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POSTED UNDER Jaw Surgery REVIEWS

2017 Lefort 1 (3-piece fracture) to correct Open Bite Results in Upper Jaw Slant/Cant - Botched Jaw Surgery

ORIGINAL POST

Not Sure if Worth It

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WaterFloss
I am a private person but think the only way I will get help is if I share my experience.
I am a 41 yo female in South Florida. I had a Class III open bite and was having issues with function that braces could not correct alone. I underwent 3-piece lefort 1 osteotomy June of 2017 of my upper jaw. I was nervous but felt ready to finally get this issue resolved. Recovery was somewhat as expected and I was just looking forward to being out of braces. I had an unexpected cant which surgeon said could be corrected with orthodontics. I noticed as I was healing I had climate sensitivity and constant pressure in the area of my anterior since surgery but was told it would go away with time. I later saw another surgeon to get a second opinion but seemed reluctant to help me/get involved and did not even take any kind of xrays. In February, my surgeon agreed to remove the left anterior plate which did help a little but I still have same issue. I recently developed an abcess on the right anterior area of my upper jaw where the right fracture was between tooth #5 & #6 to which my periodontist went in and said I had been missing bone between there and since he put in bone, the climate sensitivity and preasure on upper right went away. The periodontist said it was odd and he only saw where there was no bone going all the way up in cases of people with osteoperosis which I do not have. While it was healing, I predominately have been eating on the left and 2 weeks into the right side healing, while biting into a chicken tender I felt movement and a prick in my inner ear on the left. I later experienced same thing while eating again...this was 7/12/18. I made another appointment with jaw surgeon who took xrays and says nothing was showing and going in would be over-treating. He also mentioned it could possibly be a nonunion but to give it 3 weeks and put me on augmentin. I am kind of at a lost because I AM experiencing constant unrelenting discomforting pressure and climate sensitivity in cold areas on left still which includes where I work...which is kept very cold. I would not be on here if I were not experiencing these issues and hope someone can help me.

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Michel Matouk

WaterFloss

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This surgeon's lefort 1 (3-piece) osteotomy surgery outcome for me has resulted in slanted upper jaw, an uncomfortable/misaligned/uneven jaw/bite wing...only jaw contact between lower jaw on right, does not contact on left without shifting my lower jaw painfully into the slant, the left anterior was reattached higher and this surgeon sanded down the bone reattached higher instead of redoing the surgery, etc... It is not a good sign when people ask who did my surgery and it is not for a referral but rather to avoid them ending up in my position. His surgery resulted in a left-posterior to left-anterior open-bite & I now have misaligned, slanted, complexed surgically created jaw deformity that has been very difficult to live with. I regret having this surgery with this surgeon and not sure why he did not do the original double jaw surgery he quoted for me. This has been a very painful outcome that I can't be undone and I hope no one goes through what I am going through as a result.

Replies (11)

July 27, 2018
I'm sorry to hear you had complications after surgery. I'm in south florida as well and i'm close to having double jaw surgery for an underbite. And i'm deciding on the surgeon i will choose, do you mind telling me who've you gone too? I'm considering Dr. Rafael Alcalde.
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September 28, 2018
I rather not say but it was not your surgeon. Every case is different and I did my research..no matter who you go to you have to be your own advocate and let them know if something dosen't feel right. It took a year and 3 months for me to finally get relief after my lefort 1...the bone protruding up into my nose wasn't showing any flags on xrays but caused me alot of discomfort and pressure.
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October 22, 2018
I plan to do a more thorough review with alot of pictures after everything is complete.
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November 6, 2018
My surgeon for lefort 1 was Matouk. I am still under orthodontic treatment and hopefully it will be possible to get the resulting cant to resolve without another surgery. Right now I am just glad the constant discomfort is gone and focused on following orthodontic prescribed treatment plans.
November 7, 2018
I had nothing but trouble and horrible aesthestic results from my surgery. I wish I never did it. It is a gamble how things turn out.
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November 7, 2018
Some of it is a gamble and some of it depends on capabilities of parties involved CathyD. I have already been made aware that my situation/cant be corrected by either orthodontics or capable surgeon.
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November 8, 2018
correction..."can" be corrected by orthodontics and/or capable surgeon. (Wish this site allowed for editing)
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November 7, 2018
Yeah one of my co-workers had it done as well and his turned out fine with no cant. I still do not show my teeth in important pictures...after all my investing I ended up with a lopsided smile. Positives for me is I can now eat with my anterior and sinusitus not as bad. The trade off is my bite is currently higher and my cheek sits higher on left making my left eye appear slightly smaller. I will post more pictures of before and after showing how my face is
UPDATED FROM WaterFloss
1 year post

Sept 2018

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WaterFloss
I have since had the bone filed down that was protruding up into nose area and happy to report the pressure and discomfort is now very minimal. I no longer regret surgery.
I am now hoping the orthododontics can correct the slant/cant I have in my upper jaw as a result of surgery.

Replies (11)

November 7, 2018
After 6 months you will start to feel almost normal again, it takes long time for the swelling to go completely and to muscle to settle down in their new position, your teeth and bite could look wired for the fist months.. I wish it all will turn OK, and the results will be good,
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November 7, 2018
Appreciate your info but your comment is irrelevant to my post Blossom 31. My lefort jaw surgery was 6/7/17
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November 8, 2018
Has anyone ever heard of or know someone that had a slanted upper jaw resulting from lefort 1 surgery corrected with just orthodontics? I am doing research and cannot seem to find this information online.
November 8, 2018
Oh sorry, this comment supposed to be on another post.. my mistake
November 8, 2018
From my own experience I don’t think slanted jaw can be corrected without surgery. I had to go under jaw surgery for the second time to correct my slanted upper and lower jaw. My upper jaw was slanted from the beginning, but my lower jaw and chin got slanted by my own surgeon hand at my first surgery.. he ruined my face and my life.. So after 7 years I decided to redone the surgery and fix my face. I wish I could help you more.
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November 8, 2018
That is what I keep being told. I had my hopes up that orthodontics would do it initially. My slant is very obvious...I just had my recurring cleaning with hygenist 11/2/18 who also commented on the slant/cant. If orthodontics don't work, looks like I will have to revisit surgery option with an experienced surgeon.
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November 11, 2018
How did you go about finding a good surgeon for second surgery? I am leery of reviews after my first and only major surgery results have left me like this. And bad part was, this surgeon was out of network but I really believed he was the better option back then.
UPDATED FROM WaterFloss
1 year post

Requested pictures

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WaterFloss
These 2 pictures show the contrast of my face from pre and post surgery. I have alot of others I believe are on my old Samsung device. I really did not even consider a cant when undergoing my procedure and do hope this helps others looking to have lefort 1.

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