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Re: Nose tipped up following Lefort I

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Hi. I had Le Fort I also and BSSO and genio on January 17 and my nose

is very different than before surgery. It is wider at the bottom and

the nostrils are flared looking and my nose is now crooked on the bottom

like it swings to the left. I have a tiny bit of swelling left on my

lefcheek but I think my nose will now be this way. I assume it is from

having my jaw moved up and maybe from the plates/screws being right up

against the side of my nose?? Not too happy with it but I did lose the

bump on my nose so my jewish nose doesn't look as big just strange and

wide now at the bottom plus crooked. I already had a septoplasty in Dec

2003 so I really doubt I will have my nose corrected ever as the pain

from the septo was enough to deter me from ever having work done on my

nose again.

> Hi everyone - I'm about a week post op and am doing ok except that

> now some of the swelling is gone I'm pretty much sure that my nose is

> permanently tipped up now. I had a Le Fort I to bring my upper jaw

> down and foward and a sagittal split to bring my lower jaw back. My

> surgeon (I'm in the UK) explained the risk of the nose 'flaring' as

> the upper jaw is brought forward, and this would be restricted with a

> stitch but didn't metion this actual change of angle as a risk. I'm

> seeing him on Monday so would really appreciate any advice on whether

> anything can be done to get back to how it used to be.

>

> Thanks guys!

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i had my nose redone when i was 17 years old and i can say for a fact

that it was at least 6 months before it started to look right to me.

I was happy with the results immediately but it always seemed a

little tipped up for my taste. I know you've heard this over and over

again but it really takes 6 months to a year for all swelling to go

down so try to be patient. I just had an upper leforte 3 days ago and

low and behold my little miss piggy nose has come back. My doctor

warned me about this but I am willing to bet that in a couple of

months when the swelling goes down the tipping up will look less

severe. try massaging your nose and the area around it gently to get

some of that feeling back. you're really only 1 week post op so in my

opinion it's to early on to decide whether you want to go through and

have a nose job. of course, see what your doctor has to say.

soryiacher - sorry to hear about the painful septoplasty. it was my

understanding that this was a relatively painless procedure to go

through but i guess not. my deviated septum unfortunately seems to

have grown back since i had my nose redone (and the septum was

corrected). My ENT advised me to get the septoplasty prior to surgery

but I refused to. Now that I hear about your experience I'm glad i

did.

> > Hi everyone - I'm about a week post op and am doing ok except

that

> > now some of the swelling is gone I'm pretty much sure that my

nose is

> > permanently tipped up now. I had a Le Fort I to bring my upper

jaw

> > down and foward and a sagittal split to bring my lower jaw back.

My

> > surgeon (I'm in the UK) explained the risk of the nose 'flaring'

as

> > the upper jaw is brought forward, and this would be restricted

with a

> > stitch but didn't metion this actual change of angle as a risk.

I'm

> > seeing him on Monday so would really appreciate any advice on

whether

> > anything can be done to get back to how it used to be.

> >

> > Thanks guys!

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ach! don't say that!!! as some of you may know I'm having upper

jaw surgery and a septoplasty, a turbindectimy(sp?) and rhinoplasty

all at the same time this tuesday June 14. And I knew it'd be the

nose that would do me in pain wise!! I'm in for a rough go of it

aren't I? arrrgh!

Steph (michigan)

> > Hi everyone - I'm about a week post op and am doing ok except

that

> > now some of the swelling is gone I'm pretty much sure that my

nose is

> > permanently tipped up now. I had a Le Fort I to bring my upper

jaw

> > down and foward and a sagittal split to bring my lower jaw

back. My

> > surgeon (I'm in the UK) explained the risk of the nose 'flaring'

as

> > the upper jaw is brought forward, and this would be restricted

with a

> > stitch but didn't metion this actual change of angle as a risk.

I'm

> > seeing him on Monday so would really appreciate any advice on

whether

> > anything can be done to get back to how it used to be.

> >

> > Thanks guys!

