Adrenochrome
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READ IT IN ITS ENTIRETY
As I wrote from previous thread: I got a custom Peek jaw and chin wraparound with a specialized genioplasty that fits within the chin portion of the peek to make a natural mentolabial fold by Dr. Defrancq.
Essential background that led to my choice of Dr. Defrancq:
If you’re familiar with my
situation, then you know that previously, I had a custom silicone jaw/chin wraparound designed by and surgery with Dr. Y that did not go as planned: I incurred infection and everything had to be removed.
Regarding Dr. Y. There are two important distinctions that I wish to make:
1. Dr. Y. as an individual, I liked (even though he was NOT transparent with me: more on that later).
Nobody can beat his design aesthetic: I prepared for months with drafts and photos of the exact aesthetic I wanted. We worked together and he nailed it! Yes, I was able to model and yes I was breaking f*cking necks whenever I went out (night and day difference).
However... and to my second point
2. The overall service was garbage and I would not go back for the life of me.
Really, just outstandingly incompetent staff (desk bimbos) who should be serving fries at McDonald’s instead of handling clients large money transfers or trying to coordinate patients surgical plans (dates, times, medications, proper instruction) you know ... the stuff you actually need to have a successful surgical outcome! (Ridiculously low IQ) although there was one office girl I liked.
Infection period:
To make a long story short, Dr. Y. Stood by me and his word... to an extent.
He removed the infected implant ”free” less the cost of the anesthesiologist (read that as $4,000 usd + cost of operating theatre $800) However, the issue is that I had to do this twice because the first time was for a culture sample to see if it was an actual infection (sounds good right? But wait a minute) it was actually really stupid because I was taking antibiotics at that time which would have and did skew the test to read negative (no infection) when there actually WAS an infection in the end.
So... two procedures for removal that had a nice price tag of $8000 for the anesthesiologist + cost of using the operating theater twice $1600 for a whopping total of $8,800 (no I didn’t mess that up as Dr. Y. Comped me on the last theater use -nice I guess?) but I want you guys to understand the total cost of our endeavors:
original surgery with Y. was 19k (custom cheeks, jaw/chin) and then add on the removal cost of 8k and this isn’t counting travel logistics (I had to fly back and forth about 6 times and 2 of those times were from across the other part of the world I.e. my plane tickets were averaging $1200) and then you have to factor in hotels (my original procedure I stayed about 1 week in Boston for $800 a night) .... you see where I’m going with this....
You really need to prepare for every possible scenario and have a financial contingency plan in place.
Now ...
With everything removed, I was on the road to recovery (read that as 6 months down time) which actually turned into 2 years for the following reasons:
In short, that infection ruined everything: place I was living in abroad (had to come home), opportunities (documentary I was going to be featured in), my own projects, financials obviously, time and my health (physical and emotional well-being) -terrible experience -you never want to go through something like this EVER.
I could have gone back to Dr. Y. after 6 months to try again for the cost of the anesthesiologist and operating theater again: $4800 but...
I knew there had to be a better way and my intent was to minimize as much risk as possible. Silicone had mentally scarred me and was off my list for the jaw/chin area. 6 months of research on implant materials and surgeons turned into 2 years; spanning from the most invasive of jaw surgery with Gunson from Arnett and Gunson to the least invasive (fillers - you’ve all seen those Dr’s who are like wizards with that stuff, insane).
I went on consults to Zarrinbal in Berlin (complete waste of time for me personally) to multiple Skype consults with different surgeons all over the world.
At one point, I even thought “fuck it” I’m just going to get my eye area done with Taban and forget about the chin/jaw because eye area is just as, if not more important than jaw (I know highly debatable) and I wouldn’t have to worry about infection but... I knew what that jaw implant had got me (endless opportunities) and I’ve never forgotten that ... EVER... I tasted my dream and it was snatched away from me in an instant but I’m getting it back no matter what!
That brings me to Defrancq ... the best source of reliable information comes from first hand accounts and I’m across many different surgical forums. My one friend had a disastrous surgery with Dr. Brusco from Switzerland (yeah the guy who uses Titanium for jaw implants and learned how to do chin wings from Triaca).
Well Brusco obliterated his jaw bone (literally leaving pieces of it “floating“ around) and aesthetically ruined him .... I’m thinking fuck man, this is it ... he might actually rope (it was his 3rd or 4th revision) and at that time I was saturated with too many options (overloaded).
So... My friends saving grace? You guessed it, Defrancq. Defrancq pieced him up and got him level again. I’m thinking if this guy can turn my friend around proper then at least I have a chance.
