(Best?) Surgeons To look into (bimax/revision rhino/medpor/chin wing etc)

[stupidjaws]

I think the best thing is that each one of us who has a bit of experience should share names of surgeons that one considers to be worthwile a consultation.

I have consulted with more than 30 surgeons and had tons of surgery. I also believe myofunctional therapy is essential for many of us. i have the results of the before after of my treatment and will post it when i'll have the time to upload the pics.

Zarrinbal; good surgeon but very conservative; not sure his CCW is perfect. I had 2 chin wings with him and he created a good framework upon i could act with fillers/myofunctional treatment

Marianetti (Tito Matteo). Great surgeon for revision rhino & CCW and medpor implants. wish i'd gone to him i

Triaca. Pioneered some surgeries (or claimed to do so). i personally saw a B/A from an italian forum. great stuff

Van Der Dussen never consulted him but heard good stuff from a guy on orbital rim augmentation via Bio Oss

Valerio cervelli he is my filler guy, i had great results with him. would use him mainly for fillers though

[stupidjaws]

the sense of this topic is: everyone CHIMES in with his experience/knowledge; so we gather more info. so please; chime in!!!

[Vic]

I've had a 2 genio's with Van De Dussen in Belgium, really nice guy but doesn't have the best aesthetic eye in my opinion especially with how the soft tissue interacts. Doesn't seem to be a specialist in mandibular and maxillary surgeries either. Cost seems to be reasonable though and he does consultations in London on a Sunday which was convenient for me
 
Had double jaw surgery with Dr Z in Berlin, really nice guy, outcome came out as we both had planned, with no issues afterwards with nerves and numbness. Got surgery with him again in May for a sidewing, genio and possibly a ZSO. Cost is reasonable

Had a consultation with Sailer in Zurich, his assistant scared the s**t out of me when I first met her because the surgery she obviously had by him was extremely over the top which seems to be the case with most of his surgeries and I didn't want any surgery I have to blatantly look like I've had surgery. Cost of the consultation really expensive and his surgery fees are ridiculously expensive too

Had consultation with Paul Johnson in London. Extremely conservative surgeon, so if you're looking for a big change then he's not the person to go to as hell do what he wants. He didn't really listen to what I wanted, so I decided not to have surgery with him in the end, as it would have been a waste of money for the result I didn't want. Cost is reasonable though

Had a consultation with Deschamps Braly who's based in San Fransisco. Really Nice guy also, very professional and experienced and cost was reasonable. Decided not go with him in the end because he was based in America and I didn't want to have such a big surgery so far away from home, in case I needed to go back there. He doesn't do chin wing's as well which is what I really wanted. Repeated travel from the UK will also be expensive for check ups.

[ppsk]

On the cheap end, i havent consulted personally with these men but ive contacted them, both in COLOMBIA:

Dr Carlos Villegas Bateman - Surgery first proponent. Very cheap ($6500 all in for bimax), very flash looking clinic.

Dr Andres Pena - Surgery first proponent. Same price for bimax, but additional costs for using hospital. Published a fair bit.

In GERMANY, i will try to consult with these doctors:

Dr Thomas Franke and Gregor Jeske: working out of MKG-fachwerk in berlin, email contact with secretary confirmed for me the "chin wing" + bimax operation is familiar to them.

Dr Kater: Kater has been mentioned on here before, very experienced surgeon, and apparently does a modified chin wing. Not sure what to think about the "bad homburg methode" for jaw surgery.


in AUSTRIA, i am trying to get into contact with a Dr Vinzenz who looks like a less-crazy Sailer type character. No luck so far.

[ppsk]

Also for what its worth - several doctors i have contacted, including Zarrinbal, have said they can do the surgery first method. So even if its not explicitly marketed on their websites and what not, I think its a little more widespread than most people believe. You do need to meet certain criteria to be a candidate for it though and Zarrinbal commented that it "can be less accurate than the traditional method", so it probably rules out people with significant issues with their teeth and palate size and what not.

