Conflicting views

[ITALIA]

Has any one had conflicting views from surgeons?

I've had consultations with Dr DF and Dr Alfaro..

Dr DF wants me to have a bimax / bsso with downgrafting - He says my face is too squashed with one side longer and lower than the other side. Also he says he wants to correct canting and asymmetry. I've seen him in London and Belgium.

I met Dr Alfaro last week in Barcelona. He doesn't believe I need anything doing. I told him I thought my face was too short and round with one side lower than the other.  He was very clear that I didn't need anything and that I shouldn't allow anything to be done -  He said my surgeon did a good job.

To say I was surprised was an understatement. I didn't push him because I didn't see the point but I wanted to ask if anyone has had a familiar experience and what should I do.

[Lazlo]

Has any one had conflicting views from surgeons?

I've had consultations with Dr DF and Dr Alfaro..

Dr DF wants me to have a bimax / bsso with downgrafting - He says my face is too squashed with one side longer and lower than the other side. Also he says he wants to correct canting and asymmetry. I've seen him in London and Belgium.

I met Dr Alfaro last week in Barcelona. He doesn't believe I need anything doing. I told him I thought my face was too short and round with one side lower than the other.  He was very clear that I didn't need anything and that I shouldn't allow anything to be done -  He said my surgeon did a good job.

To say I was surprised was an understatement. I didn't push him because I didn't see the point but I wanted to ask if anyone has had a familiar experience and what should I do.

ALL THE TIME. MOST WILL RECOMMEND ONLY WHAT THEY KNOW HOW TO DO AND DISSUADE YOU FROM THE REST. THAT'S WHY ITS SO IMPORTANT TO PICK AND CHOOSE.

I believe I've seen your face and I'm with Alfara by far on this one. You don't need anything. You've have severe BDD.

[kavan]

Has any one had conflicting views from surgeons?

I've had consultations with Dr DF and Dr Alfaro..

Dr DF wants me to have a bimax / bsso with downgrafting - He says my face is too squashed with one side longer and lower than the other side. Also he says he wants to correct canting and asymmetry. I've seen him in London and Belgium.

I met Dr Alfaro last week in Barcelona. He doesn't believe I need anything doing. I told him I thought my face was too short and round with one side lower than the other.  He was very clear that I didn't need anything and that I shouldn't allow anything to be done -  He said my surgeon did a good job.

To say I was surprised was an understatement. I didn't push him because I didn't see the point but I wanted to ask if anyone has had a familiar experience and what should I do.

I bet you have good bone balance in  a ceph. Short and round is usually from soft tissue thickness.

[CCW]

Jaw surgery is not an exact science, so you might get a different opinion from every surgeon that you see. In this case, I'd trust Alfaro more since Defrancq is old, outdated, and sucks. If you want a third opinion, consider Raffaini.

[kavan]

I'd also be inclined to put more credence in what Alfaro said and would agree that he has more advanced techniques than does DeFrancq. Also the fact that he's not looking for 'employment opportunities' in the OP's face is a good sign.

[haven]

You'll always get conflicting opinions from professionals.

Unrelated procedure but I almost had Lasik in my early 20s after seeing only one surgeon who tried selling me on the procedure. I thought it wise to consult other surgeons before committing and the other two mentioned I had abnormally thin corneas and turned me down. Needless to say I didn't undergo it.

If one of them is telling you that you look fine, I'd take their word for it.

I've spoken to several surgeons in my area and they've all advised I not go down the route of jaw surgery and said I could get a genioplasty if my profile really bothers me. I'm seeing Gunson later this year just so he can humor me with some robust surgical plan.

[Lefortitude]

Surgery has so many different specializations, and within each specialization are separate sub niches which cater to different markets. A human surgeon simply can not be an expert in all of them. As a result, they will provide experience from their specialization, which will always vary widely.

It boils down to: Alfaro is a specialist in minimally invasive, cosmetic and functional corrections. He does loads of these surgeries. If he says you don't need surgery, I'm confident you don't need surgery.

[PloskoPlus]

Alfaro is not a conservative surgeon. He is more than happy to operate where others wouldn't. If he says you don't need surgery, I'd listen to him.

[ITALIA]

I bet you have good bone balance in  a ceph. Short and round is usually from soft tissue thickness.

This is true regarding tissue thickness, but wouldn't lengthening the mid face negate some of this by the fact your creating more space?

[kavan]

This is true regarding tissue thickness, but wouldn't lengthening the mid face negate some of this by the fact your creating more space?

Not if your tissue isn't actually crowded due to a short bone structure. The soft tissue would remain THICK.

[girl]

Both of their aesthetics can be really off sometimes. DF veers between recommending aggressive solutions when they're not needed, and minimal solutions when aggressive ones are needed. Alfaro's results can be overdone or neglect essential parts. He also seems to focus on the overbite/underbite market more than the downgrafting one, whereas that's DF's speciality.

