Is this a bad result?

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Ellie
Posts: 18
Joined: Thu Jul 10, 2008 2:14 am
Location: UK

Is this a bad result?

#1 Post by Ellie »

In August 2010 I had upper jaw surgery to correct an underbite. If i'm honest, my expectations of the surgery were pretty high, not helped by my surgeon who wasn't the most tactful of people... he basically ripped my appearance to shreds in my first consultation, but told me not to worry because "I would be much more classically feminine and beautiful after the operation". I was young at the time (16) and spent the 3 following years before the op obsessively musing over what my new face would be like and how much it would change things for me, feeling certain that my underbite was the cause of my BIG lack in self-confidence. Above all, I thought that my top teeth would show when I smiled. All of my family have top teeth that show when they smile, and all of the before and after videos I watched seem to show a similar trend. However, two and a half yearsbut post op and two years out of braces - my top teeth do NOT show when I "smile" - I have a gummy, gappy, extremely thin smile, and it basically looks like I have no teeth unless I force it... but if I force it, my top lip curls under and disappears and I just look even more odd. After 12 years of braces, I feel pretty disheartened that nothing has changed, if anything I am LESS confident than I was before the operation because I no longer have the potentiality of my face changing. I've been seeing a counsellor about it because its been on my mind every single day since my first consultation with the surgeon... I've just been getting increasingly down because I graduate from university in a few months and am so lacking in self-confidence I dont see how I will get a job in my field or ever have a partner, a family. But it's not really helping because to improve my confidence I have to sort of accept that i'm not ugly and I can't... I KNOW my teeth and jaw aren't 'right', its not my imagination. I saw my orthodontist for my final check up a few months ago (who thankfully has always been a lot nicer than my surgeon) and she said that she could see what I meant about my teeth, but the result I wanted/was expecting was never going to happen without rib grafts and a lot more serious work done! This is my smile :( what can I do about it?

edit: my nose is also an issue - always hated it, surgeon offered me a nose job at the same time as my nhs jaw op (but couldnt afford it). it moved a bit with my jaw and has left a wrinkle of loose skin at the top as soon as my face isnt relaxed, which is horrible and just reminds me of the whole thing all the time.
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carolyndowdy
Posts: 16
Joined: Wed Jun 13, 2012 8:39 pm
Location: Oklahoma City

Re: Is this a bad result?

#2 Post by carolyndowdy »

I think you have a very pretty nose. Why do we seek perfection? I am 53 and have had braces for about 15 months. I ask myself now why I even chose to have braces.

azjaw
Posts: 20
Joined: Sat Jan 05, 2013 9:52 pm
Location: Phoenix, AZ

Re: Is this a bad result?

#3 Post by azjaw »

Your surgeon should have told you there was the possibility you could like your appearance after the surgery less than before. My surgeon told me it is actually fairly common. It is really hard to not be happy with how you look. I have a lot of those issues myself. I am trying to decide if it is worth it to have surgery just for cosmetic reasons. There are other reasons as well but I am having trouble finding any hard data to show that surgery can help with those problems.

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katsface
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Location: Virginia, USA
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Re: Is this a bad result?

#4 Post by katsface »

Are the pictures you posted of you 'forcing' your smile? Because they don't look at all gummy or gappy. In fact, I think you're quite beautiful!

I had an ortho rip my smile to shreds a few years ago, and the emotional impact of that visit has been with me ever since. I've been lucky enough to find a different ortho who is honest and tactful to work with. I'm starting to put the injury to my ego behind me, but I know how hard it can be to struggle with the way you look. All I can say is, the older I've gotten, the easier it has gotten to not care as much. (Although, I still care!)