[Kingusia87]

I want to have more visible upper teeth and better chin.
I've already had consultation with:
1. Prof Vinzenz Austria- he said that my jaws are ok but I definitely need chin surgery. When I mentioned that I want also more visible upper teeth he said to go first chin and after that to consider other surgeries. From my personal point of view I should do everything (genio and bsso)  in one surgery otherwise I could have too big chin. I had filler in my chin so he asked me to come again after it resolve. I am not sure about the plan, maybe I will write to him and ask again about BSSO.
2. prof. Triaca- he proposed chin wing and lowering upper jaw 3 mm - for my request. I think it is not worth to cut jaw in order to move it 3 mm because after response of soft tissue it could be no results at all. Additionally I don't want chin wing because I don't want to lose jaw angularity.
3. Prof. Raffaini- the best plan in my opinion and excellent eye on aesthetic. Double jaw surgery with around 4 mm forward and 3 mm down. He said that he will do exact measurements after my filler in chin resolve.

I also thought about going to see prof.  Nasser Nadjmi, but I didn't find a lot information about him - just one very good review on realself. He has new method for genioplasty, very gentle one.
If someone has some information about him please let me know.

[dervyx]

Van Der Dussen is more of a plastic surgeon than maxillofacial one. When I contacted him about my assymetric jaw requesting a consultation he referred me to Defrancq.

[UKMaxfac]

I have seen: -
- Ken Sneddon (East Grinstead)
- Piet Haers
- Paul Johnson
- Joel DeFrancq

Haers I saw on the recommendation of an orthodontist. We had many consults and I met with his favourite orthodontist. I was very unhappy with my nose (asymmetry) and asked him if he thought it would be safe to fix it before bimax, he said yes. I got septorhino with him and at first I was happy with the result, but 6 months down the line my breathing was compromised and I had been left with a supratip break, long tip and a bridge that was narrowed far too much. He also made an intraoral incision during the rhinoplasty for reasons I still dont quite understand.
I will not be using him for any further surgery. However I did meet a girl who had had her underbite corrected by him and she looked good.. didn't see 'before' pictures though. I am considering Marianetti in Rome for a revision rhinoplasty.

Ken Sneddon was very nice, but super conservative, said I'd need 2 years + in braces before surgery (despite having a good bite). I won't be using him either due to this. It just seemed absurd to me that I'd have to wait that long. I also saw a patient of his walking around near where I live. He had the typical 'chimp' look... I know its only one result but there you go.

Paul Johnson was good to chat with, but was vague about a plan and again was on the fence about whether I should get bimax or not. I then spoke to a member here who had been botched by him. The patient in question had lost their smile and been left overimpacted. They also told me he was not forthcoming in apologising or understanding their complaints. At that moment I decided I will not use him for any surgery either.

I saw Joel DeFrancq and was impressed, firstly by his staff who were very friendly and well trained, secondly by his results and also by the clinic he was working in. I am supposed to be receiving a surgical plan soon. He doesn't think I'll need braces (or so he says) but we will see. He also may just do a LF1 extrusion (downgraft). I will find out more tomorrow.

[JawzCMRelias]

Firstly, I want to thank @stupidjaws for making this thread and second, I'd like to apologize to @greyandblue, for my tirade yesterday (I was in a mood).

My issues are aesthetics & as such, I've decided to pursue implants. Therefore, it is important to note that my list will contain biases, towards surgeons who perform them (Triaca being the exception, as at a previous point, I was interested in a CW)

To start:

1.) Had a consultation with Professor Sailer in Zurich: I am well aware that there are polarizing view points, regarding this individual on this forum. However, I really liked Professor Sailer (he was very clear, concise and down to earth: no arrogance whatsoever). He sat down and talked with me for about 3 hours, discussing my wishes, as well as his opinion (Aside from the X-rays, he also drew a sketch of what he would do for the surgery).

