I had met with a large number of maxillofacial surgeons. Some on the NHS and some on private. I met with Dr Manasali in St Georges hospital, who said he would be able to improve my facial asymmetry and make it more straight without braces, but it would not be as perfect as with the whole 2 years of pre op braces. I than went to meet with Prof Moemerrats in Belgium, European president of oral and maxillofacial surgery, who suggested i have surgery with braces, and to follow his treatment plan which involved two stages including surgical palate expansion, for my narrow upper arch. This made me quite indecissive and when i met for a consultant with Dr Manasali he was disappointed I got another opinion and discharged me. I than met with Dr Speculand, who said he did not think i needed the long treatment with braces, and than the assymetry could be improved with a bimaxillary osteotomy (which Dr Manasali had also planned for).
What was particularly nice about Dr Speculand is, I informed him about my previous meetings with Dr Manasali and Moemmerat, and subsequent discharge. But Dr Speculand said, he had absolutely no problem in me getting as many opinion as I wanted. I also did not need to hesitate to ask him about any other issues, like if i need my jaw moved forward etc.
After two years of meeting and talking with surgeons, I had my surgery done with Dr Speculand in Birmingham Queen Elizabeth hospital. I am now 9 weeks post op, and very happy with the results. Dr Speculand is a very nice doctor, and as a person who also works in the profession, I think he may be the nicest doctor I have met during my own career. The surgery was done on the NHS, as it is classed as a developmental abnormality, and also I had quite bad jaw pain, with clicking on the right side. Dr Speculand investigated the causes of the jaw clicking too, looking for condylar hyperplasia.
Most people have a really tough recovery, for me physically the recovery was very quick, mentally there are challenges, as with any surgery. My bottom lip has already recovered and I have normal feeling. I am also glad I did not follow Prof Moemmerats plan of a palate expansion, as this would likely have widened my nostrils, which are wide enough as it is.
I would recommend Dr Speculand to any patient, I have had a few surgeries now, and by far the most honest and considerate was Dr Speculand.