It is causing difficulty breathing/muscle strain throughout face trying to breathe. I had orthognathic surgery five years ago and it has been the biggest regret of my life. I had a mild malocclusion and TMJD. My orthodontist told me surgery was the best option. I had double jaw, genioplasty, and palate expansion, and barely recognize myself. Now my TMJ pain is worse and I have a crooked nose and difficult breathing, and my upper teeth aren’t visible when I smile. My jaw is too small for my face. Limited opening, difficulty chewing, constant tension headaches. What can I do!?
January 12, 2020
Answer: Rhinoplasty and septoplasty Hello and thank you for your question. Based on your photographs and history of orthognathic surgery, you may benefit from rhinoplasty and septoplasty. This can be designed to help straighten your nose and improve breathing. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon.
Helpful
January 12, 2020
Answer: Rhinoplasty and septoplasty Hello and thank you for your question. Based on your photographs and history of orthognathic surgery, you may benefit from rhinoplasty and septoplasty. This can be designed to help straighten your nose and improve breathing. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon.
Helpful
January 13, 2020
Answer: Deviated Nose after Orthognathic Surgery Since the cuts to do a LeFort I osteotomy are done across the base of the septum, it is not rare to develop a new or more pronounced septal deviation after surgery depending upon the maxillary movement that was done. This is most manifest in maxillary impaction which your before and after pictures suggest is what has been done in the upper jaw part of your bimaxillary procedure. The septum and nose can be straightened and you may need to consider an upper lip lift to shorten the lip-nose distance and have a little more tooth show. Also one of the common adverse sequelae of maxillary surgery is nostril widening, which you also have, which could be narrowed in your septorhinoplasty procedure.
Helpful
January 13, 2020
Answer: Deviated Nose after Orthognathic Surgery Since the cuts to do a LeFort I osteotomy are done across the base of the septum, it is not rare to develop a new or more pronounced septal deviation after surgery depending upon the maxillary movement that was done. This is most manifest in maxillary impaction which your before and after pictures suggest is what has been done in the upper jaw part of your bimaxillary procedure. The septum and nose can be straightened and you may need to consider an upper lip lift to shorten the lip-nose distance and have a little more tooth show. Also one of the common adverse sequelae of maxillary surgery is nostril widening, which you also have, which could be narrowed in your septorhinoplasty procedure.
Helpful