Pros:
-What I liked most about him, was that he was very sincere (he was the first surgeon I went to, to check if I needed jaw surgery: bimax, ccwr etc...) and he could have easily insisted that jaw surgery was necessary (costing twice as much: we're talking 70k + Swiss francs). However, he informed me of the good news, that it was absolutely not necessary and that implants would be helpful in my case.

Cons:
-Consultation cost was high: 1000+ Swiss francs
-Staff seemed a little disorganized

Price:I received a reasonable offer and was happy (although as most know here, the overall cost for Sailer is higher than other surgeons)

Bonus: I've always been apprehensive about my nose (understating my feelings here) and of course asked Professor Sailer what he thought about it. As well, he knew from the B&A's I morphed but instead of what I thought would turn into him up-selling me on a rhinoplasty, he actually complimented my nose and said it was very handsome on me (it just looked bigger because my jaws are recessed). In fact, when his assistant overheard our discussion and tried to insist that I should indeed have a rhinoplasty, he immediately disagreed and "shut her down" (in the nicest way possible). I thought that was classic, just a great guy overall and I thought very knowledgeable.

-----------------------------

2.) Had several phone consultations with Triaca: As stated above, I was previously interested in Triaca for the Chin Wing procedure. He's quite congenial and makes time to talk to you (even with unannounced calls) which I think is nice, as he's for sure busy. I told him my aesthetic goals and he suggest the CW (no surprise). Later, I sent him morphs of my expected outcome and he sent me back his morphs, of what he believed he could achieve with the CW. I wasn't impressed was his morph (underwhelming) & from the further research I gathered, concerning the CW; it wasn't the right procedure for me.

Pros:
-What I liked most about him, was that he always made time to discuss my concerns & overall, seems like a really nice guy.

Cons:
-I'm not sure as of now but his secretary at the time, was incompetent & rude (I'm being generous with my words)

Price: I wasn't charged anything for my correspondence.

-----------------------------

3.) Had a skype consultation with Dr. Yaremchuk: Very cool guy and was very confident (borderline cocky) but I liked his personality. Uses Medpor implants (in my specific case: off the shelf: like 12k and custom 19-20k).

Pros:
-What I liked most about him, was that he seemed knowledgeable, with a "no bs" very direct type of attitude (I appreciate that).   

Cons:
-I didn't get to see any new B&A's which was super disappointing, as the B&A's on his website are from likes decades ago. Requested to have some emailed to me and was told by his secretary that it was not possible, as it would violate patient confidentiality (understandable). However, I have not been able to find any patients of Dr. Y that show new B&A's...  (cannot find any on the net except for the old ones on his website) i

If anyone has had work done with him, please PM me (or if you know anyone who has or a forum that has people who've had work by Dr. Y., please point me in the right direction)   

-Also, he said something that sounded slightly strange to me (not sure if it was a red flag) but interested members can PM me to discuss.

Price: $200

[Rico]

so in my case it will be a bit offtopic, but I think for some the information may be helpful

in order to talk about ZMC reposition after overlooked ZMC (zygomatic) fracture with ION compression

Had consultation with MM (Belgium), nice guy, seems to be confident , but I realised he is not telling me the whole truth. He told me my zygomatic nerve (not ION) will be damaged (cut!!!!) during reposition and he was not able to save it. It was strange because during ZMC reposition the cut line is far away from that nerve, only close to infrarobital one. Additionally he told me when he cut zygomatic nerve his patients do not feel numbness. I didn't believe and cancelled the surgery with him. Now I realised he didn;t want to do typical ZMC reposition, he told me he was going to do this, but since zygomatic nerve would be cut, that means he wanted to do some modified ZSO in my case what I didn't ask for ...or It was his first ZMC reposition and he didn't know zygomatic nerve should not be cut....or he just does ZMC reposition wrongly. do not know -> strange

