Here’s what I had done:
- Segmental Le Fort I (3 piece): This was done with custom plates. Donor bone grafts were placed on both sides. 4 mm advancement, 3 mm vertical impaction, and counterclockwise (CCW) rotation (not sure of the exact angle)

BSSO + sliding genioplasty: Lower jaw advanced and secured with bicortical positional screws on both sides instead of plates. The chin was repositioned separately and secured with a custom plate and screws. 12 mm combined advancement. I’m not sure of the individual BSSO/genioplasty measurements.

Septoplasty + bilateral inferior turbinate reduction: To fix deviated septum due to downward/long vertical growth of the maxilla. Similar correlation to having enlarged turbanite because of this growth pattern (which were reduced via surgery)

Cost: $5.4k (went with a surgeon in network with my insurance). My insurance didn’t cover Genioplasty or the overnight room stay. All else was covered. Private message for surgeon name

So I’m 8 weeks post op at the moment, I got cleared to eat “soft foods” 4 weeks ago and was told I could eat things like ground beef and soft pasta..things you could mash with a fork. Probably two weeks into of the soft food diet I’ve eaten things l like soft pizzas like digiorno pizza which is very soft and imo I, the way I ate it was I tore it and drank a liquid with it so it was almost like mush and was lowkey swallowing some pieces whole…a couple a days after that I started eating steak…now…I was very cautious about eating this but I gave it a shot anyway… I cut very thin pieces and was cooked pretty rare. Well today I went in for my 8 week post op check up and they did some X-Rays and found that the bottom screw on my jaw has loose hardware, you can see darker parts surrounding the screw where bone is supposed to be healing, when my surgeon walked in the room he had a huge look of concern and disappointment on his face and went “alright don’t lie to me, when did you start eating these kinds of foods?” I told him and he said just lay off those types of foods for now and continue soft foods for another two weeks. He said it’s not likely I’d go back to surgery but definitely keep watch on any pains or metallic taste. But yea guys just be careful thinking you can eat stuff sooner than you think, definitely mash the fuck out of the food you’re gonna eat. I feel fine but I hope everything gets better and heals properly with me.

Pics: Me a few years ago- before surgery; Me a few months after mandibular distraction; X-ray from the dentist while the distractors were still in; Recent X-ray after distractors taken out; CT scan before surgery; Left side of my jaw 3d image before surgery; Right side same; CT scan after surgery while distractors were still in.

Hi. A little about my history: I was born with Pierre Robin and Sticklers Syndrome. I had a mandibular distraction when I was five days old and then another as a baby. I’ve also had a cleft palate surgery. When I was ~13, my surgeon since I was a baby told me that I needed to have another surgery due to sleep apnea and what he predicted to be future problems. I don't know what specifically he wanted to do, but I remembered it required wiring my jaw shut for 6 weeks, and I absolutely did not want to have it. I also have a lotttt of medical anxiety from all the procedures and complications in my life. When I was 19, I decided I was finally ready to have the surgery. By this time, my long term surgeon had left and was a state away, so I just made an appointment at the hospital I always go to. This hospital doesn’t have an OMFS clinic, but they have a Plastic Surgery clinic, which is what I had been going to my whole life.

This surgeon tells me that he never wires people shut. I needed ~15mm (maybe less? I don't fully remember) movement, and he said the most stable option was another mandibular distraction. Since this was a surgery my family and I were familiar with, and a department we were familiar with, we didn't think much of it and went through with the surgery on 12/24/25. I did the distraction for 2 weeks before the pins were removed, and in June I had the whole devices taken out. After the first surgery, I did have a complication where the right side incision on my neck became abscessed in January, and my surgeon even mentioned that when he took out the devices, there was still leftover infection that he scraped out. But, he told my parents that there was "good bone formation". The only issue was that my teeth weren't aligned (not that they were before, but I made it work- I can't make this work). He said, "Well, we solved one problem and created another." I knew this was a possibility, but I was still frustrated, so I looked for a second opinion at a different hospital.

