants but that this one would be titanium because it doubles as a plate, so he was definitely referring to foreign material

Yes of course foreign material, the plates are always titanium. But as far as I know it's not a jaw angle implant.