Revision of double jaw surgery after 3 years - Veteran here!
Posted: Sun Aug 26, 2018 11:48 am
Hello. I joined this forum 3 years ago when I had my first double jaw surgery. I even made a post here about revision surgery but then a lot happened and I forgot to update here.
So... I had a class 2 open bite with a cant on my upper jaw. My lower jaw and chin was also extremely recessed.
I was 18 years old when I had my double jaw surgery and I knew something was off even right after. My midline was off, my cant was still there, my nose was crooked completely to the left side, my bite was off etc etc. I still had recessed jaw and my upper jaw was over impacted.
I waited for a long time for things to become better. My doctors didn't accept their fault and accused me of being paranoid. After waiting for a whole year I decided to talk with other surgeons. Then finally started my new journey.
I started all over again with a new orthodontist and surgeon. 1.5 years ago I had my plates and screws removed. Then I started to wear braces again.
Now I'm 17 days op. My procedure this time is:
Upper jaw impaction on front and down fraction on back. Upper jaw was brought forward 2 mm.
Cant fixed
BSSO with genioplasty
Septoplasty
CCW rotation
I will make a comparison of healing process between the first surgery and the second here:
First surgery took 4 hours. Revision surgery took 6 hours because revision is more complicated and risky.
Right after first surgery I threw up for hours. It was really uncomfortable and I had so much pain. My face was so swollen as well. But right after my revision surgery I didn't throw up or feel nauseous at all. There was discomfort but pain was bearable. My face was not that swollen.
After my first surgery I wasn't banded shut or anything. After my revision, I was banded shut 5 days post op. It's when it became difficult and painful.
After my first surgery I didn't have a full liquid diet. I started soft foods after 10 days. But right now I'm on full liquid diet for 17 days. I can't open my jaws even slightly. So my only option is to drink milk, really liquid soups and juices.
Tomorrow I will see my orthodontist and hopefully he will let me use changeable bands. I want to be able to move my jaw again.
Is it worth it?
Well... It's better than first surgery. At least I can say that my bite is corrected. But I still have a lot of lip incompetence. My upper lip is so short so that's one of the reasons. But I also show lower teeth at rest. I guess there is nothing my surgeon could possibly do about it. I don't blame him because if he impacted my upper jaw more, it would be so recessed and I wouldn't show teeth.
I see some asymmetries but they don't bother me that much. They are minimal.
My only concern is that I have mentalis strain... I don't know if it's because my muscles can't used to the new position yet. But even when I don't force my lips to close I have that chin dimpling and it's making me so sad... I will discuss this issue with my ortho tomorrow but it's bothering me after 2 jaw surgeries I still can't be like those normal people with my lips closed.
If you ever had that kind of issue please tell me.
If you have any revision thoughts or questions I can share what I know with you.
Also I will add photos later for you to see and judge for me.
So... I had a class 2 open bite with a cant on my upper jaw. My lower jaw and chin was also extremely recessed.
I was 18 years old when I had my double jaw surgery and I knew something was off even right after. My midline was off, my cant was still there, my nose was crooked completely to the left side, my bite was off etc etc. I still had recessed jaw and my upper jaw was over impacted.
I waited for a long time for things to become better. My doctors didn't accept their fault and accused me of being paranoid. After waiting for a whole year I decided to talk with other surgeons. Then finally started my new journey.
I started all over again with a new orthodontist and surgeon. 1.5 years ago I had my plates and screws removed. Then I started to wear braces again.
Now I'm 17 days op. My procedure this time is:
Upper jaw impaction on front and down fraction on back. Upper jaw was brought forward 2 mm.
Cant fixed
BSSO with genioplasty
Septoplasty
CCW rotation
I will make a comparison of healing process between the first surgery and the second here:
First surgery took 4 hours. Revision surgery took 6 hours because revision is more complicated and risky.
Right after first surgery I threw up for hours. It was really uncomfortable and I had so much pain. My face was so swollen as well. But right after my revision surgery I didn't throw up or feel nauseous at all. There was discomfort but pain was bearable. My face was not that swollen.
After my first surgery I wasn't banded shut or anything. After my revision, I was banded shut 5 days post op. It's when it became difficult and painful.
After my first surgery I didn't have a full liquid diet. I started soft foods after 10 days. But right now I'm on full liquid diet for 17 days. I can't open my jaws even slightly. So my only option is to drink milk, really liquid soups and juices.
Tomorrow I will see my orthodontist and hopefully he will let me use changeable bands. I want to be able to move my jaw again.
Is it worth it?
Well... It's better than first surgery. At least I can say that my bite is corrected. But I still have a lot of lip incompetence. My upper lip is so short so that's one of the reasons. But I also show lower teeth at rest. I guess there is nothing my surgeon could possibly do about it. I don't blame him because if he impacted my upper jaw more, it would be so recessed and I wouldn't show teeth.
I see some asymmetries but they don't bother me that much. They are minimal.
My only concern is that I have mentalis strain... I don't know if it's because my muscles can't used to the new position yet. But even when I don't force my lips to close I have that chin dimpling and it's making me so sad... I will discuss this issue with my ortho tomorrow but it's bothering me after 2 jaw surgeries I still can't be like those normal people with my lips closed.
If you ever had that kind of issue please tell me.
If you have any revision thoughts or questions I can share what I know with you.
Also I will add photos later for you to see and judge for me.