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4-21-21 Update
I have been getting consultations and it seems that the 3-piece lefort 1 needs to be re-done. I've had one surgeon's assistant do something the other's hadn't which is similar to this. The fractured sections are angled. Also, they did not feel the need for my lower jaw or nose to be altered...however a 2nd surgeon did. It seems that different surgeons have different ways of fixing these issues but regardless of this, I want to know this time the measurements of how/where my jaw is being moved even though I know there were most likely be some degree of slant but from what I have researched, not as large as what I have now.
Mid-line shifted
Recently, my family and I have been going through all my pictures before and after surgeries trying to figure out how I got to this point. It was discovered that my mid-line has shifted to the left since last surgery. There is a 3d plate over my jaw and it seems that after it was put in and with the alignment the surgeon did, my mid-line shifted and is off-center now.
This surgeon I am neutral about because this is a complexed slant and his intentions were to fix or improve it. I do believe I would have had a better outcome had he been the original surgeon. At this time, it seems my situation requires a surgeon who specializes in fixing complexed surgery-related deformities of the jaw.
Along with the other issues besides the joint/jaw pain & discomfort., my jaw functions and looks so foreign to me. As a result, I do not smile in public or take pictures that include smiling or showing my teeth. I find comfort in the fact that due to Covid, it is recommended to wear a mask. Even with the mouth closed, my face looks off-centered and I am contemplating wearing a mask until this is corrected. It does consume me at times that this was afflicted upon me and that it cannot be undone as I would never have chosen what I have now over my open-bite. I am thankful to have the loving support from my family who has been with me nearly every step of the way and keep me grounded yet this is not the easiest deformity to live with.
This surgeon I am neutral about because this is a complexed slant and his intentions were to fix or improve it. I do believe I would have had a better outcome had he been the original surgeon. At this time, it seems my situation requires a surgeon who specializes in fixing complexed surgery-related deformities of the jaw.
Along with the other issues besides the joint/jaw pain & discomfort., my jaw functions and looks so foreign to me. As a result, I do not smile in public or take pictures that include smiling or showing my teeth. I find comfort in the fact that due to Covid, it is recommended to wear a mask. Even with the mouth closed, my face looks off-centered and I am contemplating wearing a mask until this is corrected. It does consume me at times that this was afflicted upon me and that it cannot be undone as I would never have chosen what I have now over my open-bite. I am thankful to have the loving support from my family who has been with me nearly every step of the way and keep me grounded yet this is not the easiest deformity to live with.
Orthodic
Here is the orthodic before any alterations and after the 1st alteration. I was not able to wear it after any alterations but noticed that the pain and discomforting was not as extreme when lower jaw was not being trained to be angled into this upper jaw slant w/bands.
Provider Review
Board Certified Oral & Maxillofacial Surgeon
4800 N. Federal Hwy, Fort Lauderdale, Florida
The result from this surgeon's 1-piece lefort 1 revision surgery did not correct the botched original 3-piece lefort 1 and ultimately made fixing the slant more complicated by adding a 3D plate. The way the previous surgeon did my surgery has left me with a very pronounced upper jaw slant and this surgeon did recommend a 3rd surgery (this time a double jaw) to correct it the 3rd time around.