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[Guest guest]

> Thanks a lot for the reply Cammie.I went to an orthodontist.He referred me to

an oral

and maxillofacial surgeon in return.The surgeon suggested both lower jaw

advancement

and genio.

> But i am looking for a skilled and experienced surgeon in my area.Iam in Fort

lauderdale

> Forida.It's an hour drive from Miami.Could anyone suggest a skilled surgeon in

this

area???

>

> Does anyone know whats the percentage among people for losing sensation (lower

lip

and chin area) permanently when there is orthognathic surgery(mandibular

advancement

alone)?

>

> Is there anyone who had a genio alone.Is there any chance of losing sensation

(lower lip

and chin area)in a genio at all??

>

> Truly,

> Inaara

You'll get the precise figures when you'll discuss the operation with the

surgeon.

At least, in Canada, it's mandatory for a surgeon to explain risks and to

discuss

the percentage of people suffering from various known outcomes before the

patient actually agrees to have the surgery.

My surgeon did so on the very first appointment, before I agreed to have the

surgery, and before she starts working for real on me (besides the x-rays).

Ray

[Guest guest]

You're on the right track, then, if you've seen an ortho and a

surgeon. I don't know about quoting statistics -- that didn't happen

for me. I was fully advised of the risks and possibilities, and I do

not hesitate to recommend my surgeon in Gulf Coastal Alabama, but I

would think that's a long way to travel and that there are many

competent surgeons closer to you.

I have no idea about percentages. But I would suggest to you that if

1,000 people have the surgery, and only one loses sensation, the odds

are very good. They are also irrelevant if you are the one who loses

sensation. Generalizations are predictable; specific cases are not, I

think.

I do believe that there have been several people in the Miami area,

maybe more. Cheryl, I think, is there (cschemia, and I hope I'm

spelling it right! Especially since she's a most excellent friend and

a trusted advisor on all things nutritional).

Shands Clinic has been mentioned many times. I know it's in Florida,

but I'm not sure where -- you might try an archive search for it.

Lower and genio tend to be less difficult, I think, than upper. Lower

does, though, carry a risk of numbness, and a few people have much

unhappiness afterward. I was most fortunate, my surgeon was

wonderful, and the surgery was really not a difficult experience for

me.

It also seems to me that many folks who have had genio have had more

significant problems with numbness and genio -- but not everybody. It

is usually not covered by insurance, but it also can make the

difference, whether backward or forward, between a pleasing cosmetic

result and one that is unsatisfactory. It is not always troublesome,

either.

If you have problems now, at 26, with your jaw and function, as well

as your appearance, I suggest strongly that you discuss with your

experts what they foresee for you, if they have any predictions to

offer.

And I urge you to remember, too, in making your decision, that YOU

are the one taking the risk, YOU are the one getting the benefits.

Weigh one against the other, and choose, knowing that there are no

guarantees. I say that having had only the best of treatment, and the

best of surgical experiences.

Best,

Cammie

Iam 26 year old.I have a very small chin

> and an underdeveloped lower jaw.I have a severe underbite.I have

> chewing problems and clicking of the jaw.From the past so many

years

> i want to change this since i hate the way i look!!!