jaw surgery complications: numbers and percentages

[strong_silent_type]

Jędrzejewski et al.4 reviewed complications associated with orthognathic surgery, and reported that the rate of nerve injury was the highest at 50%, followed by TMD (14%), hemorrhage (9%), hearing problem (7%), infections (7%), and relapse (4%).

Complications associated with orthognathic surgery

While most patients undergo orthognathic surgery for aesthetic purposes, aesthetic improvements are most often followed by postoperative functional complications. Therefore, patients must carefully decide whether their purpose of undergoing orthognathic ...

www.ncbi.nlm.nih.gov

 

[needsolution]

with top tier doctor these numbers should be much lower

 

[strong_silent_type]

with top tier doctor these numbers should be much lower

every top surgeons has a few major fuck ups..at least

and especially nerve pain can hardly be avoided --- and what is very interesting: the younger you are when you get the surgery the better - eg there is already a major difference regarding the nerve damage risk between a 17 year old and 23 year old

 

[Barbarossa_]

and relapse (4%).

That's good enough for me!

 

[needsolution]

every top surgeons has a few major fuck ups..at least

and especially nerve pain can hardly be avoided --- and what is very interesting: the younger you are when you get the surgery the better - eg there is already a major difference regarding the nerve damage risk between a 17 year old and 23 year old

nerve pain is forever pain or it will gone after some time

 

[SixFootManlet]

>50% chance of nerve injury
JFL at anyone getting jaw surgery. Fillers #1.

nerve pain is forever pain or it will gone after some time

forever

 

[strong_silent_type]

That's good enough for me!

idk if that means total relapse or just a few mm

 

[Deleted member 4310]

It's becoming Chad or die trying

 

[subhuman incel]

I rather have nerve pain forever than staying a subhuman

 

[strong_silent_type]

I rather have nerve pain forever than staying a subhuman

 

[Deleted member 4466]

i had double jaw surgery at age 19 (growth plates were already closed by then) surgery itself was covered by insurance bc i had measurable occlusion in the form of an underbite

i experienced absolutely zero complications- i have absolutely no nerve damage. i was numb for months but the feeling returns gradually.

results from surgery: perfect bite alignment, maxilla moved forward (i forgot the exact number of mm) and more facial symmetry/harmony overall.

 

[Fear]

I had double jaw surgery. It was performed by a very well-regarded surgeon. I still experienced several complications:

- Relapse of the mandible due to muscle memory. This was very emotionally difficult to watch happen.
- Nerve damage and the associated loss of feeling in my lower jaw, both around my chin and inside my mouth. This persists to this day.
- The slight rotation of my maxilla to correct an original off-centeredness left me with a deviated septum, and moreover a slightly crooked nose. I had to get a septorhinoplasty to fix this.

 

[strong_silent_type]

I had double jaw surgery. It was performed by a very well-regarded surgeon. I still experienced several complications:

- Relapse of the mandible due to muscle memory. This was very emotionally difficult to watch happen.
- Nerve damage and the associated loss of feeling in my lower jaw, both around my chin and inside my mouth. This persists to this day.
- The slight rotation of my maxilla to correct an original off-centeredness left me with a deviated septum, and moreover a slightly crooked nose. I had to get a septorhinoplasty to fix this.

muscle memory and relapse is brutal

thats why this might be superior

https://looksmax.org/threads/distra...ional-jaw-surgery-what-is-your-opinion.77674/

@reptiles

i had double jaw surgery at age 19 (growth plates were already closed by then) surgery itself was covered by insurance bc i had measurable occlusion in the form of an underbite

i experienced absolutely zero complications- i have absolutely no nerve damage. i was numb for months but the feeling returns gradually.

results from surgery: perfect bite alignment, maxilla moved forward (i forgot the exact number of mm) and more facial symmetry/harmony overall.

50% get 50% dont get it

flip a coin and call it.

 

[Mazzo]

I had double jaw surgery. It was performed by a very well-regarded surgeon. I still experienced several complications:

- Relapse of the mandible due to muscle memory. This was very emotionally difficult to watch happen.
- Nerve damage and the associated loss of feeling in my lower jaw, both around my chin and inside my mouth. This persists to this day.
- The slight rotation of my maxilla to correct an original off-centeredness left me with a deviated septum, and moreover a slightly crooked nose. I had to get a septorhinoplasty to fix this.

