BIG, 15mm genioplasty, 3 weeks post op update

December 22, 2004

Just an update for those following my posts regarding my recent

genioplasty. It is doing very well and I am still amazed that from

" once upon a time " being roughly 30mm recessive and having

two rounds of orthodontics, mandibular advancement, pallete

expansion surgery, genioplasty #1, and now genioplasty #2, I

have a perfect profile. Yes, if your case is quite severe and you're

willing to let your first genioplasty heal up, you'll have more bone

mass to work with and can attain full correction if that is your

ultimate dream. My recent genioplasty was right about 15mm

using an alternate technique called a " box " or " sliding drawer " . It

was a bit rough on the lower lip, but that has healed quite well,

the skin over the advanced area is a bit tight as would be

expected, but is becoming more relaxed and natural with every

day. I had to eat much like after jaw advancement for about 10

days, but now I'm pretty much eating normally. I'm sure it will

take some time for the mentalis muscle to adapt to it's new

foundation, but overall I would say that for such a large

advancement, that all is going very well. If anyone desires further

information and particularly if you have had previous jaw and/or

chin advancement but are still significantly recessive, please

feel free to ask here or email me. I will post some post op pics

in the next couple days.

December 22, 2004

Just an update for those following my posts regarding my recent

genioplasty. It is doing very well and I am still amazed that from

" once upon a time " being roughly 30mm recessive and having

two rounds of orthodontics, mandibular advancement, pallete

expansion surgery, genioplasty #1, and now genioplasty #2, I

have a perfect profile. Yes, if your case is quite severe and you're

willing to let your first genioplasty heal up, you'll have more bone

mass to work with and can attain full correction if that is your

ultimate dream. My recent genioplasty was right about 15mm

using an alternate technique called a " box " or " sliding drawer " . It

was a bit rough on the lower lip, but that has healed quite well,

the skin over the advanced area is a bit tight as would be

expected, but is becoming more relaxed and natural with every

day. I had to eat much like after jaw advancement for about 10

days, but now I'm pretty much eating normally. I'm sure it will

take some time for the mentalis muscle to adapt to it's new

foundation, but overall I would say that for such a large

advancement, that all is going very well. If anyone desires further

information and particularly if you have had previous jaw and/or

chin advancement but are still significantly recessive, please

feel free to ask here or email me. I will post some post op pics

in the next couple days.

December 23, 2004

Hi, I guess I am the one following your the most closely since I also

deal with only genio rather than the rest of the jaw operations.

I finished the genio yesterday. I dont feel much numbnmess and the

worst thing was the swalow my own saliva, it was hurting for a while

in the night. I am slightly swollen, not much.

My question if you know is if what I see is what I get? They did the

same procedure as yours, sliding genioplasty with about 5 mm forward

and 2 mm down. I didnt need that much I think. However, when I look

at it today it seems it is disappointment as it still seems short if

both vertical and horizontal dimension. I will see the surgeon again

and ask, but from your experience, will the bone formation over the

followign few weeks give more " definition " or am I stuck with the

possibility of repeating for more movement?

I was practising on my own sliding the jaw forward about 5-6 mm

before the operation and it seems OK, so I didnt feel I need more.

But now it is done it seems deficient still.

Any thoughts appreciated.

>

> Just an update for those following my posts regarding my recent

> genioplasty. It is doing very well and I am still amazed that from

> " once upon a time " being roughly 30mm recessive and having

> two rounds of orthodontics, mandibular advancement, pallete

> expansion surgery, genioplasty #1, and now genioplasty #2, I

> have a perfect profile. Yes, if your case is quite severe and

you're

> willing to let your first genioplasty heal up, you'll have more

bone

> mass to work with and can attain full correction if that is your

> ultimate dream. My recent genioplasty was right about 15mm

> using an alternate technique called a " box " or " sliding drawer " .

It

> was a bit rough on the lower lip, but that has healed quite well,

> the skin over the advanced area is a bit tight as would be

> expected, but is becoming more relaxed and natural with every

> day. I had to eat much like after jaw advancement for about 10

> days, but now I'm pretty much eating normally. I'm sure it will

> take some time for the mentalis muscle to adapt to it's new

> foundation, but overall I would say that for such a large

> advancement, that all is going very well. If anyone desires

further

> information and particularly if you have had previous jaw and/or

> chin advancement but are still significantly recessive, please

> feel free to ask here or email me. I will post some post op pics

> in the next couple days.

December 23, 2004

Hi, I guess I am the one following your the most closely since I also

deal with only genio rather than the rest of the jaw operations.

I finished the genio yesterday. I dont feel much numbnmess and the

worst thing was the swalow my own saliva, it was hurting for a while

in the night. I am slightly swollen, not much.