Anyway, since I don't think there is a picture showing the 'gummy gappy' smile you are frustrated with, it's hard to say what's going on. I have gummy smile, and I've read there can be many causes for it.
  • You might have an over active upper lip (like me!) that pulls up too much when you smile. A cosmetic surgery can be done to lower the lip slightly and prevent the lip from curling up as much. I've also read that Botox can weaken the over active muscles to the same effect, although it would be a temporary fix.
  • Or, your teeth may have erupted in a way that causes more gum to show than tooth. If that's the case, simple gum sculpting could fix the problem.
  • I would hope if there was in issue with your jaw being too long (another possible problem) that your surgeon would have talked to you about it. So, my money would be on one of the first two issues I mentioned.
It's hard to say without seeing a picture of the problem if it's a bad result or not.
Treatment-
  • Braces: In-Ovation L (lingual) on top, and In-Ovation R (metal) on bottom
  • SARPE
  • BSSO advancement
  • estimated 18-22 months
SARPE
  • Expander installed Jan 14th 2013
  • Surgery Feb 18th 2013
  • Turn 26 days to 13mm. Gap between teeth maxed out at 12-13mm.
  • Gap down to 7mm Apr 18
  • Gap Closed Aug 6
  • Expander out Sep 19
BSSO
  • Insurance approved, surgery scheduled for Dec 18!

azjaw
Posts: 20
Joined: Sat Jan 05, 2013 9:52 pm
Location: Phoenix, AZ

Re: Is this a bad result?

#5 Post by azjaw »

I couldn't see the pictures last night when I posted, probably because I was a new member, so I just wanted to post again and say I think you look very pretty. There is absolutely no reason that someone who looks like you cannot get a job so just get out there and do it. Looks matter a little bit but most people in the world are average looking and still manage to find employment and support themselves. What is more important is the skills you bring to the job. Even actors can't get away with only being pretty. They have to be able to at least have some skills at acting. Maybe reality TV stars is one exception.

You will find a partner who appreciates you as you are with time. Even most shy people find a partner eventually. You can keep having surgeries searching for perfection but you probably aren't going to find it. Look at Michael Jackson. He had who knows how many surgeries because he could afford anything he wanted and he ended up looking very strange.

Ellie
Posts: 18
Joined: Thu Jul 10, 2008 2:14 am
Location: UK

Re: Is this a bad result?

#6 Post by Ellie »

azjaw wrote:Your surgeon should have told you there was the possibility you could like your appearance after the surgery less than before. My surgeon told me it is actually fairly common. It is really hard to not be happy with how you look. I have a lot of those issues myself. I am trying to decide if it is worth it to have surgery just for cosmetic reasons. There are other reasons as well but I am having trouble finding any hard data to show that surgery can help with those problems.
Its not really that I like my performance less now... because I hated it before the op aswell. I guess I was just expecting a lot more of a change.

Ellie
Posts: 18
Joined: Thu Jul 10, 2008 2:14 am
Location: UK

Re: Is this a bad result?

#7 Post by Ellie »

Ellie wrote:
azjaw wrote:Your surgeon should have told you there was the possibility you could like your appearance after the surgery less than before. My surgeon told me it is actually fairly common. It is really hard to not be happy with how you look. I have a lot of those issues myself. I am trying to decide if it is worth it to have surgery just for cosmetic reasons. There are other reasons as well but I am having trouble finding any hard data to show that surgery can help with those problems.
Its not really that I like my performance less now... because I hated it before the op aswell. I guess I was just expecting a lot more of a change.
*appearance not performance! just been writing about performance so its on the brain apparently!

Ellie
Posts: 18
Joined: Thu Jul 10, 2008 2:14 am
Location: UK

Re: Is this a bad result?

#8 Post by Ellie »

katsface wrote:Are the pictures you posted of you 'forcing' your smile? Because they don't look at all gummy or gappy. In fact, I think you're quite beautiful!

I had an ortho rip my smile to shreds a few years ago, and the emotional impact of that visit has been with me ever since. I've been lucky enough to find a different ortho who is honest and tactful to work with. I'm starting to put the injury to my ego behind me, but I know how hard it can be to struggle with the way you look. All I can say is, the older I've gotten, the easier it has gotten to not care as much. (Although, I still care!)