Had consultation with Dr Z in Berlin , but he does not perform ZMC reposition (too risky for him when it comes to eye socket)

Had consultation with Prof L... in Germany (recommended by other doctor in my country) who later operated me and zygomatic nerve wasn't cut, but ION too damaged, no problem with eye, but he did unwanted hypercorrection, I got TMJD and it's not my original zygomatic position hence I do not like the result. He can't read scans properly :/ not good eye for aesthetic , shallow surgical plan. Refused to help when I reported postop complications. I had to pay 12k E deposit, but afterwards surgery costed 10k E

Had consultation with Prof Iannetti and Sandro Pelo in Italy. Sandro Pelo does not speak in English (his colleague translates). Both seems to be good, some people in Italy say they are one of the best surgeons in Europe. I didn't choose Pelo because he didn't show me his works  - the examples of similiar surgeries. He showed me 2 examples barely close to typical ZMC repo... Prof Iannetti was too expensive for me that time. He wanted 22k E. Additionally I realised Italy is too far away from my place and I can get there only by plane...what if something bad happen like serious infection when I will be at home. Finally I didn't choose them

After surgery when I got complications I had consultation with Prof Mirco R. (Italy), because someone recommended me him. Very nervous guy, didn't look carefully into my scans didn't notice displaced condyle of mandibular (while it's a bit displaced after surgery), said my problem has nothing to do with that surgery (every TMJ specialists told me it has strong relation), he was unpleasent, he almost....no not almost...he was screaming at me telling me I have mental issues. No other specialists told me that - they told me I had serious problem after the surgery and I may have even much more serious problem If won't find solution soon. Something telling me Raffaini has no clue about midface and TM joints, he can do only surgeries on jaw. Wasted time and money 600 E  journey + hotel + consultation

Tried to consult Triaca, but he told me he didn't perform ZMC repositions

I'm going to have consultation with one of the main German maxillo-facial surgeon.
I was thinking about Prof. Ham...r from Switzerland, but actually it does not make sense, since my national insurance institution won't give me clearance as I should choose the best and cheapest option...but I'm not sure if Western Germany is so much cheaper than Switzerland - who knows ?
Both perform ZMC repositions and some procedures on TM joints. ...but I will tell later something after consultation with that German one

 

[Millis]

Thank you for this excellent thread!

I have yet to consult with any surgeons, but I have heard anecdotally that Dr. Zarrinbal does whatever his patients desire, and that some of his chin wing results left the patient looking like ''the Joker'' because they presumably asked for a very steep drop-down.

[swsee]

I consulted with a bunch of surgeons. Didn't list of all of them below.

Dr Zarrinbal - As others mentioned, he is very conservative with his movements, and would not consider more than a 10mm bsso. He also insisted on anterior impaction to achieve rotation, despite my lack of gummy smile.

Dr Wolford - Super knowledgeable and friendly. He had an aggressive plan for me since I needed significant advancement. Insisted on TMJ replacement, and his cost was more than I can afford.

Dr Gunson - I have to give it to them. A/G really nailed the marketing and presentation aspect when it comes to consults, on top of the fact that he is a great surgeon. Plan was very similar to Wolford's actually. Once again, couldn't afford him, but gave me good knowledge to use in other consults.

Dr Sailer - Call me crazy, but I'm one of the people who really like his aggressive plans and results. I worried a bit about the large maxillary advancement he wanted to do (11mm) and the impact it would have on my nose. If money were no issue I think I might have gone with him. Again, waaay too expensive

Dr Sachs - This is who I went with, and had surgery almost 7 weeks ago with. Very friendly, knowledgeable, and willing to take my aesthetic concerns into consideration. He's not one of the big names you hear about, but I felt really good about it, and I live in NYC, so that was a bonus. Plan we came up with was very similar to what Gunson and Wolford proposed. Ended up with ~25mm advancement at the chin point. Overall I am quite happy with the results. I'm still not 100% healed, and have a bit of orthodontic work still to get my bite to a good place, so may be too early to say how things went. I think there's some slight asymmetry in my chin, and it somewhat highlighted some of my pre-existing asymmetry. Numbness has been resolving relatively quickly. Chin is regaining sensation, but the right half of my bottom lip is still 98% numb. I figure it's too early to really say where I'll end up in that regard.