I should have a bimax CCW with impaction and a revision rhinoplasty after it but I am not sure about it.
Is the nerve damage coming from the genioplasty or from the other cuts?
Do you think it was a good choice to have the surgery?

Thanks

 

[SixFootManlet]

- Nerve damage and the associated loss of feeling in my lower jaw, both around my chin and inside my mouth. This persists to this day.

This is why I'd rather cope with fillers

 

[Fear]

I should have a bimax CCW with impaction and a revision rhinoplasty after it but I am not sure about it.
Is the nerve damage coming from the genioplasty or from the other cuts?
Do you think it was a good choice to have the surgery?

Thanks

The nerve damage is from cuts to the mandible that severed the V3 branch of the trigeminal nerve.
The resulting numbness is overwhelmingly on the left side of my lower jaw. The right side only had a minor bit of numbness.
The sensation is so strange that I developed the mindless habit of puckering my mouth and moving around my other jaw muscles, biting down, etc. to get a sense of where everything is, like something Heath Ledger's Joker would do.

Yes, I would still recommend the surgery.
My face looks better than it did, I can breathe through my nose properly, and my underbite is gone.
Just make sure you shop around and do your due diligence before settling on your surgeon.
Also, get a great orthodontist. If there's an orthodontist that does InBrace (lingual braces) by you, I highly recommend that.

 

[Deleted member 3962]

A buddy of mine had double jaw for his sleep apnea. He can no longer feel the roof
of his mouth.

could be a LOT worse. Id chalk that up as a win.

 

[SixFootManlet]

Yes, I would still recommend the surgery.

Fuck no.

I've had the sensation of a numb mouth and jaw then the dentist injected a bit too much of local anesthetic really deep. Mouth and jaw felt numb after that for a day and half. I just can't imagine having that numb feeling for the rest of my life. Fuck no. I'd rather die an incel.

 

[Deleted member 2933]

Nerve damage is not a big thing, u simple lose some sensitivite on the area. Its the price to look better.

 

[Mazzo]

The nerve damage is from cuts to the mandible that severed the V3 branch of the trigeminal nerve.
The resulting numbness is overwhelmingly on the left side of my lower jaw. The right side only had a minor bit of numbness.
The sensation is so strange that I developed the mindless habit of puckering my mouth and moving around my other jaw muscles, biting down, etc. to get a sense of where everything is, like something Heath Ledger's Joker would do.

Yes, I would still recommend the surgery.
My face looks better than it did, I can breathe through my nose properly, and my underbite is gone.
Just make sure you shop around and do your due diligence before settling on your surgeon.
Also, get a great orthodontist. If there's an orthodontist that does InBrace (lingual braces) by you, I highly recommend that.

Thanks.
My occlusion is good and I've found the surgeon. I breathe bad from my left nostril because of a rhinoplasty that i had. I am checking about sleep apnea, maybe I can do the surgery for free with another doctor. Alternatively I'll get rhino + genio.

 

[FaceandHFD]

>50% chance of nerve injury
JFL at anyone getting jaw surgery. Fillers #1.

forever

it's not permanent nerve injury most of the time
goes away after a few months.

if you have shit maxilla only jaw surgery can improve it

 

[Cody]

I had double jaw surgery. It was performed by a very well-regarded surgeon. I still experienced several complications:

- Relapse of the mandible due to muscle memory. This was very emotionally difficult to watch happen.
- Nerve damage and the associated loss of feeling in my lower jaw, both around my chin and inside my mouth. This persists to this day.
- The slight rotation of my maxilla to correct an original off-centeredness left me with a deviated septum, and moreover a slightly crooked nose. I had to get a septorhinoplasty to fix this.

How much movement did you get?

Jędrzejewski et al.4 reviewed complications associated with orthognathic surgery, and reported that the rate of nerve injury was the highest at 50%, followed by TMD (14%), hemorrhage (9%), hearing problem (7%), infections (7%), and relapse (4%).

