It looks like his outstanding YELP reviews ARE from people that REALLY needed total reconstruction where the TMJ replacements were part of it and who had some way of knowing that was needed.
I would imagine that his happy patients had a LOT of $$ because it looks like insurance does NOT pay for everything done in the surgery and one YELP reviewer was LAUDING him for not limiting his surgery suggestions to only those insurance would pay for.
Outside of YELP there was a patient who clearly really needed the TMJ replacements and total reconstruction surgeries but she also needed to rustle up about 45 grand or so for the part of the surgery that was self pay and the insurance would not pay for. So I guess the surgeries with him were close to a quarter million.
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https://www.gofundme.com/moderndorcasdeniseThe complaints (in general) look to be from people to whom he suggested joint replacements or something else where they probably had no way of 'knowing' if they really needed that. You know, not like the other patients who had some way of 'knowing' that particular suggestion rang true which would be something the patient would 'know' if they also knew they needed total jaw reconstruction or suffered from a lot of joint pain.
I guess the 'neutral' thing I would suggest is that if you go there for 'aesthetics' and he intimates or suggests joint replacement in situation where you, as patient, don't perceive any joint problems, would be to hold off or decline the surgery if it were contingent on joint repacement. Perhaps take a 'wait and see' approach and consider him later down the line in the event it 'feels' that way to you that you might need that.
As to the OP asking for feedback, it looks like you still need to resolve your initial question which was; 'Should I have had CCW?' I think you need to REFINE that question to:
'Would I have wanted a 3 piece Lefort in order JUST to have CCW?'
To that regard, you would need to factor in such things as insurance NOT paying for the 'extras' needed to do that when the solution was what you got to correct the bite. Also what ever other co-pays, travel expenses etc that would have been needed.
At this point in time, if you still want that, it's REVISION surgery and would tend to be TOTALLY SELF PAY given that insurance would not kick in for it.
Plosko, I'm not sure how 'private' this discussion needs to be given the OP posted his photos openly and is asking for GENERAL feedback. Not to mention, he is referencing PUBLIC feedback (open reviews) he's read.