Checked out his website and saw that he uses PEEK (check mark), see that he’s a maxillofacial surgeon and not a plastic surgeon (check mark and read that), see that he’s done many decent cases and has some age on him but not too much where it’s concerning to me (check mark) *everyone asking me about his age, yes he’s older but quite cognitively adept with acute surgical dexterity to match (I would not trust my face to him otherwise)
I contacted him and we talked for about a month discussing my situation (his proposals and my thoughts: only implants or only bone cuts or implants + bone cuts) and what could be done to correct it safely. In the end he suggested peek implants for the jaw/chin combined with a special geniolasty that would augment the labiomental fold naturally within the chin part of the peek implant. Also, this would greatly expand my airway and reduce the chance for developing sleep apnea in the future.
So... you see, form and function (beautiful). Now, design-wise (this is where Y. Comes in again) because I knew exactly what I wanted (partly my former design as I already knew how I would look) and showed Defrancq my original Silicone implant draft -he was able to draft his own version of it but changed the taper of the gonial angles to be more natural (which is what I wanted) so it was perfect for me.
However, (someone else mentioned he’s stubborn and a little tricky to deal with -I can confirm both) he tried to change my mind on the implant design like 2 weeks before surgery, after I already told him that I wanted design A back in November and we both agreed upon it... (he wanted to rework the gonial angles again and initially I agreed) but it was just dragging on (4 days before surgery! Can you believe that? Stressed me the FO) and didn’t meet my aesthetic standards, so I told him directly to go back to design A (which he did without problem). Although the whole thing was a little strange.
A pre-surgical consult is required the day before your surgery or he will not operate on you (it is an hour long minimum).
We went through all the details of how the surgery was going to be executed (poor choice of words ha).
I was even shown my PEEK implants and got to hold each piece while we discussed them (I’m kicking myself for not taking photos!)
The PEEK is SUPER lightweight and the material looks very cool in person. I was surprised by literally how small each piece is.
My experience so far has been superior (metaphorically mogs America in service... HARD) in fact, I would say America (from my personal experience) has thee lowest service standard, it’s disgusting really (feel like I got scammed at one of “top docs” in America with that silicone wraparound).
*will detail moments before surgery (morning of and talking with anesthesiologist etc...) to the post surgery care and my current state of care later (way too tired now and need to rest). Ask any questions relating to this thread that haven’t already been discussed above and I’ll answer each one of them when I’ve the time.
As I wrote from previous thread: I got a custom Peek jaw and chin wraparound with a specialized genioplasty that fits within the chin portion of the peek to make a natural mentolabial fold by Dr. Defrancq.
Essential background that led to my choice of Dr. Defrancq:
If you’re familiar with my
situation, then you know that previously, I had a custom silicone jaw/chin wraparound designed by and surgery with Dr. Y that did not go as planned: I incurred infection and everything had to be removed.
Regarding Dr. Y. There are two important distinctions that I wish to make:
1. Dr. Y. as an individual, I liked (even though he was NOT transparent with me: more on that later).
Nobody can beat his design aesthetic: I prepared for months with drafts and photos of the exact aesthetic I wanted. We worked together and he nailed it! Yes, I was able to model and yes I was breaking f*cking necks whenever I went out (night and day difference).
However... and to my second point
2. The overall service was garbage and I would not go back for the life of me.
Really, just outstandingly incompetent staff (desk bimbos) who should be serving fries at McDonald’s instead of handling clients large money transfers or trying to coordinate patients surgical plans (dates, times, medications, proper instruction) you know ... the stuff you actually need to have a successful surgical outcome! (Ridiculously low IQ) although there was one office girl I liked.
Infection period:
To make a long story short, Dr. Y. Stood by me and his word... to an extent.
He removed the infected implant ”free” less the cost of the anesthesiologist (read that as $4,000 usd + cost of operating theatre $800) However, the issue is that I had to do this twice because the first time was for a culture sample to see if it was an actual infection (sounds good right? But wait a minute) it was actually really stupid because I was taking antibiotics at that time which would have and did skew the test to read negative (no infection) when there actually WAS an infection in the end.
So... two procedures for removal that had a nice price tag of $8000 for the anesthesiologist + cost of using the operating theater twice $1600 for a whopping total of $8,800 (no I didn’t mess that up as Dr. Y. Comped me on the last theater use -nice I guess?) but I want you guys to understand the total cost of our endeavors:
original surgery with Y. was 19k (custom cheeks, jaw/chin) and then add on the removal cost of 8k and this isn’t counting travel logistics (I had to fly back and forth about 6 times and 2 of those times were from across the other part of the world I.e. my plane tickets were averaging $1200) and then you have to factor in hotels (my original procedure I stayed about 1 week in Boston for $800 a night) .... you see where I’m going with this....
