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Gummy smile, Numbness, PARALYSIS of Chin/Lip muscles after IVRO & Lefort I

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ajordan23:
 :(

aj08229:
Do you have slight feelings in your lower lip or completely numb? even i am going through sort of same issue

Rico:
This is nigthmare. I'm afraid about this when it comes to any surgical procedure on face
However I have qestions in relation to your big issue.

I wonder how much price and opinion influence the outcome
Has your surgeon got very good opinions ?  did you make research about this before surgery ?
Is he one of the most expensive or cheaper ?
I know that there is no 100% guarantee  anywhere, but I wonder if these features can give you kinda some answer of what outcome can be (probability)
or is it just russian roulette

Now, do you regret you underwent surgery ?
I know that such questions might be painful for you... so i'm little confused to ask you that, but I asked and I wonder what you are gonna answer

PS I have to add . if after half of a year you still have completely numb areas and some muscles don't work, then some nerves were severed. Perhaps the nerve should be reconstructed especially crucial motor ones (it is possible, but I do not know if usable after 6 months. When it comes to the nerves, time of intervention is very important). If a nerve is not severed than some sensation / function returns after 3 months. Most of it after 6 months...

PS http://en.wikipedia.org/wiki/Wallerian_degeneration

girl:
Firstly ajordan, I'm so very sorry you've had this experience  :'( What a horrendous time you must be having.

My understanding is that it's best to attempt to repair damaged nerves within the first 12 months (why, I don't know - but that's what a girl on this board was told re. mental nerve damage). If you haven't yet done so, it would be worth emailing other nerve specialists and getting second, third, fourth opinions. Even though you say went to a specialist in that field, the surgery hasn't worked out - so you may as well get as many other opinions as possible now. You have nothing to lose. I assume you have all your medical notes to hand?

At present, your priority must be to address the damaged nerve - I am sure the gummy smile/bite issues can be corrected in due course. However, seeing Dr. Gunson should shed some light on the issue.

You may want to investigate the use of concentrated stem cells (NOT fat grafting) for nerve regeneration. Currently, this method is considered to be experimental - they do it in Europe, however. I know of someone who's had 9 rhinoplasties and severe nasal damage - they are going to Italy (Dr. Raffaini's PS partner) to have these injections. 

I know it's a long shot, but hopefully that will give you some comfort. It's worth investigating, even if you don't end up doing anything.

Of course, there are cosmetic options (face lifting, implants, botox etc.) to improve facial symmetry after facial paralysis but understandably you must want to tackle the cause of the problem and quite rightly so.

May I ask which nerve was injured? Perhaps the pain has something to do with the trigeminal nerve? It looks like the marginal mandibular nerve branch on that side was affected.

As for your jaw surgeon - I would get all your medical files and hire an attorney (don't mention this to any doctor you're consulting with, though). It's incredible that he's acting like everything's OK when it clearly is not. Sadly, some doctors think they are 'God' and will lie in the face of obvious problems in order to save their own skin. He probably knows you'll be filing suit. Personally, I hope you sue the s**t out of him for his blatantly negligent surgery - sadly, you'll probably find you're not the only one in the queue.

Rico:
Thank you for reply. Yes I got many consultations and still not sure. The biggest problem is too see examples of their work....mostly , only talking bla bla bla.. I need malar bone osteotmy, generally not popular procedure (unfortunately)


--- Quote ---As for my motor nerve, I was seen my a facial nerve surgeon in Los Angeles, and that nerve is intact. We are hoping that the nerve regenerates and I get muscle movement back.
--- End quote ---

Hmmm.. this is almost impossible to severe this nerve (main branch) during bimax surgery (IMO)
They checked your main nerve...but have they checked if there is no problem at the place of connection nerve - muscle. just near muscles ? The very endings of nerve branches  which connect to the muscle. Is it possible to check this ?  Moreover, the nerve may be intact in the meaning it is not cut, perhaps it was stretched too much. ?

How they checked ? typical nerve conduction test ? Hi-Res MRI ?  all of them should be performed IMO

If I were you, I would take at least laser therapy and / or Electrical nerve stimulation (but in proper "doses") as soon as possible (but make sure they know about it, for example only low doses may boost regeneration, too high may block - so called overstimulation for electrical and other issues (noone know) for laser). Take also B-vitamins, but do not overdose. I think even, that laser is more safe, electrical is mailny to larger nerves in limbs. Take consultation. There are small evidence that these 3 things can somehow increase nerve regeneration. DO MASSAGES. I'm not gonna say you everything will be good (maybe). It is very uncertain.  Honestly, every next month without changes your chance decreases.
You have now to do as much as you can. Very little time left. I'm telling you this for your own good. Take all possibilities, ask the most silly question you can to the doctors, everything. Make all  possible test.... Be little snippy

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