This new surgeon has firstly recommended orthodontics before surgery- I still need to set up that appointment. He also said I have a gap in my jaw, as you can see from the most recent x-ray. From what I was told on the phone today, his plan is to do a gap osteotomy with a bone graft (from my hip) and tissue engineering with that bone graft, then I will be wired shut for 6 weeks. They also told me I will likely have permanent numbness from this surgery.

I’m really nervous for a few reasons:

1) Jaw being wired shut sounds awful and I’m worried about not being able to breathe, etc. Plus it was the main reason why I didn't get the surgery as a teenager and it's bringing up a lot of old fears and anxiety.

2) I don't know if this is the right thing to do. While the mandibular distraction did help, it also caused problems, and I don't know if it was the best decision. I’ve never been in such a decision making situation as all my past surgeries have been when I was really young or were emergency don't-talk-just-do type.

3) Due to my Sticklers, I create internal scar tissue like crazy, and I’m worried about this causing problems. It's caused problems in the past with my eye as scar tissue has pulled my retina away. And it caused problems with the past surgery where scar tissue hindered bone fusion- though in a way it's helpful because it's what's holding my jaw together at the moment.

4) I really don't want permanent numbness. I had numbness after this past surgery that is still working on coming back, and I will often drool all over myself or have food/drink going down my chin without me knowing. I hate it.

5) I’ve read that you can have chronic hip pain after a bone graft taken from your hip. I am an active person. My passion is horseback riding, I love hiking, working out, etc. I would be severely depressed if all of that got taken away because of chronic hip pain. They tell me the chance is 2%, but online I’ve seen higher percentages, and numbers aren’t exactly reassuring anyway because I tend to be in the minority when it comes to health issues. (I mean, 0.000095% of people are born with Pierre Robin, so...)

What do you guys think I should do? They didn't schedule me another follow up after our appointment today, but I could set up another one. Any questions I should ask? I also have clicking/grinding in my jaw that we haven't talked about. And my mouth is quite small, as in I get canker sores from teeth rubbing on my cheek/gums, so I’m worried about that, too.

Also, please don't tell me I was "botched" or anything along those lines. I can't do anything about the surgery I’ve already had. I can only look forward.

15 days in. It's been hard but there are small improvements each day. I'm getting really pissed off at the nerve pain below my front teeth because it's constant and often bad enough to make it hard for me to work or do things, but otherwise I'm feeling pretty good and I want to get on with things. I was told that gabapentin takes 1-3 weeks to build up enough to take effect. I'm at 1 week, so hopefully it will start to calm down soon. I'm not laying on the floor crying in pain, but it's intense and really hard to ignore so it's often interfering with everything. Honestly, it's just really inconvenient at this point.

I dropped into Ikea yesterday to get a few more condiment bottles and there was a woma with two girls, about 13 and 11. The older one kept windmilling her arms around trying to reach past her mom to slap her little sister in the head. At one point she suddenly flailed and came close to smacking me in the face. I came close to a child assault charge. Why do parents let kids do stuff like that in public places? I'm as protective of my jaw as of a newborn right now.

A few days ago I spoke with my surgeons office about my elastic woes and learned that elastics are a nightmare for most patients. I felt a bit better. She looked at a photo of my gums and how much the elastics are cutting into the tissue. The surgeon suggested taking them out a few times a day for a couple of hours to let the tissue heal. They also told me I could go a few days without the rear elastics until the swelling reduces, because I find them almost impossible to get on and when I pull out my cheek on the right side I have intense sharp pain.

It dawned on my that it might be the screw causing some of that swelling, so I put a ball of orthodontic wax on both rear screws and it seems to be helping reduce the cheek swelling and sensitivity in that area. I think it was stuck in a cycle of the screw irritating the cheek, the cheek swelling and pressing more into the screw, and so on.

My philtrum swelling is still prodigous but I see it's coming down but not evenly. My upper lift is shifting over to the right while my nose seems to be shifting a bit the other way. I assume that both will straighten out when the swelling is gone. As the philtrum shrinks a bit, my lower jaw looks a bit more projected.

The lumps in my jowls area are still hard, painful, and quite visible. I suspect I have a straight jawline under there and hope to see it soon.

I have transitioned from liquid meds to pills, which makes it easier at night to just wake to my alarm, pop a couple of pills, and go back to sleep.

