Re: Plastic vs. Orthognathic Surgeons and Aesthetic Outcomes

[Guest guest]

I have not had my surgery yet, but aesthetic results is what I am

most interested in also. I had an open bite, but that has been

corrected with braces, so the surgery is to correct my gummy smile

and my recessed chin.

1. My OS is not considered a Plastic Surgeon although he does some

cosmetic surgeries also, like rhinoplasty, genioplasty, cheek

implants, Liposcopy of the face and botox.

2. If your insurance has deemed it medically necessary for your

surgery, I don't think they care who performs the surgery as long as

they are qualified and are in your network, if you don't want to pay

an arm and a leg.

3. I have discussed aesthetics with my surgeon on every visit. He

asks me what bothers me and tells me how he can correct it. My last

visit he told me I probably do not need the surgery for function any

more, but it would make a difference in my looks if I was still

interesed. So the aesthetics is the reason I am doing the surgery.

4. I have not had the surgery yet so I don't have an answer to this

question,( my surgery is scheduled for Nov. 17th) although my

husband thinks I am out of my mind for wanting this surgery, because

he thinks I am going to go through a look of pain and suffering and

that I look fine now.

-- In orthognathicsurgerysupport , " clarkuscoffeyus "

<CCoffey@r...> wrote:

>

> After reading a post someone put up in regards to the aesthetic

> results, I'm now concerned…

>

> I could eat, talk, etc. perfectly - I decided to go through the

> braces and surgery to correct for my Class III underbite primarily

> for aesthetic reasons. I'm an actor and, as much as I hate to

admit

> it (and this is the way it goes in any walk of life), looks are

> hugely important. I never thought about the fact that orthognathic

> surgeons wouldn't be extremely concerned about and/or trained in

> achieving best-case aesthetic outcomes.

>

>

> 1.Do you have to go to a plastic surgeon or a dual specialist

(does

> that exist)?

>

> 2.Would an otherwise approved procedure be deemed " cosmetic " by

> insurance if a plastic surgeon performed it instead of an

> orthognathic surgeon?

>

> 3.Did you guys discuss aesthetics with your surgeon? How much of a

> priority was it?

>

> 4.Do you think that your appearance was improved? Do others?

>

> Thanks everyone!

[Guest guest]

I have not had my surgery yet, but aesthetic results is what I am

most interested in also. I had an open bite, but that has been

corrected with braces, so the surgery is to correct my gummy smile

and my recessed chin.

1. My OS is not considered a Plastic Surgeon although he does some

cosmetic surgeries also, like rhinoplasty, genioplasty, cheek

implants, Liposcopy of the face and botox.

2. If your insurance has deemed it medically necessary for your

surgery, I don't think they care who performs the surgery as long as

they are qualified and are in your network, if you don't want to pay

an arm and a leg.

3. I have discussed aesthetics with my surgeon on every visit. He

asks me what bothers me and tells me how he can correct it. My last

visit he told me I probably do not need the surgery for function any

more, but it would make a difference in my looks if I was still

interesed. So the aesthetics is the reason I am doing the surgery.

4. I have not had the surgery yet so I don't have an answer to this

question,( my surgery is scheduled for Nov. 17th) although my

husband thinks I am out of my mind for wanting this surgery, because

he thinks I am going to go through a look of pain and suffering and

that I look fine now.

-- In orthognathicsurgerysupport , " clarkuscoffeyus "

<CCoffey@r...> wrote:

>

> After reading a post someone put up in regards to the aesthetic

> results, I'm now concerned…

>

> I could eat, talk, etc. perfectly - I decided to go through the

> braces and surgery to correct for my Class III underbite primarily

> for aesthetic reasons. I'm an actor and, as much as I hate to

admit

> it (and this is the way it goes in any walk of life), looks are

> hugely important. I never thought about the fact that orthognathic

> surgeons wouldn't be extremely concerned about and/or trained in

> achieving best-case aesthetic outcomes.

>

>

> 1.Do you have to go to a plastic surgeon or a dual specialist

(does

> that exist)?

