Re: anyone's surgery failed to correct lip incompetence?

[Guest guest]

Well, at almost 3 months post-op I can say that my lip almost touch

in a relaxed position (4 mm space), whereas they did touch easily

before my surgery. I also had lower advancement and sliding

genioplasty (back and slightly down). It has improved a bit over the

months after surgery, but it will never be like it was before the

surgery. I am really trying to get used to this. I notice I am

unconsciously trying to close my lips anyway, and that is making my

chin look slightly contorted (I'm not sure what this means exactly

but I saw it in your mail and it looked like it is the word I am

looking for). Also, the right side of my upper lip is just slightly

higher than the left side (about 2 mm difference). According to my

surgeon it's because of some residual swelling, but I think it's

because of my nose. My nose has always been slightly off to the

right, but because of my SARPE, my nostrils have gotten slightly

wider and now it's more noticable that one nostril has always been

slightly higher than the other. And I think this is " pulling " the

right side of my upper lip up.

I don't think I would have needed my upper jaw moved back though. I

also have a feeling (or hope or whatever you may call it) that when

my braces come off, I'll have more " upper lip " left to cover my upper

teeth. However, I'll just have to accept that my face and mouth are

not the same anymore. And one day I am thrilled about that, and the

other day I am not so thrilled...

Nathalie

> I had my lower jaw moved forward and a sliding genioplasty ten

> years ago. My bite is good, but the lip incompetence is quite

> bad. I think it has worsened over time and when I relax my face

> my lips are at least a quarter inch apart. My OS mentioned

> post-op that he could have moved the upper jaw back and that

> would have fixed the problem, but he chose not to do so, as he

> thought the bite improvement was good enough. I accepted the

> results at that time and my orthodontist was also all " bouncing

> with joy " at my results, but I have grown really tired of not being

> able to shut my lips unless I force them to. They get dry, I play

> with them a lot, etc. plus my face gets contorted when I close

> them. I assume that the only real solution will be to do it all

over

> again and I'm consulting with an OS in two weeks. Anyone else

> with a similar situation.

[Guest guest]

Well, at almost 3 months post-op I can say that my lip almost touch

in a relaxed position (4 mm space), whereas they did touch easily

before my surgery. I also had lower advancement and sliding

genioplasty (back and slightly down). It has improved a bit over the

months after surgery, but it will never be like it was before the

surgery. I am really trying to get used to this. I notice I am

unconsciously trying to close my lips anyway, and that is making my

chin look slightly contorted (I'm not sure what this means exactly

but I saw it in your mail and it looked like it is the word I am

looking for). Also, the right side of my upper lip is just slightly

higher than the left side (about 2 mm difference). According to my

surgeon it's because of some residual swelling, but I think it's

because of my nose. My nose has always been slightly off to the

right, but because of my SARPE, my nostrils have gotten slightly

wider and now it's more noticable that one nostril has always been

slightly higher than the other. And I think this is " pulling " the

right side of my upper lip up.

I don't think I would have needed my upper jaw moved back though. I

also have a feeling (or hope or whatever you may call it) that when

my braces come off, I'll have more " upper lip " left to cover my upper

teeth. However, I'll just have to accept that my face and mouth are

not the same anymore. And one day I am thrilled about that, and the

other day I am not so thrilled...

Nathalie

> I had my lower jaw moved forward and a sliding genioplasty ten

> years ago. My bite is good, but the lip incompetence is quite

> bad. I think it has worsened over time and when I relax my face

> my lips are at least a quarter inch apart. My OS mentioned

> post-op that he could have moved the upper jaw back and that

> would have fixed the problem, but he chose not to do so, as he

> thought the bite improvement was good enough. I accepted the

> results at that time and my orthodontist was also all " bouncing

> with joy " at my results, but I have grown really tired of not being

> able to shut my lips unless I force them to. They get dry, I play

> with them a lot, etc. plus my face gets contorted when I close

> them. I assume that the only real solution will be to do it all

over

> again and I'm consulting with an OS in two weeks. Anyone else

> with a similar situation.

[Guest guest]

I guess I'd be extra disappointed if I got lip incompetence from

the surgery. I've never had lip incompetence since my

permanent teeth came in around age 7 or so. But my jaw

surgery didn't make it much better and I'm looking at 7 or 8 mm

open space. I just got a chin implant this morning to give me a

chin (here again the jaw advancement and genioplasty didn't get

it right). So far it looks like my lip incompetence might be a little

better which would not really be expected to happen with the chin

implant. However, I have a lot more chin now, and even though

it's partly covered with bandage I can tell my facial balance is

already more attractive. I am seriously going to to what is

needed to correct my lips which might mean moving the upper

jaw back or having a procedure on my upper lip to lengthen it.

> > I had my lower jaw moved forward and a sliding genioplasty

ten

> > years ago. My bite is good, but the lip incompetence is quite

> > bad. I think it has worsened over time and when I relax my

face

> > my lips are at least a quarter inch apart. My OS mentioned

> > post-op that he could have moved the upper jaw back and

that

> > would have fixed the problem, but he chose not to do so, as

he

> > thought the bite improvement was good enough. I accepted

the

> > results at that time and my orthodontist was also all

" bouncing

> > with joy " at my results, but I have grown really tired of not

being

> > able to shut my lips unless I force them to. They get dry, I

play

> > with them a lot, etc. plus my face gets contorted when I close

> > them. I assume that the only real solution will be to do it all

> over

> > again and I'm consulting with an OS in two weeks. Anyone

else

> > with a similar situation.

