Vhurgo: dwilzen Re: DO NOT DO THE SURGERY!!!!

[Guest guest]

Hi Vhurgo,

I was a borderline case - I needed about 4mm of setback and a couple

mm of rotation on my lower, and about 1mm of advancement and

rotation on my upper. I had very crooked lower front teeth due to my

underbite, and the edge-on bite often caused me to bite my lip while

chewing. So the surgery wasn't about aesthetics for me, it was

really about getting my teeth straightened out and reducing my long-

term risk of loosing teeth and bone.

I'm not 100% happy with my outcome. I think I could've used about

1/2mm more setback on my lower, as I feel I'm just short of a proper

occlusion. My bite with my molars isn't as good on the left side as

the right, and I still have fairly significant numbness 18 months

post-op. My OS and ortho are both happy with the outcome, however,

so I must be clinically ok. So overall I felt it was something I

needed to do, but I'm somewhat ambivalent about the result.

I think I can sum up part of this thread like this - the less

correction you need, the smaller your reward from the surgery. The

more correction needed, the greater the reward. Risk remains the

same either way. So the risk vs reward ratio is higher for

bordlerline cases like mine, and lower for severe cases. So people

with severe cases are less likely to be unhappy if they don't have a

perfect outcome. If I had a terrible bite pre-op, and life-long self-

esteem problems due my appearance, and these were corrected by the

surgery with the exact same outcome I currently have, I'd be

ecstatic and 100% happy instead my current ambivalence.

BTW, the surgery cost me about 15k out of pocket. Hope that helps.

--Neil

> > > > > > > > Well I thought I'd give this a try and see if

> > > > > I

> > > > > > > could get any

> > > > > > > advice

> > > > > > > > or assistance from anyone who has been down

> > > > > the

> > > > > > > road I'm about to

> > > > > > > > travel. On October 28, I'm having

> > > > > orthognathic

> > > > > > > surgery involving

> > > > > > > > upper/lower jaw on left and right, along with

> > > > > > > genioplasty

> > > > > > > > (repositioning of chin) and a palate

> > > > > expansion. I

> > > > > > > have been

> > > > > > > reading

> > > > > > > > online to get as much information I could

> > > > > before

> > > > > > > surgery but who

> > > > > > > > better to ask than those of you that have been

> > > > > > > through it. Has

> > > > > > > > anyone been dissatisfied with their results?

> > > > > Or

> > > > > > > has the overall

> > > > > > > > appearance of your face become a dramatic,

> > > > > > > acceptable change? Any

> > > > > > > > input or advice from anyone would be great. I

> > > > > > > don't like being so

> > > > > > > > nervous.

> > > > > > > > Thanks!

> > > > > > > >

> > > > > > >

> > > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > > __________________________________

> > > > > > Do you Yahoo!?

> > > > > > New and Improved Yahoo! Mail - 100MB free storage!

> > > > > > http://promotions.yahoo.com/new_mail

> > > > >

> > > > >

> > > >

> > > >

> > > > __________________________________________________

> > > >

[Guest guest]

Hi Vhurgo,

I was a borderline case - I needed about 4mm of setback and a couple

mm of rotation on my lower, and about 1mm of advancement and

rotation on my upper. I had very crooked lower front teeth due to my

underbite, and the edge-on bite often caused me to bite my lip while

chewing. So the surgery wasn't about aesthetics for me, it was

really about getting my teeth straightened out and reducing my long-

term risk of loosing teeth and bone.

I'm not 100% happy with my outcome. I think I could've used about

1/2mm more setback on my lower, as I feel I'm just short of a proper

occlusion. My bite with my molars isn't as good on the left side as

the right, and I still have fairly significant numbness 18 months

post-op. My OS and ortho are both happy with the outcome, however,

so I must be clinically ok. So overall I felt it was something I

needed to do, but I'm somewhat ambivalent about the result.

I think I can sum up part of this thread like this - the less

correction you need, the smaller your reward from the surgery. The

more correction needed, the greater the reward. Risk remains the

same either way. So the risk vs reward ratio is higher for

bordlerline cases like mine, and lower for severe cases. So people

with severe cases are less likely to be unhappy if they don't have a

perfect outcome. If I had a terrible bite pre-op, and life-long self-

esteem problems due my appearance, and these were corrected by the

surgery with the exact same outcome I currently have, I'd be

ecstatic and 100% happy instead my current ambivalence.

BTW, the surgery cost me about 15k out of pocket. Hope that helps.

--Neil

> > > > > > > > Well I thought I'd give this a try and see if

> > > > > I

> > > > > > > could get any

> > > > > > > advice

> > > > > > > > or assistance from anyone who has been down

> > > > > the

> > > > > > > road I'm about to

> > > > > > > > travel. On October 28, I'm having

> > > > > orthognathic

> > > > > > > surgery involving

> > > > > > > > upper/lower jaw on left and right, along with

> > > > > > > genioplasty

> > > > > > > > (repositioning of chin) and a palate

> > > > > expansion. I

> > > > > > > have been

> > > > > > > reading

> > > > > > > > online to get as much information I could

> > > > > before

> > > > > > > surgery but who

> > > > > > > > better to ask than those of you that have been

> > > > > > > through it. Has

> > > > > > > > anyone been dissatisfied with their results?

> > > > > Or

> > > > > > > has the overall

> > > > > > > > appearance of your face become a dramatic,

> > > > > > > acceptable change? Any

> > > > > > > > input or advice from anyone would be great. I

> > > > > > > don't like being so

> > > > > > > > nervous.

> > > > > > > > Thanks!

> > > > > > > >

> > > > > > >

> > > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > > __________________________________

> > > > > > Do you Yahoo!?

> > > > > > New and Improved Yahoo! Mail - 100MB free storage!

> > > > > > http://promotions.yahoo.com/new_mail

> > > > >

> > > > >

> > > >

> > > >

> > > > __________________________________________________

> > > >