Brazilec
NIAMHARINA FAN CLUB
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I underwent my initial surgery with Mario Pagnoni end of 2024, unfortunately I wasn’t very clued up on a lot of things back then and seriously wish I knew then what I know now.
I was class 3 and my initial surgery plan was meant to be maxilla advancement (8mm) mandible set back (5mm) and genio advancement (2mm) 3 piece segmental split, also peek implants to address mid face hollowness, as most people will know a 2mm advancement of the chin is absolutely pointless and 100% is not worth the risk it carries, unfortunately at the time like I said I never knew this, I just trusted his judgement but looking back now this was obviously a money grab so he could get the extra cost for the Genio
After waking up from the surgery I was pretty positive, he said everything went ‘perfectly’ and I had no reason to doubt him, 2 days later I developed a 1cm fitsula in my palette, instead of doing a surgery to fix this he said let it heal naturally - I literally couldn’t drink anything at all as it was coming out my nose and choking me every time I tried, it has got better with time but still have a hole in my pallete which is now infected, if this was the only issue I could have lived with it but this was only the start of the complications
Due to this complication I did not feel comfortable travelling home so I opted to stay in Rome for 6 weeks so I could have regular check ups with him to monitor, after 6 weeks he said it was fine and I really wanted to get back so I left as it was close to Christmas.
After 12 weeks I noticed something just wasn’t right with the implants, they looked horrendous and were obviously placed incorrectly, I sent him the picture and he said ‘we can take them out if you like’ as usual one of his very vague responses not caring about his shady work, I opted to have them removed and had to pay yet again for the hospital fees which in my opinion I shouldn’t have needed to because they absolutely horrendous, literally popping out of my face. Anyway I was starting to become more and more untrusting of him after this, I got them removed and travelled home again. (Lost all feeling in my orbital area as well)
2 more months went by and I’ve noticed movement in my maxilla, could literally wiggle it up and down, I sent this to him and he said come back over for revision just like it’s a causal thing and not a completely serious matter, I didn’t know what to do or who to turn to so I decided to go back yet again where he told me he would use bone graft to fix this, which should have been done in the first place btw! My movements were huge and multiple surgeons I’ve consulted with since have been in disbelief he’s done this surgery without bone graft due to my movements being so large, he said this was due to lose screws and refused to declare it a non union, I had concerns the day before surgery and sent him a few questions and the reply I got was ‘let me know if you’re coming for surgery tomorrow or not’ well if things couldn’t get worse I came out of theatre and he told me ‘my assistant said you didn’t need bone graft so we didn’t use it’ all he done was swap a custom plate with a stock plate and why is he changing surgery plans we agreed on then taking orders from his assistant? ABSOLUTELY WILD!
Well another 4 months have went by and guess what? Maxilla is moving again with confirmed non union, not a chance I will go back to this butcher and I feel like an absolute idiot for going back for revision to begin with but I just wanted this nightmare over.
I’ve since consulted with 3 surgeons who have confirmed malpractice and have been in sheer disbelief from his shady work, luckily I’ve not had issues with my mandible YET but the surgeons have said his BSSO cut ‘lacks science’ and has no stability due to minimal bone contact so I may have future issues.
I urge anyone who is thinking about using him to think again and take this as a warning, I’ve spoken with multiple other patients who are in a similar position as me who I hope will come forward eventually once they’ve had there issues seen to.
This has taken over my life for the past 18 months and his complete disregard is shocking, he shouldn’t be allowed to operate.
LIST OF COMPLICATIONS
* misplaced peek implants
* Segmental relapse
* Fisula
* Multiple non unions
* Dislodged screws in maxilla plates
* Unstable BSSO cut
* No bone graft
* Complete numbness in my full mandible and lower lip
* Chronic pain in chin and maxilla
* Infection
I know this surgery carries risks but this is absolute butchery, this surgery was done for functional issues as I had 13mm underbite and of course to a cosmetic degree, I’ve ended up worse off than what I was prior to having it done functionality wise.
I am in the process of legal action as I’m not letting him away with it and will spend whatever it takes to hold him accountable, even if I don’t get compensation I want it on record so others can see and avoid, this man has no ethics and is only interested in money, once you’ve had the surgery he does not care and will admit no liability.
I fell for the marketing stunt all over these forums but have you noticed there’s no actual results of his work? Just people saying they’ve consulted with him.
I partly blame myself for this in hindsight and I was a bit naive going into this without a lot of knowledge on standard movements and what should be required, I don’t want anyone to go through this if it’s avoidable and I feel like if I didn’t share my experience then people wouldn’t know what he’s like, this is a very harsh surgery please don’t under estimate it and make the same mistakes I did, do serious research on your surgeon first.
