Hokie Tay,
I forgot to mention that my bite is perfect. It's just the uneven jaw that's bothering me.
Cali Girl
Second Jaw Surgery?
Moderator: bbsadmin
My situation seems to be the reverse of everyone elses.
I did not have a gummy smile but i had a cant of 2mm on the right which I could not notice and did not bother me my teeth functioned fine however they showed me no models, tracings or diagrams or even told me the measurements or movements and I come out of the surgery not liking my smile and wondering why and then 10 weeks post op the consultant said to me she did not like how much gum I showed so instead of levelling the 2mm cant or leaving it and instead bringing the toothe down she cut of 6mm of gum at the back and a further 2mm at the front and said to me it now looks pretty.
Pretty in who's eyes? I did not ask for this or discuss this with them and now to get it corrected requires a graft.
My teeth were edge to edge but she cut so much gum height that when my bottom jaw swung forward during the surgery it was 5mm further out than my top jaw and had to be brought back.
They took the long route to closing my bite just to change my features and I am not happy. My profile is flat and I do not like it and I don't even show all my teeth now let alone gum.
I am in a battle with them at the mo whilst trying to get a private doctor to fix it. I would rather do another surgery than sit unhappy because someone tried to play god with my face and make it how they wanted it.
I don't expect my parents to understand because they are not me, but as long as I know what I want and can explain it to a surgeon and am aware of the risks this is all that matters as no surgeon should just make their own plans without consulting you.
I did not have a gummy smile but i had a cant of 2mm on the right which I could not notice and did not bother me my teeth functioned fine however they showed me no models, tracings or diagrams or even told me the measurements or movements and I come out of the surgery not liking my smile and wondering why and then 10 weeks post op the consultant said to me she did not like how much gum I showed so instead of levelling the 2mm cant or leaving it and instead bringing the toothe down she cut of 6mm of gum at the back and a further 2mm at the front and said to me it now looks pretty.
Pretty in who's eyes? I did not ask for this or discuss this with them and now to get it corrected requires a graft.
My teeth were edge to edge but she cut so much gum height that when my bottom jaw swung forward during the surgery it was 5mm further out than my top jaw and had to be brought back.
They took the long route to closing my bite just to change my features and I am not happy. My profile is flat and I do not like it and I don't even show all my teeth now let alone gum.
I am in a battle with them at the mo whilst trying to get a private doctor to fix it. I would rather do another surgery than sit unhappy because someone tried to play god with my face and make it how they wanted it.
I don't expect my parents to understand because they are not me, but as long as I know what I want and can explain it to a surgeon and am aware of the risks this is all that matters as no surgeon should just make their own plans without consulting you.
ORTHO12,
I would be very upset too if they changed the plan WHILE they were doing your surgery. In retrospect, I wish that I had asked more questions to the oral surgeons and have them show me what they were going to do with models or at least explain the plan in more detail.
My surgeons told me what they were going to do but in the end I don't think it came out 100%. I ended up with a deviated septum and a cant (slant) to my jaws that were not there before the surgery.
I agree that they should have discussed their plans before the surgery with you. I think sometimes the doctors are not real good at communicating and explaining so that the patient understands the procedure that will be done.
I truly hope it all works out for you. I'm still deciding if I want to go through with another double-jaw surgery. My husband is not real happy with me right now.
I would be very upset too if they changed the plan WHILE they were doing your surgery. In retrospect, I wish that I had asked more questions to the oral surgeons and have them show me what they were going to do with models or at least explain the plan in more detail.
My surgeons told me what they were going to do but in the end I don't think it came out 100%. I ended up with a deviated septum and a cant (slant) to my jaws that were not there before the surgery.
I agree that they should have discussed their plans before the surgery with you. I think sometimes the doctors are not real good at communicating and explaining so that the patient understands the procedure that will be done.
I truly hope it all works out for you. I'm still deciding if I want to go through with another double-jaw surgery. My husband is not real happy with me right now.
It was their plan all along they just did not tell me, show me or explain to me.
She basically went and did it and hoped I would like it without consulting me.
