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Oral and Maxillofacial Surgery (Expert Forum)
bimaxillary osteotomy
Answered by
Michael H Kirsch, DDS - Oral Surgery, Maxillofacial, Dental Implants, Wisdom Teeth, Bone Grafting
Dr. Michael H. Kirsch
Caldwell - NJ
Questions in the Oral and Maxillofacial Surgery forum are answered by Dr. Michael H Kirsch. Topics covered include teeth extractions, wisdom teeth, dental implants, bone grafting, orthognathic surgery, facial bones realignment, facial trauma repair, jaw alignment, anesthesia, jaw cyst or tumor diagnosis, reconstructive jaw surgery, temporomandibular joint syndrome (TMJ) and TMJ surgery.
bimaxillary osteotomy
by doddares, Apr 28, 2008 08:24AM
Sorry to take up your time as I understand you are very busy however I was hoping you may be able to advise me. Three months ago I underwent a bimaxillary osteotomy in Budapest where I also study, I believe the operation went according to plan however I have been left with lip incompetence and a gummy smile.
At first I thought the swelling had to die down but I assume after 3 months most the swelling has dissipated. So then I began to assume my muscles have to stretch into place and maybe it takes more time for the soft tissue to adapt ? I asked an oral surgeon in the department and he said it takes a year for soft tissue adaptation.
However today I spoke to a maxillofacial surgeon in the department and he says due to the maxilla being brought forward and downwards this is one the consequences and it probably won't improve unless they perform an aesthetic surgery. If this is the case what type of surgery would this involve ?
So overall Im rather confused, any advice would be much appreciated.
At first I thought the swelling had to die down but I assume after 3 months most the swelling has dissipated. So then I began to assume my muscles have to stretch into place and maybe it takes more time for the soft tissue to adapt ? I asked an oral surgeon in the department and he said it takes a year for soft tissue adaptation.
However today I spoke to a maxillofacial surgeon in the department and he says due to the maxilla being brought forward and downwards this is one the consequences and it probably won't improve unless they perform an aesthetic surgery. If this is the case what type of surgery would this involve ?
So overall Im rather confused, any advice would be much appreciated.
Doctor's Answer
by Michael H Kirsch, DDS, Apr 29, 2008 08:52PM
, Apr 29, 2008 08:52PM
Without knowing the details of your condition and see the models, photos and radiographs pre and post-op it is almost impossible to say.
I hope it was an Oral and Maxillofacial Surgeon who did the first procedure. If not, you may need additional procedures to obtain the results you are looking for.
The more the maxilla is moved downward and forward the more of the upper gums and teeth become visible under the lip. Too much movement can cause lip incompetance. some soft tissue procedures to the lip can improve this but it is unpredictable.
Information contained within this reply is intended solely for general educational purposes and is not intended nor implied to be a medical diagnosis or treatment recommendation. This is not a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your own doctor for medical condition. Only your doctor can provide specific diagnoses and therapies.
I hope it was an Oral and Maxillofacial Surgeon who did the first procedure. If not, you may need additional procedures to obtain the results you are looking for.
The more the maxilla is moved downward and forward the more of the upper gums and teeth become visible under the lip. Too much movement can cause lip incompetance. some soft tissue procedures to the lip can improve this but it is unpredictable.
Information contained within this reply is intended solely for general educational purposes and is not intended nor implied to be a medical diagnosis or treatment recommendation. This is not a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your own doctor for medical condition. Only your doctor can provide specific diagnoses and therapies.
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