Metal Mouth Message Board

I would recommend Gabriella Tehrany. I had mine done with her. She does a good job of listening to your concerns and considering the aesthetic aspect of the results, not just the functional. My results from her end of the surgeries has been really stable even 2 years afterwards (she makes sure to pr...

While it's difficult to tell without seeing pictures, my guess was that when they moved your upper jaw forward, they should have also shortened it to prevent the a long face look. I'm also willing to bet that your SARPE relapsed some caused your upper teeth to be set a little more forward than origi...

10 pounds for 7 weeks of being wired shut. I was 105 when I went in and 95ish at my lowest. If you're concerned about weight, heavy cream and peanut butter shakes are your friend. I would say keeping weight on for me was less of an issue of diet and eating enough (with peanut butter and heavy cream,...

Hi all. I was wondering if anybody here had to undergo a repeat SARPE surgery. I originally had mine done back in '09 I think. My upper jaw was pretty narrow (required 10mm expansion) so I had a SARPE. I then went through orthodontic treatment and double jaw surgery, everything looked fantastic. How...

Yes, out of all of the oral surgeons I say, I can definitely say Dr.Relle's consultation was the most detailed. (In the end, I did not do my jaw surgery with Relle due to the fact that he is no longer with Kaiser, and because I have Kaiser health insurance, they do not cover out of network doctors. ...

Hello. So after a long time I'm finally on the other side. I've had my jaw surgery a week ago. I've had a Le Fort (maxillary impaction) and BSSO (9mm advancement with rotation). I've also had jaw angle and cheek implants done during my surgery. Despite such an extensive procedure, everything went we...

Oh then you're lucky. The other oral surgeon I saw would have used a splint if my upper jaw was cut into multiple pieces. I saw several oral surgeons. Most said that a simple Le Fort and a BSSO (bottom jaw surgery) together were the same as either one of them alone. A segmented Le Fort (Le Fort, wit...

I think you're having a segmented Le Fort, something that Dr.Relle recommended for me when I saw him. A segmented Le Fort is actually worse in terms of recovery (or a Le Fort itself) than a BSSO. But as many oral surgeons have told me, there is little difference between double jaw surgery and single...

Because he takes an approach of doing as little as necessary, he doesn't recommend procedures that are purely or mostly aesthetic. So for example, in my case, I have a very weak bottom jaw. Of course, he recommended a BSSO to fix my overbite, but nothing in terms of width (my lower jaw is narrow com...

I've consulted with Dr. Relle, although I will not be having jaw surgery with him (he's no longer with Kaiser).

He is very experienced, as I'm sure you've heard. He does listen. His big thing is to do as little as necessary; not very big on aesthetics though.

A lot is possible. The question is how stable is it after the braces come off. Keep in mind that there are some pretty serious muscular and bone forces going on in your face. Expansion of the maxilla is one of the most unstable because everything...the cheekbones, the upper maxilla, the facial muscl...

Hi there! I read this and I wanted to post something because I can relate to you very much. I also had a very severe overbite...around 14 mm before braces and 11 mm after. I also had a very narrow upper jaw, one of the most narrow jaws my ortho has seen. Part of the problem for me is that I started ...

Wow, sorry to hear that you've been treated so poorly by specialists. (and by poorly, I mean that they didn't seem to put in effort into finding a proper solution for you) As someone mentioned, if you have midface issues, you may want to look into one of two things: a zygomatic osteotomy (expanding ...

If you are unsure, get a second opinion. I have seen 3-4 oral surgeons, including an "expert" outside of my insurance coverage to make sure I'm aware of all the possible options and suggestions. That way when I saw the oral surgeon that I was probably going to work with, I was already awar...

I'm not sure, but i have heard that certain people have had as much as 8mm of length removed with a Le Fort I osteotomy. However, it depends on what type of long face you're talking about. If your length is in the area next to your nose, rather than down towards the gums, there is no surgical correc...