The hardest thing is trying to explain to another surgeon that you were not informed, rather than have them thinking you just don't like the result and were fully aware of what was planned because most people are informed and just do not like the results. I however was not informed and do not like the results.
With regards to asking questions, you should not HAVE to ask. This is a major surgery which in alot of cases once you have done they wash their hands of you as long as they are happy with their "result". ( I can not speak for every surgeon and am NOT)
I also think I have a deviated septum as my septum feels buckled it sits to the left but buckles to the right I have not been able to breathe through my right nostril since the surgery and it gets blocked. I have told my surgeon at least 4 times now. They just write it down.
Oh well..no one said life was easy. I am hoping this is just a test of strength and I will come out the other end stronger
She basically went and did it and hoped I would like it without consulting me.
The hardest thing is trying to explain to another surgeon that you were not informed, rather than have them thinking you just don't like the result and were fully aware of what was planned because most people are informed and just do not like the results. I however was not informed and do not like the results.
With regards to asking questions, you should not HAVE to ask. This is a major surgery which in alot of cases once you have done they wash their hands of you as long as they are happy with their "result". ( I can not speak for every surgeon and am NOT)
I also think I have a deviated septum as my septum feels buckled it sits to the left but buckles to the right I have not been able to breathe through my right nostril since the surgery and it gets blocked. I have told my surgeon at least 4 times now. They just write it down.
Oh well..no one said life was easy. I am hoping this is just a test of strength and I will come out the other end stronger
Hi,
Just a quick update.
It appears since the surgery that my head posture has become negative and my post surgery xray is of my head down and when I look at myself I am looking with my head down.
However if I raise my head up my tonguE rubs on my soft palate and my nose does not drain and this is why I think I have had my head down for four months!!,.....Anyway my point is..
When I look at both XRAYS with the same head posture I can see the true story.
I had en edge to edge open bite 1mm:
My top jaw was impacted 2mm ant and 6MM post
My lower jaw then rotated forward as a result of the impaction so was set back 5mm
However the xrays both in the same head posture show both jaws are further forward by 6mm than pre surgery so I don't know what has happened and as my head was down for the xray it looked like they only tilted my jaw up at the back but they actually either brought both forward during the op or it is relapse as I did not have my 1st xray 2weeks after my op and I was not fixated in my mouth after my op just plates but I was moving all over the place, sneezing etc, walking, getting on the train to go to my appointments...
So I am now having both jaws setback and leaving out the graft for the gum height as I do not want further complications and I know I will show less gum as a result but I have to make a sacrifice.
Anyway they LIED to me and at least I now have someone to help me because I been wondering for four months why when I lift my head up my face is so far forward and my nose base and nostrils show and why I have to strain to close my mouth when I could close naturally before the op and why my mouth is so far from my nose.
Pre-op 1mm open bite edge to edge no problems at all they said it is best to close it.
Post op Left TMJ earache, Right TMJ Popping, can't close mouth, mentalis strain and STRESS!! and a whole new face when I only asked them to move my lower jaw!!
ORTHOGNATHIC SURGERY...
Just a quick update.
It appears since the surgery that my head posture has become negative and my post surgery xray is of my head down and when I look at myself I am looking with my head down.
However if I raise my head up my tonguE rubs on my soft palate and my nose does not drain and this is why I think I have had my head down for four months!!,.....Anyway my point is..
When I look at both XRAYS with the same head posture I can see the true story.
I had en edge to edge open bite 1mm:
My top jaw was impacted 2mm ant and 6MM post
My lower jaw then rotated forward as a result of the impaction so was set back 5mm
However the xrays both in the same head posture show both jaws are further forward by 6mm than pre surgery so I don't know what has happened and as my head was down for the xray it looked like they only tilted my jaw up at the back but they actually either brought both forward during the op or it is relapse as I did not have my 1st xray 2weeks after my op and I was not fixated in my mouth after my op just plates but I was moving all over the place, sneezing etc, walking, getting on the train to go to my appointments...
So I am now having both jaws setback and leaving out the graft for the gum height as I do not want further complications and I know I will show less gum as a result but I have to make a sacrifice.
