Need help with jaw surgery

[MansNotHot]

The maxillo-facial surgeon said i need 14 mm of projection on my mandible!!!????
Isn't that risky??

 

[toolateforme]

The maxillo-facial surgeon said i need 14 mm of projection on my mandible!!!????
Isn't that risky??

if he says that you need that

 

[MansNotHot]

if he says that you need that

True but, isn't it risky?? More relapse and nerve damage?

 

[Deleted member 7125]

said i need 14 mm of projection on my mandible

That's quite a lot but it at least means he'll give you maximum results and not chicken out to do an unaesthetic job

 

[Ocelot]

jfl more than 11mm is risky brah

I guess it depends tho

 

[MansNotHot]

That's quite a lot but it at least means he'll give you maximum results and not chicken out to do an unaesthetic job

So i can trust him tbh?

 

[Deleted member 7125]

So i can trust him tbh?

likely

 

[Deleted member 4430]

its mean youre a subhuman, welcome to the club

 

[MansNotHot]

likely

Btw he is from Ortognatica Roma

 

[Deleted member 7125]

Btw he is from Ortognatica Roma

Ah i see, they are very focused on aesthetics at a good price.They are my Nr.1 choice too

 

[MansNotHot]

Need answers asap cuz if i say yes he's gonna operate me in mid November +

 

[Deleted member 7125]

Need answers asap cuz if i say yes he's gonna operate me in mid November +

I would do it as the surgeon suggested

 

[MansNotHot]

@RealSurgerymax
@Sergio-OMS
Calling in the gods themselves, hope they can answer

 

[MansNotHot]

Someone else?

 

[Deleted member 10185]

its mean youre a subhuman, welcome to the club

Damn that is brutal.

 

[Deleted member 10172]

The maxillo-facial surgeon said i need 14 mm of projection on my mandible!!!????
Isn't that risky??

Who's the surgeon and also yes you should do as your surgeon asked.

 

[MansNotHot]

Who's the surgeon and also yes you should do as your surgeon asked.

He's from Ortognatica Roma

 

[Carl-o]

The maxillo-facial surgeon said i need 14 mm of projection on my mandible!!!????
Isn't that risky??

Who’s the doctor? I need someone like him

 

[Carl-o]

Marianetti or Pagnoni? I guess Pagnoni he is kinda blackpilled

 

[MansNotHot]

Marianetti or Pagnoni? I guess Pagnoni he is kinda blackpilled

No it's Ramieri

 

[RealSurgerymax]

10mm and over as a player advancement is conserved a big move, but 12 to 14 are considered the maximum by most guidelines, but can be done with robust plating.

Do you have an overbite and is this just the mandibular Advancment (not double jaw)? If so he may intend to use IMF to resist relapse.

I wouldn’t second guess anyone at Ortognatica Roma

 

[Lev Peshkov]

Jist fucking get it

 

[MansNotHot]

10mm and over as a player advancement is conserved a big move, but 12 to 14 are considered the maximum by most guidelines, but can be done with robust plating.

Do you have an overbite and is this just the mandibular Advancment (not double jaw)? If so he may intend to use IMF to resist relapse.

I wouldn’t second guess anyone at Ortognatica Roma

Yes i have severe overbite and gum show so he's gonna cut my maxilla and bring it upwards + bring jaw forward 14 mm.
I was just thinking, is it dangerous for nerve damage and so on

 

[livelaughlooksmax]

mine was 15mm to right side of mandible, 10mm to left side. asymmetry case obviously. ensure fixation is done by titanium miniplates with two bands

 

[MansNotHot]

mine was 15mm to right side of mandible, 10mm to left side.

No relapse? And how did the result turn out aesthetically?

