POSTED UNDER Jaw Surgery REVIEWS
3rd Jaw Surgery/1st Double Jaw Surgery - Upper Jaw Still Slanted - 3D Titanium Plate Removed - Lower Jaw Now Slanted
ORIGINAL POST
3rd Jaw Surgery/1st Double Jaw Surgery - Upper Jaw Still Slanted - 3D Titanium Plate Removed - Lower Jaw Now Slanted
$16,000
I underwent jaw surgery with 3 different surgeons located in Broward County, Florida. I originally had an anterior open bite but my posteriors were pbviously not canted/slanted.
The first surgery was with Matouk...a 3-piece lefort on upper jaw and am not sure why he did not do a double jaw surgery. The outcome was a 3-4 cm cant/slant of my upper jaw which has caused alot of pain, functioning and discomfort issues. He initially said he was going to fix it but later deemed it acceptable. I then sought help by getting consultations with numerous surgeons.
I eventually went with Dr. Sultan who only did a lefort 1..rotating the mis-aligned parts from previous surgery and screwed a 1-piece 3D plate over my upper jaw. Since it being on, my midline shifted and I was having a seriously hard time with TMJ pain, etc... After the orthodic failing, he recommended a 3rd surgery. By this time, I had alot of questions. What I thought was going to be one and done turned into another deformity with way more complications. I did some research and asked questions listed on my previous review on realself. I also checked with several different surgeons in the area. The one at UM assessed it and said it was now a very complex jaw alignment case...since my posteriors were not only slanted but angled differently on each side. He also said they don't handle cases with the 3D titanium plate. One or 2 others were okay with the consultation and saw issues with the jaw until they found out I already had jaw surgery.
Friedman & Cardenas did my 3rd surgery...which was the first double jaw surgery. I had alot of reservations but the pain was unbearable. Work went to 12hr shifts and talking for 12hrs where my job is dependent on it was very taxing. I basically was taking advil like clock-work...and later my Dr put me on Meloxicam to ease side effects advil was having on my stomach. The recovery was taxing this time...no pain meds the first few days. It improved a few weeks later but for some reason left side of my face stayed swollen much longer this time. I have nerve damage and my lips feel taut. I noticed the slant was still there but now my lower jaw was angled slightly into it. The TMJ is less painful but the asymetry is off. As you can see in the xrays, my slant is still pretty obvious and pronouced. I do regret having jaw surgery since my case ended like this. Not only do I have the added TMJ issues, functioning mouth movement issues, nerve damage, sensitivity to cold/hot, etc...but I have lost so much time from work, it created a huge financial strain and I feel I lost apart of me. I avoid social situations. I still find comfort in wearing covid mask and not sure if I will ever take it off. I have face massagers, rollers, advil, etc...
For those looking to have this done, I am not sure why this happened in my case but wanted to bring awareness of this outcome.
The first surgery was with Matouk...a 3-piece lefort on upper jaw and am not sure why he did not do a double jaw surgery. The outcome was a 3-4 cm cant/slant of my upper jaw which has caused alot of pain, functioning and discomfort issues. He initially said he was going to fix it but later deemed it acceptable. I then sought help by getting consultations with numerous surgeons.
I eventually went with Dr. Sultan who only did a lefort 1..rotating the mis-aligned parts from previous surgery and screwed a 1-piece 3D plate over my upper jaw. Since it being on, my midline shifted and I was having a seriously hard time with TMJ pain, etc... After the orthodic failing, he recommended a 3rd surgery. By this time, I had alot of questions. What I thought was going to be one and done turned into another deformity with way more complications. I did some research and asked questions listed on my previous review on realself. I also checked with several different surgeons in the area. The one at UM assessed it and said it was now a very complex jaw alignment case...since my posteriors were not only slanted but angled differently on each side. He also said they don't handle cases with the 3D titanium plate. One or 2 others were okay with the consultation and saw issues with the jaw until they found out I already had jaw surgery.
