Sliding Genioplasty / Cheek Implant / Jaw Implants / Buccal Fat Removal

Specifically to this update - ask for the operating report from your original op doc.

That s just beyond unethical. If you have time and proof, try sue this dr. At the very least he should pay you back for treatments u did not recieve

Consider yourself lucky in this case! Don't remove buccal fat. It will age you considerably. I used to have large Buccal fat pads, but since my mid 30's they've been shrinking. I'm not 40 and thank God I didn't have them removed. My baby face has since leaned out. This is why many docs advise against buccal fat removal (especially in congunction with cheek implants) for women. Doing so ages the face and creates a gaunt appearance long-term.

Ur a pretty girl!! Sorry for the hard time u went through! But pls try and sue that doctor he deserves it

WHAT! You need to talk to the doctor where you had your previous surgery! That's so unethical to charge somebody for something that's not even performed.

Diagnostic questioning below & my suggestions Do you have a lisp or what is the speech issue? Did the chin dimpling resolve? The chin finger test I told you about. Can you lower your center lower lip, with your finger against your chin pad, such that your center lower lip is as low as it could go pre-op? Secondly, after you've pulled down your lower lip as much as it can go with your finger against your chin pad, if you go to smile, does your center lower lip try to pull back up? Do you feel something in the way of your lip corners elevating fully? Is there a tightness feeling around the implants during those kinds of muscle movements? Did the numbness improve at all after the chin implant was removed? Suggestions - get a 3D CT scan of your skull. You'll need that if you do replace the implants (and want to lower the risk of a poor aesthetic fit), and it may show other problems, eg with the genio. What's bothering you the most?

Hi! Thnks for the update. I too was wondering how you are feeling about the intraoral incision. Is it healing nicely? In terms of keeping the cheek implants in or not, it is probably better to discuss this with a ps that you trust. Personally, i don t think they look bad but you seem to still have a hard time with them. If you cannot get used to them and they keep bothering you then maybe removal is the best option. You don t want to wake up every day for the rest of yr life to implants you don t like. They are supposed to become part of you... not to feel like foreign objects stuck on yr face. and you gave them a fair shot. I had a bad chin implant in for 12 yrs. Should have had it removed sooner to avoid all the complications... i assume your lower teeth are still numb?

The longer you leave the implants in, the higher the likelihood of sagging. You're still so young that the skin should still bounce back pretty quickly given the short amount of time they've been in. I think your chin looks great, but I agree with your assessment of the cheeks.

LEAVE the cheek implants in! Wait 1 year. Every case I have researched thus far shows that your face will change, smile will slowly restore, and swelling disipate between 9 months to a year. It takes a long time to assess end results. Chin looks great! You can have botox injected into dimpling. I have botox to treat mine and works like a charm. The tiny muscles causing the dimply eventually weaken to where you need less botox.

How are things going? Were you able to find another doctor to advise on the cheek implants? Hope you're doing better.

You don't anything remotely close to "elderly". You just look different, which is to be expected after getting major surgery on your face. Your smile still looks great. Part of the change in smile could be reduced movement due to swelling, and part of it is a direct result of the genioplasty. The extra support of the bone will change the way the bottom lip sits.

You got a large SG, anything above 6mm starts getting exponentially higher risk for lower lip changes and misc complications. The other part is your cheek implants are constraining your depressor labii anguloris muscles from the top. At least your lower lip is even. Also if you took that same shot as in your before pic, you wouldn't look as different as you're showing here. Angles and lighting make a big difference.

Hiiya, speaking from my own experience you will not get used to the new face until after a few more months because at this point you are still stiff and this, in turn, probably affects your smile. The stiffness is completely expected..... Even if your smile has changed it will feel and look more natural as bone heals to your jaw... I know what u mean, about the hardest part being not knowing. It is the worst feeling but it is also a comfort to know you did what u could to fix exagerated surgery and now you just need to wait and see. Your profile is definately great now as is your face from the front. I hope that you'll grow to like it too. BR

I'm so glad you are writing this review about Dr Gerald Wittenberg. I live in Vancouver and consulted with him 3 years ago and I remember I had weird vibes from him. On top of that, he had I think about 3 lawsuits from patients. Because of that I decided to go with Dr William McDonald (not a plastic surgeon but a oral maxillofacial surgeon). I just want to comment and say to anyone reading who lives in Vancouver, or considering Dr. Gerald Wittenberg....... go somewhere else! Clearly Boss1988's posts says it all! Not to mention, he charges an outrageous price and his waitlist is short. That is usually a sign for me. No waitlist = not in demand. And not in demand for a good reason!

Hi. I see you were wondering about the smile. I wanted to reply because I essentially had the same recessed smile due to retractive orthodontia moving my teeth back into my face after bicuspid extraction. It was not bad looking to me, so I didn't complain, but I got TMJ 18 years later, and I had to have (extremely painful) palette expansion (like a torturous retainer that pushed the teeth forward) and orthodontia again, and then 24 veneers and crowns (veneers on the front teeth) to redo the teeth which were then bucked out forward and spaced out from the palette expansion. After my teeth were done, which took a while because the cosmetic dentist did them too big at first and too beeked and had to replace 6 of the front ones after 8 months of me looking like a beaver (he was hoping I would just get used to it so he didn't have to redo the work, sigh.. Of course) ... But once I was finally, finally finished with the whole process, my teeth were visible like they were before the retractive orthodontia. It wasn't for cosmetic reasons that I went through palette expansion, but actually migraine headache brought on by the TMJ. The combo of palette expansion orthodontia and crowns and veneers solved the problem of the recessed palette for me. I do look a whole lot better. Now that teeth are all visible, my old recessed smile looks much less pretty to me. I am 34 and my treatment took place when I was 31-33. I have a naturally pronounced chin and the same masculine jaw you wanted removed... Sharp and wide for my otherwise small face, quite unfeminine... so basically I looked more like you did before you got it removed than how you do now. I actually like my jaw even though it's not ideal (also you might see on my profile I am in the process of going for my fifth and final revision rhinoplasty.... Yay... So I'm not really interested in dealing with my jaw bc I have other major problems and don't want every year of my life to be about surgeries) I am not shopping for a jaw surgeon since my teeth were finished. However, this problem of yours interests me because it's like instead of the teeth being moved back, you got the chin moved forward and the upper cheeks moved forward and it sort of accomplished the same thing that the retractive orthodontia did- it hid your teeth. I think you could wait for the whole chin and cheek issue to be satisfactory before doing anything about the smile, and then at that point you might consider having a dentist who does neuromuscular or TMJ cases reposition your teeth to be more visible. I would wait for numbness to subside, (but full feeling and movement isn't guaranteed to return) and in that case, you might not be able to pull up your lip like you used to when smiling. In that case, perhaps the teeth would look better if they were repositioned. I also heard from my dentist that people who get a lot of lip filler sometimes opt for veneer because they get the same result- the teeth are hidden under a fuller lip.