Z osteotomy invented by Dr Bobek (increases Ramus height)

[mvp2v1]

Screenshot taken from user who sent me his surgeons proposed plans. @RealSurgerymax Are you aware of this surgery?

Here is more info I was given:

Bobek showed me before and afters of the the Ls. He claimed he invented the Z and said that Farrell can attest to that. Said that he will still do the Z for anyone that requests it if it's warranted. Farrell didn't get far enough to ask for before and afters. Bobek without custom plates was around $21k for his surgical fees for upper 3 piece, lower bilateral Z, gga (with 5 piece mandiublar widening factored in), then around $8k for the hospital, and around $3k for the anesthesia so that's $32k which is really affordable. If he does custom, they speculated it would add another $20k but I have not gotten an official quote back for the custom so it could end up being a lot higher since we're moving into a new calendar year. Sanovich was $53k for the same with custom (minus mandibular widening with 5 piece; he doesn't do that) and sanvoich was going to do the surgery in his office suite and then put me in an ambulance to the hosptial after ($600 fee plus $800 for each night I stayed in the hospital). So if you don't need the widening, Sanovich could be a decent option. Although it's tough to know if how good he is because he hides all his negative reviews and/or tries to prevent anyone upset with him from going online and blasting negative reviews since he's a lot like alfi and gets most of his business from social media and referrals at this point. Bobek on the other hand just seems to not care and if someone is upset with him I don't think he does much to right the situation so you see all the posts about him when he messes up or somebody is unhappy with their results.

 

[RealSurgerymax]

View attachment 3341024
Screenshot taken from user who sent me his surgeons proposed plans. @RealSurgerymax Are you aware of this surgery?

Here is more info I was given:

It’s great if you need no advancement and just downgrafting which is almost never the case

 

[mvp2v1]

It’s great if you need no advancement and just downgrafting which is almost never the case

could it be combined with another type of bsso to get both?

 

[Deleted member 71543]

could it be combined with another type of bsso to get both?

Shiiit probably nigga I hope so

 

[bottleofwater]

is this just like a plan or is it a avalible surgery

 

[bottleofwater]

@RealSurgerymax

Is it possibke that you guys cna do this maybe in the future? My ramus is deathly short and in the future i definetely want surgery done on it.

 

[bottleofwater]

Bump

 

[bottleofwater]

btw does it change gonial angle

 

[turneywest]

View attachment 3341024
Screenshot taken from user who sent me his surgeons proposed plans. @RealSurgerymax Are you aware of this surgery?

Here is more info I was given:

why does this look like it will save my life

 

[RealSurgerymax]

@RealSurgerymax

Is it possibke that you guys cna do this maybe in the future? My ramus is deathly short and in the future i definetely want surgery done on it.

There's no reason we cannot do it right now.

If it's the best option is a different story. I can combine drop down ramus implants with BSSO for less risk and better result usually.

I am the first one to invent this combination.

 

[bottleofwater]

There's no reason we cannot do it right now.

If it's the best option is a different story. I can combine drop down ramus implants with bass for less risk and better result usually.

I am the first one to invent this combination.

View attachment 3926726

Bass?

 

[RealSurgerymax]

Bass?

BSSO

 

[bottleofwater]

BSSO

And that will give more ramus height than the z ostoeotomy?

 

[RealSurgerymax]

And that will give more ramus height than the z ostoeotomy?

Yes but it will be combined with an implant designed by me.

 

[bottleofwater]

Yes but it will be combined with an implant designed by me.

I knwo the price is different depending on the case, but what would ususally charge for this?

 

[RealSurgerymax]

I knwo the price is different depending on the case, but what would ususally charge for this?

While over half of the charges are not from me, the total will come out to about 20K, but probably more like 25K since most people combine with more surgeries and that makes the most sense. Euros.

 

[bottleofwater]

While over half of the charges are not from me, the total will come out to about 20K, but probably more like 25K since most people combine with more surgeries and that makes the most sense. Euros.

Why woukd they combine it with more surgeries?

Or are you just saying that people usually just get more than 1 procedure doen from your clinic?

All so thanks for the fast replies.

 

[RealSurgerymax]

Why woukd they combine it with more surgeries?

Or are you just saying that people get more than 1 procedure doen from your clinic?

All so thanks for the fast replies.

Because most people dont have just 1 thing wrong with their skull and jaws, they are developmentally related.

And because 2 surgeries for 25K is better than 1 surgery for 20K. For example adding Malar implants, do LeFort 1, or add genioplasty/chin implant.

 

[bottleofwater]

Because most people dont have just 1 thing wrong with their skull and jaws, they are developmentally related.

and because 2 surgeries fro 25K is better than 1 surgery for 20K

Is that like a offer you lot a doing?

 

[bottleofwater]

Yes but it will be combined with an implant designed by me.

would it also chabge gonial angle?

Is this also more effective than bimax w/ ccw?

 

[RealSurgerymax]

would it also chabge gonial angle?

Is this also more effective than bimax w/ ccw?

You need to have a consultation for all these questions.