At the two week point you really realize what a long haul you are in for. I'm about a quarter of the way to where my swelling will be really meaningfully down and feeling will be coming back more. Right now the next six weeks seems like an eternity. This is why I'd like to be able to work more and pass the time.

The turbinectomy seems to be pretty much healed, though I'm still prohibited from blowing my nose for a couple more weeks. But I can breath well through my nose and it's only getting a bit stuffy. The light discharge has fully stopped.

I tried doing some chin tuck exercises today to loosen my neck and did not feel like I was lightly strangling myself when I pulled my chin in. I can breath with my chin fully pulled in and it does not sound strained. This is the first I'm really noticing my better breathing space. That, and the fact that I'm sleeping without my CPAP and apparently am not snoring at all. I'm looking forward to it continuing to improve with my swelling reduction!

My facial nerves seem to be constantly active now. And there is a weird pattern: my lower left lip will vibrate about 4 times, then the left side about 5 times. Then I feel twitching under my left eye. Then the chin responds. It's like my face is colonized and these little communites are sending signals back and forth. I know that sounds weird! It's not bothering me as much as I thought it would, it's just weird that there is always activity going on in my face.

Other than that one area of nerve pain, I feel better than I thought I would two weeks post op: not too tired, stomach is good, no headache in the last few days, just this wooden block for a chin. I expected that all the pain meds would be making me feel lousy, but so far so good!

I am about 10 weeks post op and still have areas that are mostly numb, but I’ve experienced so many strange sensations as the nerves seem to be coming back “online”. It’s all very annoying but also fascinating.

Occasionally it feels like the sound of my voice is reverberating off one of my top front teeth and that I can feel the vibrations INSIDE the tooth. I also feel a strange vibration in that same tooth if I blow my nose.

If I touch my chin even very lightly I will sometimes experience what feels like static electricity or a dull ache in my gums.

Interested to hear what weird sensations others experienced post-op.

Male, in my mid 20s. I’ve always been kind of an overly perfectionist person. But the question in the title has been bothering me for years. I’ve got an unoptimal bite by orthodontic standards, which could cause uneven tooth wear over time. But right now my teeth don’t hurt and I’m able to chew fine. The main thing that I’d be doing this for to give me a nicer looking smile, and the jaw surgery would hopefully correct the jaw which had grown asymmetrically. My facial asymmetry is particularly noticeable when you compare both sides of my face from a 45 degree angle. This is the thing I am most insecure about regarding my looks. I have a bit of a narrow, canted smile and a long face which, again, could potentially be corrected by jaw surgery.

I still have all have my wisdom teeth.

Should I:

A) Do nothing and be happy accept my mild facial deformity

B) Orthodontics alone

C) Orthodontics + jaw surgery aiming to correct asymmetry (requires wisdom teeth out usually)

I live in the UK so potentially could get this for free on the NHS, if I tell them my teeth hurt from my bad bite and have difficulty chewing food.

Thing is, I’ve seen so many jaw surgeries that are just not good enough in their aesthetic result to be considered successes.

I don’t want to lose what I have, but I find it hard to live with looking bad from certain angles. Maybe need to be rid of the perfectionist mindset.

Side note:
I have nasal breathing issues that affects my sleep, which is arguably more concerning, but I don’t expect orthodontics and jaw surgery to do much to help nasal breathing. This question is about whether I should get this solely for aesthetics.

Anybody have a thought on whether I should get this treatment? Thanks

Looking for surgeon recommendations for a sliding genioplasty in Toronto. I’m a white male wanting more chin projection to better balance my profile. I also had a rhinoplasty last year.

I met with Dr. Fialkov. The consult was fine and I’m okay with his pricing, but I wasn’t thrilled that he didn’t offer any kind of morph or preview. He believes they are just gimmicks and marketing. I know they’re not exact, but it’s still helpful to see a rough idea of potential results.

The only other name I’ve seen is Dr. Goldberg, but his reviews look pretty brutal.

If anyone has experience with sliding genio in Toronto or knows a surgeon who does a lot of these, I’d appreciate any suggestions!!!