The truth lies somewhere in between. You are very handsome with a very slightly short midface. Thus not "perfect" but still better looking than 90%>.

The real question is, how much does it eat away at you and are you absolutely dead set on doing this?

You're not the first handsome guy who's used jaw surgery to tweak their looks but the stakes are high when you aren't unattractive.

I would see a third doctor, perhaps someone who will be open to a more simple downgraft without adding on unneeded extras. Then at least you can make an informed decision. Raffaini might be your man as he offered similar to an attractive young woman here.

[kavan]

Both of their aesthetics can be really off sometimes. DF veers between recommending aggressive solutions when they're not needed, and minimal solutions when aggressive ones are needed. Alfaro's results can be overdone or neglect essential parts. He also seems to focus on the overbite/underbite market more than the downgrafting one, whereas that's DF's speciality.

The truth lies somewhere in between. You are very handsome with a very slightly short midface. Thus not "perfect" but still better looking than 90%>.

The real question is, how much does it eat away at you and are you absolutely dead set on doing this?

You're not the first handsome guy who's used jaw surgery to tweak their looks but the stakes are high when you aren't unattractive.

I would see a third doctor, perhaps someone who will be open to a more simple downgraft without adding on unneeded extras. Then at least you can make an informed decision. Raffaini might be your man as he offered similar to an attractive young woman here.

Excellent post.

[Lazlo]

Both of their aesthetics can be really off sometimes. DF veers between recommending aggressive solutions when they're not needed, and minimal solutions when aggressive ones are needed. Alfaro's results can be overdone or neglect essential parts. He also seems to focus on the overbite/underbite market more than the downgrafting one, whereas that's DF's speciality.

The truth lies somewhere in between. You are very handsome with a very slightly short midface. Thus not "perfect" but still better looking than 90%>.

The real question is, how much does it eat away at you and are you absolutely dead set on doing this?

You're not the first handsome guy who's used jaw surgery to tweak their looks but the stakes are high when you aren't unattractive.

I would see a third doctor, perhaps someone who will be open to a more simple downgraft without adding on unneeded extras. Then at least you can make an informed decision. Raffaini might be your man as he offered similar to an attractive young woman here.

You need to seriously understand that jaw surgery is a very traumatic experience physically. You will almost definitely have a highly altered sensation in your face that does not go away as well as compromised speaking, tongue, even taste can be permanently affected. It is what is is: breaking both jaw bones and cutting through nerves and flesh to change things. I am two years post-op and the lip nerves feeling dead on one side is truly an awful feeling. It can lead to futher mental illness and you're already someone who suffers from servere BDD.

How's your love life by the way? Has it changed much since your days on Miss J's forums? Did the procedures help you in that sphere at all? Or do you think the 2 mm off your left mandible or some s**t is still holding you back?

[ITALIA]

Both of their aesthetics can be really off sometimes. DF veers between recommending aggressive solutions when they're not needed, and minimal solutions when aggressive ones are needed. Alfaro's results can be overdone or neglect essential parts. He also seems to focus on the overbite/underbite market more than the downgrafting one, whereas that's DF's speciality.

The truth lies somewhere in between. You are very handsome with a very slightly short midface. Thus not "perfect" but still better looking than 90%>.

The real question is, how much does it eat away at you and are you absolutely dead set on doing this?

You're not the first handsome guy who's used jaw surgery to tweak their looks but the stakes are high when you aren't unattractive.

I would see a third doctor, perhaps someone who will be open to a more simple downgraft without adding on unneeded extras. Then at least you can make an informed decision. Raffaini might be your man as he offered similar to an attractive young woman here.

I'm guessing you've seen my photos from the other board -  Those results have definitely deteriorated.

Any way...for me I have no choice but to improve my face....its about survival for me...People treated me like crap before. I was invisible, you can see it in their faces. I can tell you its not a nice feeling, especially from girls, when all you've done is look at them for more than a second.
Surgery improved things and also my career as well. So I need to make sure I get the right advice and work

I give off a weird vibe and I need to change that.

[ITALIA]

You need to seriously understand that jaw surgery is a very traumatic experience physically. You will almost definitely have a highly altered sensation in your face that does not go away as well as compromised speaking, tongue, even taste can be permanently affected. It is what is is: breaking both jaw bones and cutting through nerves and flesh to change things. I am two years post-op and the lip nerves feeling dead on one side is truly an awful feeling. It can lead to futher mental illness and you're already someone who suffers from servere BDD.

How's your love life by the way? Has it changed much since your days on Miss J's forums? Did the procedures help you in that sphere at all? Or do you think the 2 mm off your left mandible or some s**t is still holding you back?

I've had two genios so I understand about the changes to the face. I'm not going to jump into anything like this without being certain it would make a noticeable difference.

Love life - After my second surgery I had a honey moon period where things definitely improved but I don't bother anymore, its not not meant to be for some people.  This is now more about my own sanity and career