Acromegaly_Chad
Offical Surgery Consultant
- Joined
- Apr 16, 2020
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You got it right boyos, it won't happen. I will not get Bimaxillary advancement surgery. But it doesn't mean that I won't get anything done, I'll just be getting something different.
The most severe risks of a bimax are:
- Unpredictable outcome, you have no control over it when you're under anaesthesia and have to trust the surgeon.
- Risk of relapse
- Nerve injury: Very common, and while my current hypoesthesia from the chin wing is bearable, additional damage to the IAN resulting in even more or severe numb spots on my chin/lower lip OR the sensory disturbance turning into paraesthesia (constant pain and burning sensation) would be simply UNAFFORDABLE for me.
So, to eliminate all these risks, I'll be getting distraction osteogenesis for both jaws:
It advances the jaws at a rate of 0.25mm per day, so for my 10mm lower jaw advancement I will have to click it forward for 40 days, and for the 5mm lefort 1 for 20 days.
However, I'm free to choose when to stop. The surgeons (either Triaca or Obwegeser) said that in these cases, they just look at the ongoing results every other day and stop moving when they think it's ideal.
Now of course if the surgeon is bluepilled and doesn't want to give me as much advancement, I'll just not show up to his office and keep the distractors in until I have as much as I wanted JFL.
Nerve damage isn't an issue because the nerve doesn't get stretched suddenly, it has lots of time to adjust (40 days for the mandible) instead of just a few seconds during a BSSO.
Theoretically, I could go for a massive 15mm lefort 1 and end up like a total freak chimp as long as I keep clicking the distractors JFL.
It's more expensive than regular Bimax obviously and I have to keep the 4 distractors in for 4 months but I'm glad to do that when my nerves remain intact and the result is better.
The most severe risks of a bimax are:
- Unpredictable outcome, you have no control over it when you're under anaesthesia and have to trust the surgeon.
- Risk of relapse
- Nerve injury: Very common, and while my current hypoesthesia from the chin wing is bearable, additional damage to the IAN resulting in even more or severe numb spots on my chin/lower lip OR the sensory disturbance turning into paraesthesia (constant pain and burning sensation) would be simply UNAFFORDABLE for me.
So, to eliminate all these risks, I'll be getting distraction osteogenesis for both jaws:
It advances the jaws at a rate of 0.25mm per day, so for my 10mm lower jaw advancement I will have to click it forward for 40 days, and for the 5mm lefort 1 for 20 days.
However, I'm free to choose when to stop. The surgeons (either Triaca or Obwegeser) said that in these cases, they just look at the ongoing results every other day and stop moving when they think it's ideal.
Now of course if the surgeon is bluepilled and doesn't want to give me as much advancement, I'll just not show up to his office and keep the distractors in until I have as much as I wanted JFL.
Nerve damage isn't an issue because the nerve doesn't get stretched suddenly, it has lots of time to adjust (40 days for the mandible) instead of just a few seconds during a BSSO.
Theoretically, I could go for a massive 15mm lefort 1 and end up like a total freak chimp as long as I keep clicking the distractors JFL.
It's more expensive than regular Bimax obviously and I have to keep the 4 distractors in for 4 months but I'm glad to do that when my nerves remain intact and the result is better.