Anyway, since I don't think there is a picture showing the 'gummy gappy' smile you are frustrated with, it's hard to say what's going on. I have gummy smile, and I've read there can be many causes for it.
  • You might have an over active upper lip (like me!) that pulls up too much when you smile. A cosmetic surgery can be done to lower the lip slightly and prevent the lip from curling up as much. I've also read that Botox can weaken the over active muscles to the same effect, although it would be a temporary fix.
  • Or, your teeth may have erupted in a way that causes more gum to show than tooth. If that's the case, simple gum sculpting could fix the problem.
  • I would hope if there was in issue with your jaw being too long (another possible problem) that your surgeon would have talked to you about it. So, my money would be on one of the first two issues I mentioned.
It's hard to say without seeing a picture of the problem if it's a bad result or not.
Sorry I think gummy was probably the wrong word! I meant, toothless I suppose, my top lip is short and doesn't lift enough to properly show my top teeth when I smile. People say it looks like I have no teeth when its natural, and when I force it I look completely odd. Apparently the only thing that could fix that though is some operation involving bone being taken from my ribs... just no-one told me that, and I was expecting from all the befores and afters I watched that my result would leave me looking like my family, all of whom have top teeth that show properly when they smile! I hate not having a proper smile...
Because the gap between my nose and my lip is short, and my top lip is so thin and disappears under when I try and smile, plus my chin is larger than averae... my face is still extremely masculine (I look like my dad and grandfather, have inherited all of their features asides from my mothers eyes), which is the one thing I desperately wanted (and expected) would change! Oh well, I guess i'm stuck without more surgery, I don't even know why i'm posting all this really :(

Ellie
Posts: 18
Joined: Thu Jul 10, 2008 2:14 am
Location: UK

Re: Is this a bad result?

#9 Post by Ellie »

azjaw wrote:I couldn't see the pictures last night when I posted, probably because I was a new member, so I just wanted to post again and say I think you look very pretty. There is absolutely no reason that someone who looks like you cannot get a job so just get out there and do it. Looks matter a little bit but most people in the world are average looking and still manage to find employment and support themselves. What is more important is the skills you bring to the job. Even actors can't get away with only being pretty. They have to be able to at least have some skills at acting. Maybe reality TV stars is one exception.

You will find a partner who appreciates you as you are with time. Even most shy people find a partner eventually. You can keep having surgeries searching for perfection but you probably aren't going to find it. Look at Michael Jackson. He had who knows how many surgeries because he could afford anything he wanted and he ended up looking very strange.
Thank you :( i'm just so self-conscious/shy/awkward because of my appearance I feel like its going to make these things very difficult, especially the older I get. My degree would lead me into an artistic industry where there is a great deal of pressure to look good/be socially adept and good at networking which my appearance stops me from being, and relationships are just totally out of the question until I change, I can hardly say two words to most members of the opposite sex let alone make friends or flirt or anything! Anyway sorrry this is going a bit off track now, I just need to man upppppp

foxparadox
Posts: 22
Joined: Thu Nov 25, 2010 2:23 pm

Re: Is this a bad result?

#10 Post by foxparadox »

omg I think you are adorable! I especially love your nose. I think a lot of smiles don't really show a ton of teeth... because it's just not how the face is built. Everyone is different. I know that my surgeon had suggested possibly moving my upper jaw down so I could show more teeth, but I opted out of doing that because I didn't want the extra surgery. They can do that though or possibly you could get veneers, to show more teeth? I don't know. I'm sure there are lots of options, if it is of huge importance to you. I think you look great, as is, though. No one on earth would ever not be interested in you because of these things.

Many people don't even notice teeth. I know that's difficult to probably believe-- since all of us our here are straightening our smiles and paying hyper attention to teeth, I'm sure- but really... a lot of people don't even notice that stuff. A lot of people were confused when I first even got braces. ("Were your teeth crocked before? I didn't really notice") When my teeth were legit like totally snaggled and crocked (although very popular apparently in Japan-- look up "yaeba" for a more clear understanding of what they looked like. haha). In similar trend- if often takes people MONTHS to even realize I have braces ("wow, do you have braces? Did you just get those?" Basically... where I am going with this... is that I don't think that people stare at another person's face and analyze it like that. No one would ever deny you a job or not want to date you because of this. Your teeth are straight!