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You might as well get it all fixed in one shot though!!! And I will

be right with you since we have surgery the same day! What time is

yours scheduled for?? Mine is at 7:30, so I have to get there at

5:30.

~~

> > > Hi everyone - I'm about a week post op and am doing ok except

> that

> > > now some of the swelling is gone I'm pretty much sure that my

> nose is

> > > permanently tipped up now. I had a Le Fort I to bring my

upper

> jaw

> > > down and foward and a sagittal split to bring my lower jaw

> back. My

> > > surgeon (I'm in the UK) explained the risk of the

nose 'flaring'

> as

> > > the upper jaw is brought forward, and this would be restricted

> with a

> > > stitch but didn't metion this actual change of angle as a

risk.

> I'm

> > > seeing him on Monday so would really appreciate any advice on

> whether

> > > anything can be done to get back to how it used to be.

> > >

> > > Thanks guys!

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Hi Yiew

I am two days out of just having had a septoplasty here in the UK. I

had bi-max in April of last year and like you my nose looked as if it

had taken a dive to the left straight afterwards. Once the swelling

had gone down it was still bent. The surgeon agreed early on that the

septum had deviated and he would correct it.

I am very pleased with the result and compared to the original jaw

surgery the pain level is really minimal - more just like a stinging

where they have cut and stitched and the tip of my nose is too tender

to touch. My nose is still bleeding but down to a small ooze and its

still very blocked. The surgeon said the op wouldn't be a big deal

and he was right really.

Despite warnings from the registrar who checked me in, of packs left

up my nose for 24 hours or more, a white plaster mould over my nose

and a couple of black eyes and bruising - I have none of these! Packs

were removed painlessly in recovery.

Sue (UK)

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Steph,

I can't speak for the septoplasty but when I had my nose redone I was

in no pain whatsoever. My jaw is hurting more than my nose ever did.

My father had a septoplasty and was in and out of the hospital in no

time and complained of no pain. However, as this board as shown,

different people can have different experiences. I'll keep my fingers

crossed that you'll fall in the pain-free nose category. Plus I'm

sure your doctor will provide you with adequate pain killers:-)

Sara

> > > Hi everyone - I'm about a week post op and am doing ok except

> that

> > > now some of the swelling is gone I'm pretty much sure that my

> nose is

> > > permanently tipped up now. I had a Le Fort I to bring my upper

> jaw

> > > down and foward and a sagittal split to bring my lower jaw

> back. My

> > > surgeon (I'm in the UK) explained the risk of the

nose 'flaring'

> as

> > > the upper jaw is brought forward, and this would be restricted

> with a

> > > stitch but didn't metion this actual change of angle as a

risk.

> I'm

> > > seeing him on Monday so would really appreciate any advice on

> whether

> > > anything can be done to get back to how it used to be.

> > >

> > > Thanks guys!

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goodness Yiew, after having lived in the UK for 7 years I am all too

familiar with the NHS and I guess you're right, you might as well get

in line for a consultation now. Then by the time they finally get to

your case you can evaluate whether to cancel the appointment because

hopefully you're happy with the end result or whether to go in and

see what they have to say. And yes, on the plus side it is all free!

Sara

> > > Hi everyone - I'm about a week post op and am doing ok

except

> that

> > > now some of the swelling is gone I'm pretty much sure that my

> nose is

> > > permanently tipped up now. I had a Le Fort I to bring my

upper

> jaw

> > > down and foward and a sagittal split to bring my lower jaw

back.

> My

> > > surgeon (I'm in the UK) explained the risk of the

nose 'flaring'

> as

> > > the upper jaw is brought forward, and this would be

restricted

> with a

> > > stitch but didn't metion this actual change of angle as a

risk.

> I'm

> > > seeing him on Monday so would really appreciate any advice on

> whether

> > > anything can be done to get back to how it used to be.

> > >

> > > Thanks guys!

>

>

>

>

> --------------------------------------------------------------------

----------

>

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Hi again Yiew

I realised it wasn't quite right as soon as the ballooning of my

face came down, probably after a couple of weeks. I was having an

overbite corrected so lower forward and upper up.