You really need to prepare for every possible scenario and have a financial contingency plan in place.
Now ...
With everything removed, I was on the road to recovery (read that as 6 months down time) which actually turned into 2 years for the following reasons:
In short, that infection ruined everything: place I was living in abroad (had to come home), opportunities (documentary I was going to be featured in), my own projects, financials obviously, time and my health (physical and emotional well-being) -terrible experience -you never want to go through something like this EVER.
I could have gone back to Dr. Y. after 6 months to try again for the cost of the anesthesiologist and operating theater again: $4800 but...
I knew there had to be a better way and my intent was to minimize as much risk as possible. Silicone had mentally scarred me and was off my list for the jaw/chin area. 6 months of research on implant materials and surgeons turned into 2 years; spanning from the most invasive of jaw surgery with Gunson from Arnett and Gunson to the least invasive (fillers - you’ve all seen those Dr’s who are like wizards with that stuff, insane).
I went on consults to Zarrinbal in Berlin (complete waste of time for me personally) to multiple Skype consults with different surgeons all over the world.
At one point, I even thought “fuck it” I’m just going to get my eye area done with Taban and forget about the chin/jaw because eye area is just as, if not more important than jaw (I know highly debatable) and I wouldn’t have to worry about infection but... I knew what that jaw implant had got me (endless opportunities) and I’ve never forgotten that ... EVER... I tasted my dream and it was snatched away from me in an instant but I’m getting it back no matter what!
That brings me to Defrancq ... the best source of reliable information comes from first hand accounts and I’m across many different surgical forums. My one friend had a disastrous surgery with Dr. Brusco from Switzerland (yeah the guy who uses Titanium for jaw implants and learned how to do chin wings from Triaca).
Well Brusco obliterated his jaw bone (literally leaving pieces of it “floating“ around) and aesthetically ruined him .... I’m thinking fuck man, this is it ... he might actually rope (it was his 3rd or 4th revision) and at that time I was saturated with too many options (overloaded).
So... My friends saving grace? You guessed it, Defrancq. Defrancq pieced him up and got him level again. I’m thinking if this guy can turn my friend around proper then at least I have a chance.
Checked out his website and saw that he uses PEEK (check mark), see that he’s a maxillofacial surgeon and not a plastic surgeon (check mark and read that), see that he’s done many decent cases and has some age on him but not too much where it’s concerning to me (check mark) *everyone asking me about his age, yes he’s older but quite cognitively adept with acute surgical dexterity to match (I would not trust my face to him otherwise)
I contacted him and we talked for about a month discussing my situation (his proposals and my thoughts: only implants or only bone cuts or implants + bone cuts) and what could be done to correct it safely. In the end he suggested peek implants for the jaw/chin combined with a special geniolasty that would augment the labiomental fold naturally within the chin part of the peek implant. Also, this would greatly expand my airway and reduce the chance for developing sleep apnea in the future.
So... you see, form and function (beautiful). Now, design-wise (this is where Y. Comes in again) because I knew exactly what I wanted (partly my former design as I already knew how I would look) and showed Defrancq my original Silicone implant draft -he was able to draft his own version of it but changed the taper of the gonial angles to be more natural (which is what I wanted) so it was perfect for me.
However, (someone else mentioned he’s stubborn and a little tricky to deal with -I can confirm both) he tried to change my mind on the implant design like 2 weeks before surgery, after I already told him that I wanted design A back in November and we both agreed upon it... (he wanted to rework the gonial angles again and initially I agreed) but it was just dragging on (4 days before surgery! Can you believe that? Stressed me the FO) and didn’t meet my aesthetic standards, so I told him directly to go back to design A (which he did without problem). Although the whole thing was a little strange.
A pre-surgical consult is required the day before your surgery or he will not operate on you (it is an hour long minimum).
We went through all the details of how the surgery was going to be executed (poor choice of words ha).
I was even shown my PEEK implants and got to hold each piece while we discussed them (I’m kicking myself for not taking photos!)
The PEEK is SUPER lightweight and the material looks very cool in person. I was surprised by literally how small each piece is.
My experience so far has been superior (metaphorically mogs America in service... HARD) in fact, I would say America (from my personal experience) has thee lowest service standard, it’s disgusting really (feel like I got scammed at one of “top docs” in America with that silicone wraparound).
*will detail moments before surgery (morning of and talking with anesthesiologist etc...) to the post surgery care and my current state of care later (way too tired now and need to rest). Ask any questions relating to this thread that haven’t already been discussed above and I’ll answer each one of them when I’ve the time.
