jawsurgeryforums.com

Kavan.

I am adressing this reply to you.
GJ was clearly calling you out for how you phrased and put a comment on this forum. You DID come across as "I only help people who I find worthy" attitude. Specially since you just helped that other woman in that other forum. This is something I consider serious, I can assure you it is no joke to me. You are in NO obligation to help anyone. GJ is NOT guilt tripping you on that. He is saying that you should not even comment in the matter if you don't plan or know how to help instead of just commenting saying "I won't spoon feed you information" When we just want help of any sort. I appreciate the help a ton you gave me. Wether Harvard or institutations think you are brilliant I don't know, if that is true then it's deserved from what I've seen before from you here at least in knowledge wise, but truth be told you do come off as an asshole and switching narratives in some forums specially in this one. You tried switching the blame on GJ for you not commenting here or helping me any further, that is just your choice. Not GJ's fault or anyone else's.
       What else can a forum be for but ask, give or learn information. Nothing. Also phrasing "nothing I can say/do will make Sinn come out of retirement" That is not the concern GJ was talking about. You're probably not a dumb guy or an asshole, but it is a bit sociopathic you also had to clarify the Harvard part JUST IN CASE.
       Also the procedure IS the procedure. I do not care for EARL. Only the procedure. Apparently after it he still wanted more and his history seems there are multilpe things he wanted to adress, which could signal surgery addiction. I am not interested in that. Varbrah is someone who also got it. I'm also looking for forums of what he said.

As to saying I would not 'spoon feed' info on ML3, I said that way before you came along. So, my prior open statement of that should not have been looked at as in any type of 'invitation' that I was receptive to advising on ML3.

I told you from the get go in this string: 'It is an extremely esoteric operation. The only suggestion I can offer is to look in the bibliography in articles of cases you've come across in hopes to find a name cited of a doctor possibility.'

As time went on, it seemed like I was being importuned to provide info that would lead you to getting what you wanted when there was really nothing I could say or do to make that come true for you and then came the guilt trip and shaming which you deny GJ did in your behalf.

I understand that you want what you want and have limited your options to only ML3 despite orbital rim/midface implants that could address your problem and also you have a better rapport with GJ than with the way I say things.

 I recognize that 'back and forth' communication with me is not working out. No need to pursue it further and I have no issue with GJ giving you all the info you need as to ML3.

Yeah similar advice Kavan.

Yeah that's what you told me in PMs i'm surprised you remember. Thank you for that. GJ.

The step off you talk about is the one in the picture I posted where the "bone graft" arrow appears I imagine.

OP, to your actual question, and my attempt to help. I went through my old emails with Earl.

Since I told him I wouldn't share them publicly, I won't, but I'll summarize the gist of it as I don't think he'd care about summarizing them.

He did get the LF3, but it was a modified LF3, and it didn't make him an "Adonis", just Earl without orbital rim deficiency. With things more forward, any asymmetry was possibly exaggerated. He wound up getting a modified LF3 because the surgeon thought the cuts he wanted (the actual LF3) would produce a step off in the malar region (this was my concern, as noted in the original post). Cut was stopped before the orbital nerve to eliminate the risk of blindness and also another risk of a step off in that area. Step offs can be "sanded down", but surgeons prefer not to do that (I'm not sure why...must be inexact...I assume they can graft, too, but again, that's usually inexact).

That's all I can really say about it. My recommendation would be: go on a lot of consults and take it slowly, and don't fall for promises or ask the surgeon leading questions. Just ask a question, be quiet, and let him answer. If possible, ask for a referral to someone who actually had the LF3, etc. Basic stuff, but it's important to do a consult the right way. Oh, and read journal articles if you can.

Well, it pans out that you had more info as to what he had via private e-mails. I had no private correspondence with him as to the ML3. Yet, I'm the one  'withholding' info that I never had concerning what he got (other than the info he openly shared on board). The suggestion to go on lots of consults is similar to my advice also as is to read more journal articles if he can.

I agree that's basically all that can be said about it.

Kavan.

I am adressing this reply to you.
GJ was clearly calling you out for how you phrased and put a comment on this forum. You DID come across as "I only help people who I find worthy" attitude. Specially since you just helped that other woman in that other forum. This is something I consider serious, I can assure you it is no joke to me. You are in NO obligation to help anyone. GJ is NOT guilt tripping you on that. He is saying that you should not even comment in the matter if you don't plan or know how to help instead of just commenting saying "I won't spoon feed you information" When we just want help of any sort. I appreciate the help a ton you gave me. Wether Harvard or institutations think you are brilliant I don't know, if that is true then it's deserved from what I've seen before from you here at least in knowledge wise, but truth be told you do come off as an asshole and switching narratives in some forums specially in this one. You tried switching the blame on GJ for you not commenting here or helping me any further, that is just your choice. Not GJ's fault or anyone else's.
       What else can a forum be for but ask, give or learn information. Nothing. Also phrasing "nothing I can say/do will make Sinn come out of retirement" That is not the concern GJ was talking about. You're probably not a dumb guy or an asshole, but it is a bit sociopathic you also had to clarify the Harvard part JUST IN CASE.
       Also the procedure IS the procedure. I do not care for EARL. Only the procedure. Apparently after it he still wanted more and his history seems there are multilpe things he wanted to adress, which could signal surgery addiction. I am not interested in that. Varbrah is someone who also got it. I'm also looking for forums of what he said.

OP, to your actual question, and my attempt to help. I went through my old emails with Earl.

Since I told him I wouldn't share them publicly, I won't, but I'll summarize the gist of it as I don't think he'd care about summarizing them.

He did get the LF3, but it was a modified LF3, and it didn't make him an "Adonis", just Earl without orbital rim deficiency. With things more forward, any asymmetry was possibly exaggerated. He wound up getting a modified LF3 because the surgeon thought the cuts he wanted (the actual LF3) would produce a step off in the malar region (this was my concern, as noted in the original post). Cut was stopped before the orbital nerve to eliminate the risk of blindness and also another risk of a step off in that area. Step offs can be "sanded down", but surgeons prefer not to do that (I'm not sure why...must be inexact...I assume they can graft, too, but again, that's usually inexact).

That's all I can really say about it. My recommendation would be: go on a lot of consults and take it slowly, and don't fall for promises or ask the surgeon leading questions. Just ask a question, be quiet, and let him answer. If possible, ask for a referral to someone who actually had the LF3, etc. Basic stuff, but it's important to do a consult the right way. Oh, and read journal articles if you can.