 

[Deleted member 7863]

Jist fucking get it

 

[MansNotHot]

Btw if i want to the surgeon said he could operate me mid november tbh

 

[Deleted member 3990]

Btw he is from Ortognatica Roma

they are good. But I heard recently that Marianetti doesnt operate anymore

 

[MansNotHot]

they are good. But I heard recently that Marianetti doesnt operate anymore

Yes, someone else will do my surgery

 

[livelaughlooksmax]

No relapse? And how did the result turn out aesthetically?

one month post OP. no hardware relapse, far too early to tell on condylar relapse

 

[Deleted member 3990]

Yes, someone else will do my surgery

Ramieri

 

[MansNotHot]

Ramieri

Yes
Do you know about him?

 

[Deleted member 3990]

Yes
Do you know about him?

medialcanthuscel made him/them popular on here, I have consulted with them back in january

 

[Danish_Retard]

mine was 15mm to right side of mandible, 10mm to left side. asymmetry case obviously. ensure fixation is done by titanium miniplates with two bands

Why is it always greycels that do crazy shit like this tbh and never established members.

 

[livelaughlooksmax]

Why is it always greycels that do crazy shit like this tbh and never established members.

I've been on PSL sites since 2012 buddy

 

[RealSurgerymax]

Yes i have severe overbite and gum show so he's gonna cut my maxilla and bring it upwards + bring jaw forward 14 mm.
I was just thinking, is it dangerous for nerve damage and so on

There is always some risk of nerve injury but it’s important to put this into context that:

• The nerves at risk control feeling but not movement
• The symptoms from Orthognathic IAN injury is usually temporary and gets better on its own over time
• The symptoms are usually numbness and tingling which is frankly not that catastrophic....

 

[MansNotHot]

There is always some risk of nerve injury but it’s important to put this into context that:

• The nerves at risk control feeling but not movement
• The symptoms from Orthognathic IAN injury is usually temporary and gets better on its own over time
• The symptoms are usually numbness and tingling which is frankly not that catastrophic....

Thank you for helping out

 

[livelaughlooksmax]

There is always some risk of nerve injury but it’s important to put this into context that:

• The nerves at risk control feeling but not movement
• The symptoms from Orthognathic IAN injury is usually temporary and gets better on its own over time
• The symptoms are usually numbness and tingling which is frankly not that catastrophic....

how often do you see teeth lose blood supply long term? happened to one of mine, showed up 3 weeks post OP and I've been told it may resolve in the next 3 months, however likely looking at implant.

edit: are you the maxfac?

 

[RealSurgerymax]

how often do you see teeth lose blood supply long term? happened to one of mine, showed up 3 weeks post OP and I've been told it may resolve in the next 3 months, however likely looking at implant.

edit: are you the maxfac?

That’s pretty rare in a young healthy person even if the neurovascular bundle is severed with a shitty reconstruction because there is still some blood supply coming from the muscle and gingiva attachment on the lingual side. It obviously isn’t an ideal amount of perfusion which is why total subapical osteotomies work but aren’t preferred because of a high risk of bone and tooth loss.

It’s also why never smoking is extremely important for great surgical recovery. (Not saying you did but in general, it’s a good time to point this out.)

No training to be a head to toe plastic surgeon with special interest in face.

 

[everythingmatters]

mine was 15mm to right side of mandible, 10mm to left side. asymmetry case obviously. ensure fixation is done by titanium miniplates with two bands

Bro, how were the cosmetic results? It was worth it? Have you shared pics?

 

[MansNotHot]

Bro, how were the cosmetic results? It was worth it? Have you shared pics?

I wanna know too

 

[livelaughlooksmax]

Bro, how were the cosmetic results? It was worth it? Have you shared pics?

too scared to take pictures, but I do like what I see in the mirror, very natural result, major asymmetry corrected but rest of face - midface, orbitals, gonions need implants. Lacking chin projection a touch from the side. most people I knew prior probably won't pick up on the surgery. Hard to believe I got the movements in the planning (of course I did, though).

 

[everythingmatters]

Thanks man, do you think your life has changed something? How do people treat you now?