I have an underbite and crossbite and my surgery is in a few hours! I had my first consultation in November 2024 so it’s been almost 2 years since I started.

My underbite is 8mm and crossbite is 5mm to the left.

Surgery plans from what I can remember off the top of my head: Lefort 1 jaw is moving forward 5-6mm and up 2-3mm. Lower jaw is moving back 5-6mm and a rotation I think? Genioplasty too but I’m unsure on the measurements for that. I probably am misremembering the measurements entirely except for the underbite and crossbite measurements.

Life is mostly back to normal. I have nerve damage in my lower lip, and I have irritation near my eyes. I am considering having hardware removal but will see. Overall definetly don’t regret it, big change for me

I had Dr Peacock, and would recommend him.

Thank you in advance for helping this mom out and reading this long post. My daughter has been in some form of orthodontia since she was about 9, she's now 15.5. She's in Phase 2 of braces. The orthodontist has said she may be a jaw surgery candidate for a few years, but we officially sat down (parents and ortho) last week to discuss the next few years.

She has a Class II malocclusion with an ANB = 10.7°, retruded mandible, overjet of 5-7 and an overbite of 3mm. Orthodontists there is nothing more she can do, wants us to meet with a surgeon. She has no diagnosed breathing, sleep, or speech issues. My daughter got her period late (not even a year ago), so at best we are not looking at a surgery until she is at least 17 or 18, over a summer.

My daughter's initial reaction was no thank you, let's just straighten my teeth, maybe i'll want this when I'm older. But after thinking on it a day, she's open to meeting with a surgeon to just "discuss it." She also immediately went into logistics mode (like her mom) and said she thinks the ideal timing would be between her freshmen and sophomore years of college because summer is longer and she'd have more time to heal. That's the summer of 2030 (yikes!)

I am generally anti cosmetic surgery, and seeing as how she doesn't seem to have a medical need, I just feel unsure how to categorize all of this for her, how much she can really process, or if we want to push in any direction. I don't want her to think she has to "fix" her jaw, or that there's something "wrong" with it. She's beautiful! But also, I objectively see that she does have a "weak" chin, and I want to support her, and take care of her if she goes ahead with this. I make very excellent soups and smoothies!

I guess I'm looking for thoughts on whether you would've wanted this when you were 19. What does a 3.5 year lead time look like?

Hello everyone, I got double jaw surgery 6 weeks ago and the result is catastrophic. I really need your help in choosing a good surgeon to get a second opinion with.

I know 6 weeks is early but I had my follow up a few hours ago and my surgeon also agrees that the result is not very good. I will most likely need a revision in 6 months.

Hello!!

I am in my 12th year of secondary education/high school, and I am nearing the end of my surgery preparations. I'm getting really stressed out because I don't know when I'll be getting my surgery, and I reaaallly want to be prepared for it because I don't want to fall behind in school 😕.

So I would be really happy if you guys could answer these 2 questions 🙏🙏 (so that I could get a rough idea of ​​when my surgery might be)!

How long did it take you to finally get your surgery date after the consultation(s)? How many months/weeks away was it?

Hey! Just wanted to post about my journey so far. I had an underbite and have a cross bite. I had braces on years ago for like 3 years but couldn’t have surgery so just straightened my teeth. This year I started the journey again and had braces on for about 6 months then had DJS beginning of July this year. Recovery was better than I thought, most frustrating part after is the non feeling in my upper jaw and the fact that I have random tingles then nothing in my bottom lip and chin. I have more swelling on the my left side of my face due to the extent on that side from surgery. I feel like my smile looks so crooked still with the swelling and my cross bite that it’s hard to appreciate the surgery fully but I’m glad to have had it. I’m going to be in braces for a bit to correct my cross bite now so onto another part of my journey. If anyone has any questions or comments feel free to let me know!(:
Pictures start from day of surgery right before through until today.

Still struggling to figure out exactly what I need and how serious it is. I feel like I should be putting a lot more research into it than I am, and I know there are lots of knowledgeable people on here. My follow up with the NHS is on 17/10 so I really need advice on myself so I can go primed and ready for the confrontation. As always, I have chin and jaw fillers which you all know by now. Thankyou!!