I have to say after the septoplasty I woke in recovery with fairly

little pain and was very surprised then then said they would remove

the packs - I had been most scared of that - as I said they were

painless to remove - there was no bleeding and I could almost

breathe freely. I spoke too soon though because as soon as I had

something to eat that was when the bleeding started - not gushing -

but they did say they would be most surprised if there was no

bleeding at all! The worst thing of it all is not being able to

blow your nose - the temptation is enormous and also my eyes hurt -

I think that is an effect of the anaesthetic.

Sue (UK)

> Hi Sue,

>

> That's really good news! How long after April last year did you

come to the conclusion that it would need correction? Just out of

interest, which way was your upper jaw moved? You're really lucky

with those packs - I had mine out morning after the op and I gushed

straight away - so I had another set stuck up there and left for 48

hrs!!

> ----- Original Message -----

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I had major polyp removal and a leforte 1.

I would say with the leforte you are kinda numb from the cheecks to

the lips so I don't think its going to be painful, but the mucous is

a pain.

Shiloh

> > > Hi everyone - I'm about a week post op and am doing ok except

> that

> > > now some of the swelling is gone I'm pretty much sure that my

> nose is

> > > permanently tipped up now. I had a Le Fort I to bring my

upper

> jaw

> > > down and foward and a sagittal split to bring my lower jaw

> back. My

> > > surgeon (I'm in the UK) explained the risk of the

nose 'flaring'

> as

> > > the upper jaw is brought forward, and this would be restricted

> with a

> > > stitch but didn't metion this actual change of angle as a

risk.

> I'm

> > > seeing him on Monday so would really appreciate any advice on

> whether

> > > anything can be done to get back to how it used to be.

> > >

> > > Thanks guys!

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Hey buddy!

I'm going in at 7:30 and have to check in at 5:30 too so we'll be

going at this at the same time!! It'll be a race to see who feels

well enough to check back in with the group first!) (I'm not

planning to take my laptop to the hospital so it may be Thursday or

Friday before I post...) So....are you as nervous as I am???

> > > > Hi everyone - I'm about a week post op and am doing ok

except

> > that

> > > > now some of the swelling is gone I'm pretty much sure that

my

> > nose is

> > > > permanently tipped up now. I had a Le Fort I to bring my

> upper

> > jaw

> > > > down and foward and a sagittal split to bring my lower jaw

> > back. My

> > > > surgeon (I'm in the UK) explained the risk of the

> nose 'flaring'

> > as

> > > > the upper jaw is brought forward, and this would be

restricted

> > with a

> > > > stitch but didn't metion this actual change of angle as a

> risk.

> > I'm

> > > > seeing him on Monday so would really appreciate any advice

on

> > whether

> > > > anything can be done to get back to how it used to be.

> > > >

> > > > Thanks guys!

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Ahhh yes....pain killers....a girl's best friend.....Seriously

though, the pain is the part I'm the most worried about...so thanks

for the info! I hope I cruise through this rather event free.

And if i can get through this pain killer free I would truely be

grateful to the gods!

My husband had surgery of his own yesterday (exploratory on his hand)

and the poor guy is in extreme pain. Oh won't we make quite the

pair!

Steph

> > > > Hi everyone - I'm about a week post op and am doing ok

except

> > that

> > > > now some of the swelling is gone I'm pretty much sure that

my

> > nose is

> > > > permanently tipped up now. I had a Le Fort I to bring my

upper

> > jaw

> > > > down and foward and a sagittal split to bring my lower jaw

> > back. My

> > > > surgeon (I'm in the UK) explained the risk of the

> nose 'flaring'

> > as

> > > > the upper jaw is brought forward, and this would be

restricted

> > with a

> > > > stitch but didn't metion this actual change of angle as a

> risk.

> > I'm

> > > > seeing him on Monday so would really appreciate any advice

on

> > whether

> > > > anything can be done to get back to how it used to be.

> > > >

> > > > Thanks guys!

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