Author Topic: The limits of surgery  (Read 24611 times)

PloskoPlus

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Re: The limits of surgery
« Reply #45 on: June 23, 2014, 03:11:39 PM »
Consistent results are much more important to me than the occasional exceptional result. Would you really gamble on a surgeon that produces average to bad results at least half of the time even though his best results are beyond fantastic?

Good point. Ive seen only one before and after of my surgeon.  And I'm not even sure it's not another surgeon my ortho uses.

Tiny

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Re: The limits of surgery
« Reply #46 on: June 23, 2014, 03:17:38 PM »

I think custom titanium implants are expensive. I asked a dr. once and said it's too costly.   I know schendel has the option of using them

Yeah, they are expensive.  But so are A+G surgeries soooo.....

They will become less expensive as 3D printing technology

As for the limits of surgery - this girl had her entire upper jaw and teeth reconstructed.  Amazing stuff

Before

After

« Last Edit: June 23, 2014, 03:27:26 PM by Tiny »

LoveofScotch

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Re: The limits of surgery
« Reply #47 on: June 23, 2014, 03:44:02 PM »
I don't know anything about titanium implants, but wouldn't they be too cold? Right? For anyone who lives in a chilly climate and/or does outdoor sports...brrr. I was skiing last winter and just can't imagine that would feel so good.

earl25

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Re: The limits of surgery
« Reply #48 on: June 23, 2014, 04:15:23 PM »
I don't know anything about titanium implants, but wouldn't they be too cold? Right? For anyone who lives in a chilly climate and/or does outdoor sports...brrr. I was skiing last winter and just can't imagine that would feel so good.

when I asked dr. yaremchuck about that question he said that would be his concern

PloskoPlus

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Re: The limits of surgery
« Reply #49 on: June 23, 2014, 06:15:21 PM »
Just had a consultation with another surgeon. Granted i let the cat out of the bag by mentioning my surgeon. Let's call this guy Z, by is admission he's more of a tmj specialist, but does orthognathic surgery as well..  But here's what he said. (X is my surgeon).

Z says he has no relation to  X. Wasnt trained by him,  isn't friends with him.
X is one of the best. You're in good hands.
People from all over the world to see him.
Your orthodontic preparation is excellent.  Your orthodontist is very good.


X does absolutely everything including lefort iii. 
If he doesn't suggest doing something, you don't need it.
Lefort iii is for severe cases.  The precision is just not there compared with implants for standard cases. It may make your eyes look tiny.  Implants can get infected, but so can jaw surgery plates.   But their precision is far superior to the big leforts. In fact implants may be a bad idea in my case as well.  Z once put a malar implant on a patient, and his eyes became "tiny dots".
X lives to operate.  He's not in it for the money*. Registrars  get paid  by surgery item.  They don't like assisting X because he often omits items, charging the patient less.

Trust X's aesthetic judgment.
X is right about leaving your lower jaw alone.
Higher lefort will kill the angles in your face. X is right again.

I told him X wanted to do the rhino at the same time as the jaw in the initial consultation, but changed his mind.  Z said I spooked X. "It's probably because most orthognathic surgery is done in late teens, early 20s. They don't over think it". Suggested counseling. "You are a tough patient.  I wouldn't take you. I would've sent you to X. Wait for 6, better 12 months after the  lefort  before doing anything else.  You should benefit greatly from it alone"

Z said to puff up my upper lip and I'll know what I'll look like after surgery.  (I don't like it).  I asked him why Z charges so little for rhino. He asked what do PSs charge.  I told him, and he nearly fell off his chair. "That's a one hour operation!" He said he's charging peanuts for TMJ joint replacement and should raise his prices then.

*X's price list is less than the guy he trained.

P.S.

Spent the train ride checking out people's philtrums, gonial angles, eye bags. Sat next to a poor mans blue eyed Javier Bardeem.
« Last Edit: June 23, 2014, 07:46:30 PM by PloskoPlus »

Modigliani

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Re: The limits of surgery
« Reply #50 on: June 24, 2014, 05:35:46 AM »
Wow, today's consult was quite the endorsement for your current surgeon. Are you feeling a little more confident?

Gregor Samsa

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Re: The limits of surgery
« Reply #51 on: June 24, 2014, 06:09:51 AM »
Wow, today's consult was quite the endorsement for your current surgeon. Are you feeling a little more confident?

I'd still need to see a lot of before/after pictures to be confident in my choice of surgeon. I'm sure there are a lot of people out there that still recommend Mommaerts as one of the best and we all know that couldn't be further from the truth.

Modigliani

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Re: The limits of surgery
« Reply #52 on: June 24, 2014, 07:07:06 AM »
I'd still need to see a lot of before/after pictures to be confident in my choice of surgeon. I'm sure there are a lot of people out there that still recommend Mommaerts as one of the best and we all know that couldn't be further from the truth.

I wouldn't particularly rely on B&As for that matter either - they're bound to show only the cream of the crop.


Gregor Samsa

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Re: The limits of surgery
« Reply #53 on: June 24, 2014, 07:31:45 AM »
I wouldn't particularly rely on B&As for that matter either - they're bound to show only the cream of the crop.

That's true but I didn't write that I went by them exclusively. My point was that a good reputation doesn't mean much and I wouldn't be comfortable without having also seen a lot of good before/after pictures from the surgeon.

Tiny

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Re: The limits of surgery
« Reply #54 on: June 24, 2014, 10:33:18 AM »
Don't know who your surgeon is but if I was in Aus, I'd be going to Profilo (Dr Paul Coceancig)

Actually, does anyone know roughly what they charge for bimax?

LoveofScotch

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Re: The limits of surgery
« Reply #55 on: June 24, 2014, 10:43:43 AM »
I agree, Tiny. On that side of the world he would be the first person I would see. I don't know his price point, though.

PloskoPlus

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Re: The limits of surgery
« Reply #56 on: June 24, 2014, 10:58:37 AM »
I agree, Tiny. On that side of the world he would be the first person I would see. I don't know his price point, though.
He has a YouTube video outlining the cost.  About the same as other surgeons in Australia.  Does not include the hospital costs which are assumed to be covered by your health insurance.  IMO, he is over marketed.

PloskoPlus

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Re: The limits of surgery
« Reply #57 on: June 24, 2014, 11:02:11 AM »
Wow, today's consult was quite the endorsement for your current surgeon. Are you feeling a little more confident?
Confident and I do not go in the same sentence. But I sort of knew before that X is a selfless workaholic.

Modigliani

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Re: The limits of surgery
« Reply #58 on: June 24, 2014, 11:05:13 AM »
He has a YouTube video outlining the cost.  About the same as other surgeons in Australia.  Does not include the hospital costs which are assumed to be covered by your health insurance.  IMO, he is over marketed.

They're precisely the surgeons to avoid, IMO.

LoveofScotch

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Re: The limits of surgery
« Reply #59 on: June 24, 2014, 11:43:56 AM »
PP,

For whatever it's worth, so long as you're as comfortable as possible with his plan, selfless and workaholic sound like a pretty perfect combination.