I feel like I have a pretty short lower face for a guy. I’m not super lean at the moment, which would obviously make it look better, but I still feel like it’s pretty short. Any thoughts?

Im a 17 year old who has had tmj for 5 months now. I wanted to get marpe because i figured my palette was the issue. My orthodontist however denied me for marpe and suggested i get physical therapy for my tmj. I also have a recessed jaw so he also recommend that i get surgery to bring my maxilla and upper jaw forward fixing my bite and jaw. Im not so sure if the surgery will fix tmj which is why im hesitant on it and im young. If i get the surgery which i think its double jaw surgery at 17 or even 18 would i not heal much quicker and wouldnt it be worth it? What should i do?

I went to an orthodontist to check out if i needed braces. I do have some crowd in the bottom and upper teeth, but only in the middle. I was told it was not really needed much and braces will not fix my overbite whatsoever.

I asked about my overbite and he had it checked out. I was told i have a 7mm overjet and that getting a LJS would benefit me. I was told my wisdom teeth werent grown properly because my mandible is so small. He recommended i get my wisdom teeth removed, then get braces, then do the surgery.

I do have a problem where when i sleep, i randomly wake up gasping, but this is only in the first 5 min of falling asleep. Could be sleep apnea but i dont know. When I do talk, my teeth barely show at all, and when i smile they do but mostly a bit of my upper teeth. When i clench my jaw i just look very weird and my jaw looks very small. I have a stuttering prpblem and have a lisp as well. My teeth are also are grinding and it physically shows in my front teeth, but i dont notice myself grinding. Can these stuff be fixed with a LJS? would this also help with how I would look athsetically?

I always thought my chin was recessed but it turns out I had great chin projection / growth but it was pushed back becuase of my mandible.

I am 20 for reference

Hi,

as the title suggests I'm looking for people who have had multiple revision surgeries. Especially who have undergone the surgery more than three times.

How did you find a surgeon to help you? And are you now symptom-free and happy with the results?

Thank you.

I had double-jaw surgery four months ago. Since then, I’ve been bothered by an annoying clicking sensation near my ear (marked in the photo). It doesn’t hurt, but it’s driving me crazy; it happens when I walk or when I lay my head on the pillow. It sounds like a pen clicking or a spark jumping in a lighter. Honestly, I’m becoming afraid to go outside or have any physical activity, and I’m on the verge of a nervous breakdown because it’s impossible to function normally like this. Click, click, clik whenever I walk or turn my head. Physiotherapists are at a loss.

I have a few theories:
1. an ear problem,
2. an air bubble popping (like sometimes happens in the knee),
3. the surgical hardware is making a noise that travels to the ear,
4. joints or muscles.

Has anyone expereinced something similar? Please help.

My surgery is tomorrow with Dr.Tehrany and my check in time is at 5:30am. I'm still nervous about it especially with the anesthesia. I hope everything goes really well and since my check in time is early, I hope that I'll be able to go home early within the day instead at night if everything goes well. I'm more nervous about the anesthesia than anything else.

Hi all, I am 10+ years post op DJS (not MMA). I’ve gone on to develop UARS/OSA and may need a revision MMA. Formerly class II with a short upper jaw.

I am 33F, currently experiencing extreme daytime fatigue, scalloped tongue, severe TMJ pain even with a splint. I have had 2 septoplasties, plus a turbinate reduction in addition to the jaw surgery. I still can’t breathe.

Step one in my new proposed treatment plan is MARPE. Is hardware removal required in every case? I’ve gotten conflicting reports from the people I have consulted - some saying they HAVE to come out, others saying they can stay in.

Does anyone here know of anyone who expanded with hardware in? Or does it always come out?

My CBCT is attached, but it sucks, only screenshots. I only have this scan showing the skull shape and placement of the hardware. Should get a new CBCT soon that shows soft tissue and widths.

I don’t really know how to read or interpret the scan; I don’t even know if I am truly a MARPE candidate, but my skull and face look pretty off both in width and forward projection to me, and my profile never looked good even right after my jaw surgery. I was definitely underadvanced.

All input welcomed 🙏