LetsFixYourFace
Boston, MA
Male, 35
I practice oral and maxillofacial surgery in a major metropolitan area in the US. Despite the fact that I was a dentist before I was a doctor (now I am both), taking out teeth is but a mere bank rolling of my true interest... Cutting into peoples faces :)
- Wisdom teeth
- Facial fractures
- Head and neck tumors
- Facial cosmetic procedures
- Fixing your jacked up bite
First a couple definitions:
Plastic surgery: Often used as a misnomer. It is actually a certified specialty within medicine whose scope is much more than just boob jobs, tummy tucks and cosmetic procedures. It should be thought of as describing a person rather than the type of surgery performed. Neurosurgeon, Radiologist, Plastic Surgeon, etc... Plastic surgeons are actually trying to combat this misnomer by now referring to themselves as plastic and reconstructive surgeons.
Cosmetic surgery: This is a surgery that is performed that has been deemed to have no physical therapeutic benefit. Cosmetic surgery is not... Read More +
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No. I decided in dental school that I wanted to do oral surgery. You must complete a residency in oral and maxillofacial surgery in order to be able to do that.
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Thats insurance in general for you... They don't make money by paying for other people's surgeries. Very often they need to have it made very clear that by actually paying for a surgery, they will be saving money in the long run. In the case of the open bite, it is clear that there can lead to problems with the TMJ, chronic pain, and nutritional and quality of life issues given the difficulty chewing so you have to be persistent.
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This question is too vague to answer. Not all surgeries are the same. Some surgeries are very long and cost more. Some surgeries are short... Some are technically very difficult and require multiple surgeons and cost more. Some surgeries are done with just regional anesthesia rather than general and may cost less. Some are elective and some are done on an emergency basis. All of these factors can lead to higher or lower costs. In general the biggest factor is time under general anesthesia.
As far as what the surgeon takes home it is usually a smaller slice of the pie. The anesthesiologist and the hospital take bigger chunks than... Read More +
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The reported incidence is around 0.1-0.2%. It is very rare and I have never seen it or met anyone who has. As with all calamities of surgery, it is usually a multifactorial process. Most of the cases in which it happens, the patient has a neuromuscular blocking agent on board (they are paralyzed) and can't respond to surgical stimulus, despite being able to hear, feel, etc. Most surgeons don't require a paralytic during surgery, but virtually EVERY patient needs a period of paralysis during induction of surgery. This is because during intubation, you can undergo vasospasm if your vocal cords are irritated while the breathing tube is inserted.... Read More +
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Sounds like you had a BSSO - Bilateral sagittal split osteotomy. This surgery is done when you have a severe underbite that can't be corrected with braces alone. The surgery allows for repositioning of your lower jaw in a more forward position to correct the underbite. Occasionally it is done when you have a severe overbite (reposition the lower jaw backwards) but usually in this instance the upper jaw is moved forward. I digress....
The BSSO consists of 3 bone cuts (osteotomies) on each side of the mandible. Once the soft tissue dissection is complete, a horizontal cut is made on the inner side of the mandible, just above where the... Read More +
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I haven't ever seen anyone whom I thought looked worse after orthognathic surgery (see bristol palin question for definition). Often, people getting orthognathic surgery have such severe underbites, or overbites that there is no way they can look anything but better after the surgery.
The only reason I can think that someone would look worse is if they are getting obstructive sleep apnea surgery where their mandible and maxilla are being advanced forward upwards of 14 mm. This tends to make there lips and face kind protrude out. They are often heavy set though and their extra facial tissue usually hides this.
As far as... Read More +
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