Friedman & Cardenas did my 3rd surgery...which was the first double jaw surgery. I had alot of reservations but the pain was unbearable. Work went to 12hr shifts and talking for 12hrs where my job is dependent on it was very taxing. I basically was taking advil like clock-work...and later my Dr put me on Meloxicam to ease side effects advil was having on my stomach. The recovery was taxing this time...no pain meds the first few days. It improved a few weeks later but for some reason left side of my face stayed swollen much longer this time. I have nerve damage and my lips feel taut. I noticed the slant was still there but now my lower jaw was angled slightly into it. The TMJ is less painful but the asymetry is off. As you can see in the xrays, my slant is still pretty obvious and pronouced. I do regret having jaw surgery since my case ended like this. Not only do I have the added TMJ issues, functioning mouth movement issues, nerve damage, sensitivity to cold/hot, etc...but I have lost so much time from work, it created a huge financial strain and I feel I lost apart of me. I avoid social situations. I still find comfort in wearing covid mask and not sure if I will ever take it off. I have face massagers, rollers, advil, etc...
For those looking to have this done, I am not sure why this happened in my case but wanted to bring awareness of this outcome.
WaterFloss's provider
Replies (2)
UPDATED FROM WaterFloss
3 years post
4-6-25
My Jaw journey started in 2017. I never imagined how this would have altered my life. The first surgeon Matouk that worked on my initial Class III open bite created the 3-4 cm cant was out of network. The 2nd sugeon Sultan that used an out-dated 1 piece 3d plate and slanted my midline further and did nothing to ease the cant was in network. The 3rd surgeons Cardenas & Sultan surgical outcome resulted in the removal of the plate and now altering of my lower jaw that was fine initially now slightly canted with the 3-4cm upper jaw. I feel like I paid for surgeons to correct what other surgeons did and I am stuck with the outcome. I will include pictures of my before this 3rd surgery and current jaw alignment. At this point I am at a loss and looking to maybe just do prosthetics.
Replies (0)
UPDATED FROM WaterFloss
3 years post
Current Jaw Misalignment 5-6-25
I wanted to show a current video of my upper jaw misalignment lost jaw surgery. The cant seems very obvious to me and it is painful on my joints trying to force my lower jaw into it. I regret surgery since getting this fix seems impossible. Can anyone tell me what alternatives available to me to get some relief from this surgically canted upper jaw?
Replies (1)
May 7, 2025
The orthodontist that handled my case verified I have a cant with x-rays. The orthodontist I saw earlier this week was referred by a prosthetician the next county over that I went to in order to find viable options for functional issues that I am having with the misaligned jaw. The prosthetician did see the issue which he mentioned appeared to be about a 5cm deviation but thought it was more of an orthodontic or surgery related issue instead. I think I should have seen an orthodontist who specializes in TADs instead of unknowingly seeing one affiliated with the surgeon that did the lefort 1 3-piece that surgery creating this issue. An employee mentioned they use that surgeon all the time towards end of my visit. And during the pictures taken there which I took laid back in a chair, the tech kept using his thumb to move my jaw where he wanted it instead of where it naturally goes for pictures. Due to the cant I have a sliding bite when it contacts on the right it slides behind my teeth due to the slant. I don't have much of a resting bite which this other orthodontist did acknowledge but then made the statement my normal bite should be to go into the misaligned upper jaw to which I had already been determined to have a cant and doing that was causing me more pain and not an option. So, this is the cycle I am facing.
If you are looking to have this done to fix an open-bite, please understand that this surgery is very major. It has been my experience that jaw surgeons try to make you not worry about things not going right but if they do go wrong, they will not or may possibly not be able to correct it. I am having major issue with my cant so I have no choice but to seek relief. I am still hoping and praying for relief with the misaligned upper jaw.
If you are looking to have this done to fix an open-bite, please understand that this surgery is very major. It has been my experience that jaw surgeons try to make you not worry about things not going right but if they do go wrong, they will not or may possibly not be able to correct it. I am having major issue with my cant so I have no choice but to seek relief. I am still hoping and praying for relief with the misaligned upper jaw.
This surgery is very serious and I totally regret it. My man-made severely canted jaw is way worse outcome than my original class III open bite ever was.