[Guest guest]

I guess I'd be extra disappointed if I got lip incompetence from

the surgery. I've never had lip incompetence since my

permanent teeth came in around age 7 or so. But my jaw

surgery didn't make it much better and I'm looking at 7 or 8 mm

open space. I just got a chin implant this morning to give me a

chin (here again the jaw advancement and genioplasty didn't get

it right). So far it looks like my lip incompetence might be a little

better which would not really be expected to happen with the chin

implant. However, I have a lot more chin now, and even though

it's partly covered with bandage I can tell my facial balance is

already more attractive. I am seriously going to to what is

needed to correct my lips which might mean moving the upper

jaw back or having a procedure on my upper lip to lengthen it.

> > I had my lower jaw moved forward and a sliding genioplasty

ten

> > years ago. My bite is good, but the lip incompetence is quite

> > bad. I think it has worsened over time and when I relax my

face

> > my lips are at least a quarter inch apart. My OS mentioned

> > post-op that he could have moved the upper jaw back and

that

> > would have fixed the problem, but he chose not to do so, as

he

> > thought the bite improvement was good enough. I accepted

the

> > results at that time and my orthodontist was also all

" bouncing

> > with joy " at my results, but I have grown really tired of not

being

> > able to shut my lips unless I force them to. They get dry, I

play

> > with them a lot, etc. plus my face gets contorted when I close

> > them. I assume that the only real solution will be to do it all

> over

> > again and I'm consulting with an OS in two weeks. Anyone

else

> > with a similar situation.

[Guest guest]

I had upper and lower jaw surgery about 2 years ago to correct an

underbite and lip incompetence. My surgeon told me that he could

correct my lip incompetence by about 90%. He explained to me that

moving my upper jaw upward any more would result in permanent " frown

lines " and I wouldn't show enough of my top teeth when I smiled. 90%

sounded pretty good to me, considering that my lip incompetence was

pretty bad, so I went through with the surgery.

Well, I'm not all that sure how successful my surgery was. My lip

incompetence has definitely improved, but not by the 90% he had

promised. I would say it's more like 30 or 40% better. So I'm a little

bit disappointed in that aspect. I also still have a decent amount of

numbness and tingling in my lower lip and chin, which isn't much fun

either. On the bright side my bite is better, my breathing has

improved a little and I no longer show my gums when I smile. That's a

good thing because I've had a decent amount of cosmetic work done on

my top front teeth.

In many ways I've moved on from this surgery and I've just accepted

that my mouth and teeth will never be exactly right. I just try to

make do with what I've been given. However, I understand your

disappointment. This surgery puts you through so much, so to have

things turn out less that perfect is very tough.

-

> I had my lower jaw moved forward and a sliding genioplasty ten

> years ago. My bite is good, but the lip incompetence is quite

> bad. I think it has worsened over time and when I relax my face

> my lips are at least a quarter inch apart. My OS mentioned

> post-op that he could have moved the upper jaw back and that

> would have fixed the problem, but he chose not to do so, as he

> thought the bite improvement was good enough. I accepted the

> results at that time and my orthodontist was also all " bouncing

> with joy " at my results, but I have grown really tired of not being

> able to shut my lips unless I force them to. They get dry, I play

> with them a lot, etc. plus my face gets contorted when I close

> them. I assume that the only real solution will be to do it all over

> again and I'm consulting with an OS in two weeks. Anyone else

> with a similar situation.

[Guest guest]

I had upper and lower jaw surgery about 2 years ago to correct an

underbite and lip incompetence. My surgeon told me that he could

correct my lip incompetence by about 90%. He explained to me that

moving my upper jaw upward any more would result in permanent " frown

lines " and I wouldn't show enough of my top teeth when I smiled. 90%

sounded pretty good to me, considering that my lip incompetence was

pretty bad, so I went through with the surgery.

Well, I'm not all that sure how successful my surgery was. My lip

incompetence has definitely improved, but not by the 90% he had

promised. I would say it's more like 30 or 40% better. So I'm a little

bit disappointed in that aspect. I also still have a decent amount of

numbness and tingling in my lower lip and chin, which isn't much fun

either. On the bright side my bite is better, my breathing has

improved a little and I no longer show my gums when I smile. That's a

good thing because I've had a decent amount of cosmetic work done on

my top front teeth.

In many ways I've moved on from this surgery and I've just accepted

that my mouth and teeth will never be exactly right. I just try to

make do with what I've been given. However, I understand your

disappointment. This surgery puts you through so much, so to have

things turn out less that perfect is very tough.

-

> I had my lower jaw moved forward and a sliding genioplasty ten

> years ago. My bite is good, but the lip incompetence is quite

> bad. I think it has worsened over time and when I relax my face

> my lips are at least a quarter inch apart. My OS mentioned

> post-op that he could have moved the upper jaw back and that

> would have fixed the problem, but he chose not to do so, as he

> thought the bite improvement was good enough. I accepted the

> results at that time and my orthodontist was also all " bouncing

> with joy " at my results, but I have grown really tired of not being

> able to shut my lips unless I force them to. They get dry, I play

> with them a lot, etc. plus my face gets contorted when I close

> them. I assume that the only real solution will be to do it all over

> again and I'm consulting with an OS in two weeks. Anyone else

> with a similar situation.