Anyway they LIED to me and at least I now have someone to help me because I been wondering for four months why when I lift my head up my face is so far forward and my nose base and nostrils show and why I have to strain to close my mouth when I could close naturally before the op and why my mouth is so far from my nose.
Pre-op 1mm open bite edge to edge no problems at all they said it is best to close it.
Post op Left TMJ earache, Right TMJ Popping, can't close mouth, mentalis strain and STRESS!! and a whole new face when I only asked them to move my lower jaw!!
ORTHOGNATHIC SURGERY...
@ORHTO12:
You definitely are not alone in being unhappy with the unsatisfactory results. I just saw a top expert in the U.S. for my misplaced jaw and 30% of their operations are revisions from poor surgical techniques/outcomes. Poor results are not uncommon, and of course they are under-reported by surgeons and patients are reluctant to tell their stories!
Though I do not know you, I sympathize with your situation and support you. My best advice is to be patient but always working, and find doctors that are trustworthy. Travel to an expert if necessary, you are worth it.
You definitely are not alone in being unhappy with the unsatisfactory results. I just saw a top expert in the U.S. for my misplaced jaw and 30% of their operations are revisions from poor surgical techniques/outcomes. Poor results are not uncommon, and of course they are under-reported by surgeons and patients are reluctant to tell their stories!
Though I do not know you, I sympathize with your situation and support you. My best advice is to be patient but always working, and find doctors that are trustworthy. Travel to an expert if necessary, you are worth it.
Hi,
Kind words.
Did u go santa barbara by any chance?
I was going to go there but I can not afford $40000+ and living in the UK I can not really get to and from there as necessary but was willing at one stage to just do it and live my life broke. However I have found a UK surgeon who I trust so far as I need a downgraft and he mainly deals with these as his speciality and is the clinical director of his trust and has a private practice (Im going private)
This time though I am clearly communicating what I want rather than them doing what they want as it is my face not theirs.
BTW...Quick update. I had a 2mm CANT of my teeth on the left so they cut my face 6mm left 4mm right to level the CANT duno why so much but anyway now all my teeth touch but my face is severely lopsided as is the whole jaw, the centre of my lower lip is off too but they said I should be happy my teeth are touching on the right but do not touch at all on the left but is masked by the fact that they all close at the front in my lopsided face I am SO ANGRY and...I am so traumatised by this whole experience I just want it all behind me.
I hope you revision goes well...I know it will if ur getting it done by who I think u r.
Good Luck!!
Kind words.
Did u go santa barbara by any chance?
I was going to go there but I can not afford $40000+ and living in the UK I can not really get to and from there as necessary but was willing at one stage to just do it and live my life broke. However I have found a UK surgeon who I trust so far as I need a downgraft and he mainly deals with these as his speciality and is the clinical director of his trust and has a private practice (Im going private)
This time though I am clearly communicating what I want rather than them doing what they want as it is my face not theirs.
BTW...Quick update. I had a 2mm CANT of my teeth on the left so they cut my face 6mm left 4mm right to level the CANT duno why so much but anyway now all my teeth touch but my face is severely lopsided as is the whole jaw, the centre of my lower lip is off too but they said I should be happy my teeth are touching on the right but do not touch at all on the left but is masked by the fact that they all close at the front in my lopsided face I am SO ANGRY and...I am so traumatised by this whole experience I just want it all behind me.
I hope you revision goes well...I know it will if ur getting it done by who I think u r.
Good Luck!!
ORTHO12,
I hope it all works out for you. I'm still debating whether I want to do a second surgery. My cant is mostly noticed by me. Unless I tell someone, they probably would not notice on their own. But yes, SRS has a good point. I'm sure many people are unhappy with the results and have to re-surgery.
Cali Girl
I hope it all works out for you. I'm still debating whether I want to do a second surgery. My cant is mostly noticed by me. Unless I tell someone, they probably would not notice on their own. But yes, SRS has a good point. I'm sure many people are unhappy with the results and have to re-surgery.
Cali Girl