My question if you know is if what I see is what I get? They did the

same procedure as yours, sliding genioplasty with about 5 mm forward

and 2 mm down. I didnt need that much I think. However, when I look

at it today it seems it is disappointment as it still seems short if

both vertical and horizontal dimension. I will see the surgeon again

and ask, but from your experience, will the bone formation over the

followign few weeks give more " definition " or am I stuck with the

possibility of repeating for more movement?

I was practising on my own sliding the jaw forward about 5-6 mm

before the operation and it seems OK, so I didnt feel I need more.

But now it is done it seems deficient still.

Any thoughts appreciated.

>

> Just an update for those following my posts regarding my recent

> genioplasty. It is doing very well and I am still amazed that from

> " once upon a time " being roughly 30mm recessive and having

> two rounds of orthodontics, mandibular advancement, pallete

> expansion surgery, genioplasty #1, and now genioplasty #2, I

> have a perfect profile. Yes, if your case is quite severe and

you're

> willing to let your first genioplasty heal up, you'll have more

bone

> mass to work with and can attain full correction if that is your

> ultimate dream. My recent genioplasty was right about 15mm

> using an alternate technique called a " box " or " sliding drawer " .

It

> was a bit rough on the lower lip, but that has healed quite well,

> the skin over the advanced area is a bit tight as would be

> expected, but is becoming more relaxed and natural with every

> day. I had to eat much like after jaw advancement for about 10

> days, but now I'm pretty much eating normally. I'm sure it will

> take some time for the mentalis muscle to adapt to it's new

> foundation, but overall I would say that for such a large

> advancement, that all is going very well. If anyone desires

further

> information and particularly if you have had previous jaw and/or

> chin advancement but are still significantly recessive, please

> feel free to ask here or email me. I will post some post op pics

> in the next couple days.

December 23, 2004

> I'm sure it will

> take some time for the mentalis muscle to adapt to it's new

> foundation

congrats on your procedure...

How long do you think it will take to adapt? will your facial

structure change as your mentalis muscle adapts?

my sugeron told me that my facial muscles need to adjust into the

new position and it will change my ultimate look - although not

significantly... maybe i misunderstood him....

December 23, 2004

> I'm sure it will

> take some time for the mentalis muscle to adapt to it's new

> foundation

congrats on your procedure...

How long do you think it will take to adapt? will your facial

structure change as your mentalis muscle adapts?

my sugeron told me that my facial muscles need to adjust into the

new position and it will change my ultimate look - although not

significantly... maybe i misunderstood him....

December 23, 2004

I will be a bearer of both good news and bad news. Let's start

with the bad. As a definite genioplasty (and jaw surgery I'll add)

veteran with this being the second genio, I hate to tell you that

what you see right now as far as projection is actually more than

likely " swelling enhanced " and when it all settles down, you will

see less change. That was the disappointment I endured after

my first jaw surgery and genioplasty. I was relatively happy until

the swelling all went away, and then the results were lackluster

to say the least. The swelling from this operation is fading fast,

but this time it is not a negative situation. With the swelling I was

honestly in the " plus " department with a small degree of

projection beyond the standard reference datum for the tip of the

chin to line up directly under the tip of the lower lip, also since

lips can vary a lot, another reference line is to be vertically below

the mid point of the downward diagonal line of the nose. Now

the better news, if you seek further correction, once you are

healed you will have greater bone mass to work with, but you

may have to wait quite awhile for that opportunity to arise. I very

purposely sought an " aggressive " genioplasty surgeon as I still

had a long ways to go and I certainly didn't want to have three

genioplasties to do it. Please feel free to ask any further

questions or email me directly, I'll help however I can.

> >

> > Just an update for those following my posts regarding my

recent

> > genioplasty. It is doing very well and I am still amazed that

from

> > " once upon a time " being roughly 30mm recessive and

having

> > two rounds of orthodontics, mandibular advancement,

pallete

> > expansion surgery, genioplasty #1, and now genioplasty #2, I

> > have a perfect profile. Yes, if your case is quite severe and

> you're

> > willing to let your first genioplasty heal up, you'll have more

> bone

> > mass to work with and can attain full correction if that is your

> > ultimate dream. My recent genioplasty was right about

15mm

> > using an alternate technique called a " box " or " sliding

drawer " .

> It

> > was a bit rough on the lower lip, but that has healed quite

well,

> > the skin over the advanced area is a bit tight as would be

> > expected, but is becoming more relaxed and natural with

every

> > day. I had to eat much like after jaw advancement for about

10

> > days, but now I'm pretty much eating normally. I'm sure it will

> > take some time for the mentalis muscle to adapt to it's new

> > foundation, but overall I would say that for such a large

> > advancement, that all is going very well. If anyone desires

> further

> > information and particularly if you have had previous jaw

and/or

> > chin advancement but are still significantly recessive, please

> > feel free to ask here or email me. I will post some post op

pics

> > in the next couple days.

December 23, 2004