Complications associated with orthognathic surgery

While most patients undergo orthognathic surgery for aesthetic purposes, aesthetic improvements are most often followed by postoperative functional complications. Therefore, patients must carefully decide whether their purpose of undergoing orthognathic ...

www.ncbi.nlm.nih.gov

Fuck that's a brutal nerve injury rate

I think that's just temporary for the most part though

 

[Deleted member 2846]

I had double jaw surgery. It was performed by a very well-regarded surgeon. I still experienced several complications:

- Relapse of the mandible due to muscle memory. This was very emotionally difficult to watch happen.
- Nerve damage and the associated loss of feeling in my lower jaw, both around my chin and inside my mouth. This persists to this day.
- The slight rotation of my maxilla to correct an original off-centeredness left me with a deviated septum, and moreover a slightly crooked nose. I had to get a septorhinoplasty to fix this.

why was it emotionally difficult

 

[LordNorwood]

Brutal
Supports my decision to do MSE over surgery

 

[Gosick]

wish surgeons would just give you maximum foward growth if you asked for it, Idk why they go so conservative tbh and reject patients.

 

[strong_silent_type]

Nerve damage is not a big thing, u simple lose some sensitivite on the area. Its the price to look better.

depends. if you have no feeling the lower lip it will suck. if you lose feeling a few mm under the lips nobody cares

by the way nerve damage rate for genioplasty isnt much lower

 

[Deleted member 2933]

depends. if you have no feeling the lower lip it will suck. if you lose feeling a few mm under the lips nobody cares

by the way nerve damage rate for genioplasty isnt much lower

But it doesnt harm the lip, only the chin. Have u had this surgery?

 

[kota]

But it doesnt harm the lip, only the chin. Have u had this surgery?

It affects the nerves to the lower lip. Chances are it might be permanently numb to some extent.

 

[Deleted member 2933]

It affects the nerves to the lower lip. Chances are it might be permanently numb to some extent.

no.

 

[Deleted member 616]

It's becoming Chad or die trying

It’s all or nothing

 

[Dragonslayer]

probably dependant how severle underdeveloped you are. if youre like recessed 0,5 to 1 cm and slight downward angle complication isnt nearly as high as if youre grown downward at a super steep angle and your maxilla is way behind your eyes.

 

[Joyride]

Damn this thread is making not wanna get jaw surgery. Y'all scaring the shit outta me

 

[Fear]

How much movement did you get?

I'm not sure, but my surgeon said my case was slightly worse than average in severity.

I never bothered to find out because I wasn't thinking about the surgery in those terms. I was just on a mission to eliminate my underbite.

In fact, I originally didn't even realize my maxilla was recessed, and went into the consultation thinking my lower jaw was sole culprit. After I learned both were to blame, I didn't ask any questions about the particulars — I just wanted the surgery done, ASAP.

why was it emotionally difficult

It was difficult to watch my lower jaw relapse because it was a bit like slowly seeing my money, my effort, and the surgery results themselves go up in smoke, and I was helpless to do anything about it. I also had high expectations for how I would look post-op, and I did indeed get a lot of compliments and surprise from people I knew at first. But as the muscle memory kicked back in, my face started to look longer, and my occlusion inched back toward an underbite. Luckily it stopped at where my front teeth still overlapped with my bottom, but just barely.

A round of orthodontics was enough to fix the surgery result, plus correct those imperfections that typically settle in years after the first time you have braces, and now my teeth look great. They are also infuriatingly white (white enough to piss people off, which for me is the desired effect.)

 

[Soalian]

I'm not sure, but my surgeon said my case was slightly worse than average in severity.

I never bothered to find out because I wasn't thinking about the surgery in those terms. I was just on a mission to eliminate my underbite.

In fact, I originally didn't even realize my maxilla was recessed, and went into the consultation thinking my lower jaw was sole culprit. After I learned both were to blame, I didn't ask any questions about the particulars — I just wanted the surgery done, ASAP.



It was difficult to watch my lower jaw relapse because it was a bit like slowly seeing my money, my effort, and the surgery results themselves go up in smoke, and I was helpless to do anything about it. I also had high expectations for how I would look post-op, and I did indeed get a lot of compliments and surprise from people I knew at first. But as the muscle memory kicked back in, my face started to look longer, and my occlusion inched back toward an underbite. Luckily it stopped at where my front teeth still overlapped with my bottom, but just barely.

A round of orthodontics was enough to fix the surgery result, plus correct those imperfections that typically settle in years after the first time you have braces, and now my teeth look great. They are also infuriatingly white (white enough to piss people off, which for me is the desired effect.)

What did/do you use to whiten your teeth/keep your teeth white?