Hello friends, thank you much for all of your responses. We've created quite a lively discussion now, haven't we?
Ah yes, the chimp lip. I remember post surgery I looked like a Who, from Whoville. I think naturally if CCW is supposed to better support the upper lip, the philtrum groove should deepen/curve inward, like a (, which is a positive thing.
Dr Karas was great. He was soft spoken and listened intently to what I had to say. His exam was thorough, he ordered more imaging studies. He seems conservative, cautious. Since I was rushed into my first surgery only on "Don't worry, I do this all the time" to my many questions and concerns, I like the slow, cautious approach heading into a revision. I need the reassurance that I'm not jumping into something head first without testing the temperature.
I'm having quite a bit of TMJ and neck pain + headaches, both Gunson and Karas recommended mouth guards and/or PT to try to get that under control-something Kaiser Oakland NEVER suggested. Nope. They wanted to slap braces on me and take me to the OR, even though TMJ pain is only improved with orthognathic surgery in like 10% of patients.
Anyways, we'll see. At this point I'd say my revision is 25% function 75% aesthetics, but best believe anyone who has had a sub par jaw surgery knows that when you look bad after such a major surgery it affects your health and wellbeing - how you feel about yourself affects your health. Pyschosomatic.
So in the name of health I move forward. If anything exciting happens I'll let you'all know.
GJ what's the verdict? Are you going to make a $10/month forum subscription fee? $20/annual maybe?