>

> 2.Would an otherwise approved procedure be deemed " cosmetic " by

> insurance if a plastic surgeon performed it instead of an

> orthognathic surgeon?

>

> 3.Did you guys discuss aesthetics with your surgeon? How much of a

> priority was it?

>

> 4.Do you think that your appearance was improved? Do others?

>

> Thanks everyone!

[Guest guest]

I'm glad to see that other people have or are planning on doing

this surgery for mostly for aesthetic reason as well. Sure, I had

the technical detriments to functionality like open bite, class III

overbite, etc. but I could eat and talk just fine, but looked like

crap. My chin was soooo recessive that the overall effect of 5mm

jaw advancement, and 5mm chin advancement was minimal

and I got the nerve damage from the surgery as an added

bonus. I've since added a chin implant, but it is too small (even

though it is a " large " size implant). I will either have to have a

second genioplasty and then probably put an implant back in on

top of that, or replace with a custom made super large implant. I

started out somewhere between 22-25mm short of normal. You

may very well have to go through multiple procedures if you are

anywhere close to the " freak " that I was.

>

> After reading a post someone put up in regards to the

aesthetic

> results, I'm now concerned…

>

> I could eat, talk, etc. perfectly - I decided to go through the

> braces and surgery to correct for my Class III underbite

primarily

> for aesthetic reasons. I'm an actor and, as much as I hate to

admit

> it (and this is the way it goes in any walk of life), looks are

> hugely important. I never thought about the fact that

orthognathic

> surgeons wouldn't be extremely concerned about and/or

trained in

> achieving best-case aesthetic outcomes.

>

>

> 1.Do you have to go to a plastic surgeon or a dual specialist

(does

> that exist)?

>

> 2.Would an otherwise approved procedure be deemed

" cosmetic " by

> insurance if a plastic surgeon performed it instead of an

> orthognathic surgeon?

>

> 3.Did you guys discuss aesthetics with your surgeon? How

much of a

> priority was it?

>

> 4.Do you think that your appearance was improved? Do

others?

>

> Thanks everyone!

[Guest guest]

I'm glad to see that other people have or are planning on doing

this surgery for mostly for aesthetic reason as well. Sure, I had

the technical detriments to functionality like open bite, class III

overbite, etc. but I could eat and talk just fine, but looked like

crap. My chin was soooo recessive that the overall effect of 5mm

jaw advancement, and 5mm chin advancement was minimal

and I got the nerve damage from the surgery as an added

bonus. I've since added a chin implant, but it is too small (even

though it is a " large " size implant). I will either have to have a

second genioplasty and then probably put an implant back in on

top of that, or replace with a custom made super large implant. I

started out somewhere between 22-25mm short of normal. You

may very well have to go through multiple procedures if you are

anywhere close to the " freak " that I was.

>

> After reading a post someone put up in regards to the

aesthetic

> results, I'm now concerned…

>

> I could eat, talk, etc. perfectly - I decided to go through the

> braces and surgery to correct for my Class III underbite

primarily

> for aesthetic reasons. I'm an actor and, as much as I hate to

admit

> it (and this is the way it goes in any walk of life), looks are

> hugely important. I never thought about the fact that

orthognathic

> surgeons wouldn't be extremely concerned about and/or

trained in

> achieving best-case aesthetic outcomes.

>

>

> 1.Do you have to go to a plastic surgeon or a dual specialist

(does

> that exist)?

>

> 2.Would an otherwise approved procedure be deemed

" cosmetic " by

> insurance if a plastic surgeon performed it instead of an

> orthognathic surgeon?

>

> 3.Did you guys discuss aesthetics with your surgeon? How

much of a

> priority was it?

>

> 4.Do you think that your appearance was improved? Do

others?

>

> Thanks everyone!

[Guest guest]

I don't think that I'm going to need that much...The surgeon and the

ortho did say that my underbite was considerable, but I think that it

isn't anything outside of the realm of what they see on a regular

basis. I think the total movement of both lower and upper jaw will be

around 10mm (combined). I am concerned though how this will affect my

cheeks, nose, chin, jawline (it's actually very nice now, minus the

fact its a dew mm too long), etc.