Unlike a lot of you, I'm not looking to do a laundry list of procedures. Recovery sucked, and I don't want to go through anything like that ever again. I've always been ok with my appearance aside from my recessed lower third, so this one was enough. It made me look "normal", and that's fine by me. I'll never be a male model, so I think I went in with realistic expectations, and so far am pleased with the outcome. No major functional or aesthetic issues.

[stupidjaws]

I consulted with a bunch of surgeons. Didn't list of all of them below.

Dr Zarrinbal - As others mentioned, he is very conservative with his movements, and would not consider more than a 10mm bsso. He also insisted on anterior impaction to achieve rotation, despite my lack of gummy smile.

Dr Wolford - Super knowledgeable and friendly. He had an aggressive plan for me since I needed significant advancement. Insisted on TMJ replacement, and his cost was more than I can afford.

Dr Gunson - I have to give it to them. A/G really nailed the marketing and presentation aspect when it comes to consults, on top of the fact that he is a great surgeon. Plan was very similar to Wolford's actually. Once again, couldn't afford him, but gave me good knowledge to use in other consults.

Dr Sailer - Call me crazy, but I'm one of the people who really like his aggressive plans and results. I worried a bit about the large maxillary advancement he wanted to do (11mm) and the impact it would have on my nose. If money were no issue I think I might have gone with him. Again, waaay too expensive

Dr Sachs - This is who I went with, and had surgery almost 7 weeks ago with. Very friendly, knowledgeable, and willing to take my aesthetic concerns into consideration. He's not one of the big names you hear about, but I felt really good about it, and I live in NYC, so that was a bonus. Plan we came up with was very similar to what Gunson and Wolford proposed. Ended up with ~25mm advancement at the chin point. Overall I am quite happy with the results. I'm still not 100% healed, and have a bit of orthodontic work still to get my bite to a good place, so may be too early to say how things went. I think there's some slight asymmetry in my chin, and it somewhat highlighted some of my pre-existing asymmetry. Numbness has been resolving relatively quickly. Chin is regaining sensation, but the right half of my bottom lip is still 98% numb. I figure it's too early to really say where I'll end up in that regard.

Unlike a lot of you, I'm not looking to do a laundry list of procedures. Recovery sucked, and I don't want to go through anything like that ever again. I've always been ok with my appearance aside from my recessed lower third, so this one was enough. It made me look "normal", and that's fine by me. I'll never be a male model, so I think I went in with realistic expectations, and so far am pleased with the outcome. No major functional or aesthetic issues.

not to break it to you but 99% Of people go in with that mindset...if you told me after my bimax i would've had other surgeries i would've not believed that...yet-..

[Rico]

Have anyone had here correction for just 3mm ? if something failed on first surgery ?

[swsee]

not to break it to you but 99% Of people go in with that mindset...if you told me after my bimax i would've had other surgeries i would've not believed that...yet-..

Touche'

I said the same thing when I had a horrible chin implant put in a few years ago, and subsequently removed. Told myself I'd just live with my crappy chin. Then while getting fitted for a suit, surrounded by mirrors at all angles, I got a clear glimpse of how deformed I really was, and here I am, haha.

My aim wasn't to take a jab at anyone. I fully support everyone doing whatever it is, no matter how crazy, that makes them happier and more confident. I can certainly already see how jaw surgery has highlighted other deficiencies. My jaw looks way narrower now, which would be great to fix, but I currently have no intention. But to your point, I guess I should never say never....