As long as your bite is good and you aren't in any pain... I'd say you are good to go. :) No one is totally perfect and I think everyone has little things about themselves that they are bothered by, that aren't a big deal to others. You do have the power to change it, if it's *that* important to you... I mean... there's always that option. but yeah... beware of following in Micheal Jackson's footsteps. Chasing the unattainable (perfection) can often be a disaster.

sarasea
Posts: 14
Joined: Wed Sep 05, 2012 11:03 am

Re: Is this a bad result?

#11 Post by sarasea »

I just wanted to chime in with how true it is that people don’t notice your teeth. Someone I saw rather frequently in the last 13 months I’ve had braces asked me last week if I just got them, after my surgery. People I work with asked why I was getting braces as they thought my teeth were straight. And they didn’t look straight at all! I’m planning to get my nose done this spring and at first was really worried what people would think but since having braces and jaw surgery, I realized that the chances of people even noticing at all are very slim. It’s so strange how even though we see certain people every single day, we pay very little attention to the details of how they actually look. I guess it’s a good thing!

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Lc1987
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Re: Is this a bad result?

#12 Post by Lc1987 »

Whats the deal with ortho/surgeons being so harsh at the consultations?!

I had this same issue, basically told me i had a 'really bad profile' that spoilt me and that he had someone similar that used to get the words 'witch' shouted at her in the street.
This amoungst other things.

Apparently I had the biggest bundle of problems they'd seen in one mouth.

I came out practically crying and said to my dad 'don't you think that as really harsh...i mean, i'm aware of how i look but that just made me feel horrible' turns out my ortho was right behind me paying for the carpark oops haha.

I'm worried i'll feel like you afterwards....like my expectations are too high and that i won't like the 'new me'

Its a hard path we take but i guess all you can do is try and accept yourself for who you are. Lets be honest here, you're a pretty lady and there are people who are muchhhhh worse off than us! These things take time but be rest asured you don't look 'wrong' to others :)
Image

- Bottom brace fitted 11/11
- Top brace fitted: 28/03/11
- Bottom wisdom teeth removal op: 10/02/11

overbiter
Posts: 12
Joined: Sun Feb 24, 2013 4:04 pm

Re: Is this a bad result?

#13 Post by overbiter »

Hi, I don't think that comment you were told about needing rib grafts for a better result can be right. If you wanted your maxilla brought forward/down more they could have used distraction osteogenesis techniques. Distraction can be done on the upper as well as the lower jaw. Maybe your surgeon wasn't skilled enough to pick up on this.

Zoology Dragon
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Joined: Mon Mar 25, 2013 1:56 pm
Location: Bath, UK

Re: Is this a bad result?

#14 Post by Zoology Dragon »

It's really hard to comment without seeing a) pre-op pictures, b) your bite and c) knowing what you had done. From what I can see though your teeth seem to be very nice and there's certainly nothing wrong with your appearance.
Double jaw osteotomy + genio: November 2006

Now on waiting list to have lower jaw plates and wire removed.

davinci7
Posts: 35
Joined: Thu Sep 05, 2013 1:54 pm

Re: Is this a bad result?

#15 Post by davinci7 »

I can understand how you feel. Like yourself, I got pretty excited about how the surgery was going to change my looks for the better. For 2 years I imagined how good I was going to look after the surgery. When it finally happened and I discovered that my looks had hardly changed, I was extremely disappointed.
I am slowly coming to terms with reality. I actually have the opposite problem to you. My lips don't close and my teeth show too much.

I am thinking of going to see a cosmetic surgeon once I reach the 12 month post-op mark and see if there is anything that can be done just to tweak things enough to make it all look a bit better.

BTW: You don't have to be pretty to get a wonderful husband. I'm a very ordinary looking person and I've been married twice and never had a problem attracting the opposite sex. my cousin who is even less fortunate than me (she has an really enormous nose) once won a beauty contest and has always had men lining up to go out with her. Personality and confidence is a far more powerful attraction than looks...but you probably already know that.

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