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!?
Answer: Nasal issues after orthognathic surgery... We have not seen a patient develop a crooked nasal appearance and nasal obstruction after jaw / TMJ / malocclusion surgery - but the exact nature of your surgery is not clear, and the septum is attached to the floor of your maxilla, so it's conceivable. Issues like "Limited opening, difficulty chewing, constant tension headaches." should improve with time, depending how far postoperative you are. If your oral surgeon cannot answer your jaw questions, get a second opinion.Insofar as your nasal appearance and breathing, consider consulting with several reputable rhinoplasty specialists so you can see what to expect. Wishing you well. Dr Joseph
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Answer: Nasal issues after orthognathic surgery... We have not seen a patient develop a crooked nasal appearance and nasal obstruction after jaw / TMJ / malocclusion surgery - but the exact nature of your surgery is not clear, and the septum is attached to the floor of your maxilla, so it's conceivable. Issues like "Limited opening, difficulty chewing, constant tension headaches." should improve with time, depending how far postoperative you are. If your oral surgeon cannot answer your jaw questions, get a second opinion.Insofar as your nasal appearance and breathing, consider consulting with several reputable rhinoplasty specialists so you can see what to expect. Wishing you well. Dr Joseph
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January 15, 2020
Answer: Deviated septum after orthognathic surgery When a deviated septum and crooked nose develop after upper jaw orthographic surgery, either septoplasty was not done or it was carried out inadequately. Septoplasty, and possibly rhinoplasty, are then necessary to improve breathing and correct the nasal deformity. To restore proper visibility of your upper teeth, upper lip shortening is an option for you. Although I am not advocating this, repeat orthographic surgery to undo the undesired/unfavorable changes could be done.
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January 15, 2020
Answer: Deviated septum after orthognathic surgery When a deviated septum and crooked nose develop after upper jaw orthographic surgery, either septoplasty was not done or it was carried out inadequately. Septoplasty, and possibly rhinoplasty, are then necessary to improve breathing and correct the nasal deformity. To restore proper visibility of your upper teeth, upper lip shortening is an option for you. Although I am not advocating this, repeat orthographic surgery to undo the undesired/unfavorable changes could be done.
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January 12, 2020
Answer: What can I do about deviated septum following orthognathic surgery? Hello and thank you for your question and sharing your photos. You seem to have a deviated septum. You will likely benefit from a rhinoplasty and septoplasty. My best advice is that you discuss your concerns and aesthetic goals with a board-certified plastic surgeon with extensive experience in performing rhinoplasty. I would ask to see before and after pictures of their real patients. It's important that you trust your surgeon's skills and ability to achieve the results you are looking for. In particular, pay attention to your surgeon's experience with rhinoplasty. Best,
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January 12, 2020
Answer: What can I do about deviated septum following orthognathic surgery? Hello and thank you for your question and sharing your photos. You seem to have a deviated septum. You will likely benefit from a rhinoplasty and septoplasty. My best advice is that you discuss your concerns and aesthetic goals with a board-certified plastic surgeon with extensive experience in performing rhinoplasty. I would ask to see before and after pictures of their real patients. It's important that you trust your surgeon's skills and ability to achieve the results you are looking for. In particular, pay attention to your surgeon's experience with rhinoplasty. Best,
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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.
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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.
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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.
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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.
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