>

> I'm glad to see that other people have or are planning on doing

> this surgery for mostly for aesthetic reason as well. Sure, I had

> the technical detriments to functionality like open bite, class III

> overbite, etc. but I could eat and talk just fine, but looked like

> crap. My chin was soooo recessive that the overall effect of 5mm

> jaw advancement, and 5mm chin advancement was minimal

> and I got the nerve damage from the surgery as an added

> bonus. I've since added a chin implant, but it is too small (even

> though it is a " large " size implant). I will either have to have a

> second genioplasty and then probably put an implant back in on

> top of that, or replace with a custom made super large implant. I

> started out somewhere between 22-25mm short of normal. You

> may very well have to go through multiple procedures if you are

> anywhere close to the " freak " that I was.

>

> >

> > After reading a post someone put up in regards to the

> aesthetic

> > results, I'm now concerned…

> >

> > I could eat, talk, etc. perfectly - I decided to go through the

> > braces and surgery to correct for my Class III underbite

> primarily

> > for aesthetic reasons. I'm an actor and, as much as I hate to

> admit

> > it (and this is the way it goes in any walk of life), looks are

> > hugely important. I never thought about the fact that

> orthognathic

> > surgeons wouldn't be extremely concerned about and/or

> trained in

> > achieving best-case aesthetic outcomes.

> >

> >

> > 1.Do you have to go to a plastic surgeon or a dual specialist

> (does

> > that exist)?

> >

> > 2.Would an otherwise approved procedure be deemed

> " cosmetic " by

> > insurance if a plastic surgeon performed it instead of an

> > orthognathic surgeon?

> >

> > 3.Did you guys discuss aesthetics with your surgeon? How

> much of a

> > priority was it?

> >

> > 4.Do you think that your appearance was improved? Do

> others?

> >

> > Thanks everyone!

[Guest guest]

I don't think that I'm going to need that much...The surgeon and the

ortho did say that my underbite was considerable, but I think that it

isn't anything outside of the realm of what they see on a regular

basis. I think the total movement of both lower and upper jaw will be

around 10mm (combined). I am concerned though how this will affect my

cheeks, nose, chin, jawline (it's actually very nice now, minus the

fact its a dew mm too long), etc.

>

> I'm glad to see that other people have or are planning on doing

> this surgery for mostly for aesthetic reason as well. Sure, I had

> the technical detriments to functionality like open bite, class III

> overbite, etc. but I could eat and talk just fine, but looked like

> crap. My chin was soooo recessive that the overall effect of 5mm

> jaw advancement, and 5mm chin advancement was minimal

> and I got the nerve damage from the surgery as an added

> bonus. I've since added a chin implant, but it is too small (even

> though it is a " large " size implant). I will either have to have a

> second genioplasty and then probably put an implant back in on

> top of that, or replace with a custom made super large implant. I

> started out somewhere between 22-25mm short of normal. You

> may very well have to go through multiple procedures if you are

> anywhere close to the " freak " that I was.

>

> >

> > After reading a post someone put up in regards to the

> aesthetic

> > results, I'm now concerned…

> >

> > I could eat, talk, etc. perfectly - I decided to go through the

> > braces and surgery to correct for my Class III underbite

> primarily

> > for aesthetic reasons. I'm an actor and, as much as I hate to

> admit

> > it (and this is the way it goes in any walk of life), looks are

> > hugely important. I never thought about the fact that

> orthognathic

> > surgeons wouldn't be extremely concerned about and/or

> trained in

> > achieving best-case aesthetic outcomes.

> >

> >

> > 1.Do you have to go to a plastic surgeon or a dual specialist

> (does

> > that exist)?

> >

> > 2.Would an otherwise approved procedure be deemed

> " cosmetic " by

> > insurance if a plastic surgeon performed it instead of an

> > orthognathic surgeon?

> >

> > 3.Did you guys discuss aesthetics with your surgeon? How

> much of a

> > priority was it?

> >

> > 4.Do you think that your appearance was improved? Do

> others?

> >

> > Thanks everyone!