I was class 3 and my initial surgery plan was meant to be maxilla advancement (8mm) mandible set back (5mm) and genio advancement (2mm) 3 piece segmental split, also peek implants to address mid face hollowness, as most people will know a 2mm advancement of the chin is absolutely pointless and 100% is not worth the risk it carries, unfortunately at the time like I said I never knew this, I just trusted his judgement but looking back now this was obviously a money grab so he could get the extra cost for the Genio
After waking up from the surgery I was pretty positive, he said everything went ‘perfectly’ and I had no reason to doubt him, 2 days later I developed a 1cm fitsula in my palette, instead of doing a surgery to fix this he said let it heal naturally - I literally couldn’t drink anything at all as it was coming out my nose and choking me every time I tried, it has got better with time but still have a hole in my pallete which is now infected, if this was the only issue I could have lived with it but this was only the start of the complications
Due to this complication I did not feel comfortable travelling home so I opted to stay in Rome for 6 weeks so I could have regular check ups with him to monitor, after 6 weeks he said it was fine and I really wanted to get back so I left as it was close to Christmas.
After 12 weeks I noticed something just wasn’t right with the implants, they looked horrendous and were obviously placed incorrectly, I sent him the picture and he said ‘we can take them out if you like’ as usual one of his very vague responses not caring about his shady work, I opted to have them removed and had to pay yet again for the hospital fees which in my opinion I shouldn’t have needed to because they absolutely horrendous, literally popping out of my face. Anyway I was starting to become more and more untrusting of him after this, I got them removed and travelled home again. (Lost all feeling in my orbital area as well)
2 more months went by and I’ve noticed movement in my maxilla, could literally wiggle it up and down, I sent this to him and he said come back over for revision just like it’s a causal thing and not a completely serious matter, I didn’t know what to do or who to turn to so I decided to go back yet again where he told me he would use bone graft to fix this, which should have been done in the first place btw! My movements were huge and multiple surgeons I’ve consulted with since have been in disbelief he’s done this surgery without bone graft due to my movements being so large, he said this was due to lose screws and refused to declare it a non union, I had concerns the day before surgery and sent him a few questions and the reply I got was ‘let me know if you’re coming for surgery tomorrow or not’ well if things couldn’t get worse I came out of theatre and he told me ‘my assistant said you didn’t need bone graft so we didn’t use it’ all he done was swap a custom plate with a stock plate and why is he changing surgery plans we agreed on then taking orders from his assistant? ABSOLUTELY WILD!
Well another 4 months have went by and guess what? Maxilla is moving again with confirmed non union, not a chance I will go back to this butcher and I feel like an absolute idiot for going back for revision to begin with but I just wanted this nightmare over.
I’ve since consulted with 3 surgeons who have confirmed malpractice and have been in sheer disbelief from his shady work, luckily I’ve not had issues with my mandible YET but the surgeons have said his BSSO cut ‘lacks science’ and has no stability due to minimal bone contact so I may have future issues.
I urge anyone who is thinking about using him to think again and take this as a warning, I’ve spoken with multiple other patients who are in a similar position as me who I hope will come forward eventually once they’ve had there issues seen to.
This has taken over my life for the past 18 months and his complete disregard is shocking, he shouldn’t be allowed to operate.
LIST OF COMPLICATIONS
* misplaced peek implants
* Segmental relapse
* Fisula
* Multiple non unions
* Dislodged screws in maxilla plates
* Unstable BSSO cut
* No bone graft
* Complete numbness in my full mandible and lower lip
* Chronic pain in chin and maxilla
* Infection
I know this surgery carries risks but this is absolute butchery, this surgery was done for functional issues as I had 13mm underbite and of course to a cosmetic degree, I’ve ended up worse off than what I was prior to having it done functionality wise.
I am in the process of legal action as I’m not letting him away with it and will spend whatever it takes to hold him accountable, even if I don’t get compensation I want it on record so others can see and avoid, this man has no ethics and is only interested in money, once you’ve had the surgery he does not care and will admit no liability.
I fell for the marketing stunt all over these forums but have you noticed there’s no actual results of his work? Just people saying they’ve consulted with him.
I partly blame myself for this in hindsight and I was a bit naive going into this without a lot of knowledge on standard movements and what should be required, I don’t want anyone to go through this if it’s avoidable and I feel like if I didn’t share my experience then people wouldn’t know what he’s like, this is a very harsh surgery please don’t under estimate it and make the same mistakes I did, do serious research on your surgeon first.
