October 12, 2011
Aesthetic Surgery Questions Answered

Nancy asks…
Orthognathic surgery – considering teaching hospital but will they do chin implant as well?
18 years old. I had braces for over 6 years and got them off a couple of weeks ago. I’ve seen several orthognathic surgeons and they all recommend surgery to correct my jaw line and overall appearance. Dentist and orthodontist also have suggested it.
My insurance hasn’t responded to my claim, and the surgeon gave me a ball park quote of 25-30k with jaw surgery and chin implant.
I’ve been told teaching hospitals are considerably cheaper. Soneone told me a surgery can run as low as 15k with hospital and recovery treatment. However, can they also do a chin implant (a.k.a, genioplasty)? This is partially for aesthetic reasons but also encouraged by my doctors who say it would pair well with jaw surgery and be a facial improvement. Plus, it would save me the hassle of doing another surgery in the event that I would likely want the implant.
So, I live near UCLA. I’m been trying to call but their phones are quite busy. Do you know if they or other California-based teaching hospitals do orthognathic surgery that includes chin implants? Technically, orthognathic surgery is usually considered cosmetic treatment.
This is extremely important to me. I cannot wait 10+ years to save. I’m literally willing to put myself through debt to get this surgery.
Chloe Adisson answers:
All the oral surgery teaching programs that I am semi-familiar with would do a chin implant/surgery. Technically speaking, it is likely an easier procedure than orthognathic surgery…

Chris asks…
Comparing braces to plastic surgery?
How do you feel about ppl who disapprove of others getting plastic surgery, but have worn cosmetic braces themselves (done purely for aesthetic purposes, not health problems)? Why is it that they can criticize that, but do not feel guilty that they, too, have permanently altered the way they look, only in a different form?
How do you compare the two?
Ok guys, let’s focus primarily on it’s cosmetic purposes. Throwing in oral health concerns is valid, but getting a nose job to breath better is too. I’m not asking you to justify getting braces. I’m asking you if you think ppl are being hypocrites by hating on others, but excusing themselves?
Chloe Adisson answers:
My brother and I had braces, but out of TOTAL necessity.
They’re a pain in the butt, but I see nothing wrong with people who will put in the effort to brighten up the way they look, as teeth and smiles are one of the most impacting factors of a first impression.
Personally, I feel like the two can’t be compared, really, becaues, as I said, braces are a lot of effort, and it’s not really as unnatural as cutting things out and putting stuff in. I mean, we already have the teeth, but who ever heard of someone being born with silicone inside of them?
Still, I should point out that I am not against plastic surgery, up to a point. I think that it’s perfectly fine to correct things here and there, I just don’t think that we really need the Pamela Andersons of the world… I don’t want to sound bitchy, but there’s just something about that exaggerated stuff that creeps me out.
Of course, I feel the exact same about people who get their teeth filed down and such. If you were to get cosmetic dental surgery and then diss plastic surgery, I’d definitely have something snarky to say about it!

Steven asks…
Question about jaw surgery?
http://www.mayoclinic.org/sleep-apnea/osa-jaw-surgery.html
I’ve been thinking about having this type of surgery done. My lower jaw is slightly underdeveloped. I’m sure having surgery will help me breathe better, but I’m more interested in the aesthetic aspect of it. I hate how my jawline and chin look. My chin has a great shape, it’s just pushed back a little bit. Anyway, what is the recovery process like? Would my jaw have to be wired-shut or could the surgeons just temporatily attach everything together using plates until the bones regrow back together? This is a serious question, so I’d appreciate real answers to this. Thanks
Chloe Adisson answers:
A couple of issues:
1: Have you had a sleep study? It is very important to know your AHI. This will classify the severity of your OSA (obstructive sleep apnea).
2: The sleep study will be able to determine the type of OSA you have and rule out Centrally Mediated Sleep Apnea. If you are an adult, the Centrally Mediated is unlikely, but possible.
3: Try other options to treat your OSA. Surgery is always an option but should be considered if other treatments fail.
4: Recovery process is like most other surgeries, post-op discomfort, swelling, etc.
5: If, and some surgeons don’t, your jaw is wired it will be for a short time.
6: The surgeon will typically use some hardware to hold your jaw/chin in it’s new position. This hardware will be left for life (normally).
7: Please consult a Pulmonary/Sleep specialist, ask for referral to an Oral Surgeon/ENT surgeon and also consult with an Orthodontist concerning your tooth position post-op.
Hope this helps. I’ll check back later.
Dr. Dan

Sandy asks…
Jaw surgery?
I have a friend who is going in for jaw surgery. Basically, her upper lip is a bit shorter than most people, and the entire operation is for aesthetic purposes.
She is basically afraid of it and wondering what to expect. The doctor apparently said that he’d shift her jaw from the inside such that the chin comes out a little [her chin is normal looking without surgery as well] and the lip lowers a bit.
One of her main questions is, how long will her mouth be snapped shut by wires or what not. And also, she’s concerned about the pain or anything.
I think the main issue here for her, is whether or not the surgery is worth it. It is supposed to make her look better, but she doesn’t know if it’s worth it.
Chloe Adisson answers:
If your friend doesnt have any problems with speech,breathing,pain or chewing right now, she should reconsider going in for jaw surgery, because the surgery is pretty major for just aesthetic purposes-unless her doctor believes she will have problems with her jaw in the future.
In my case, my lower jaw protruded and was misaligned. I had chewing problems and some pain in my lower jaw before surgery.
When I got jaw surgery done, my mouth was shut by rubberbands all around my teeth for one and a half weeks. It depends on the doctor and how major the surgery is, but during that time, your friend cannot chew and is on a liquid diet. (may lose some weight) She also cannot talk.
I didnt experience any pain after my surgery. I felt a little uncomfortable and had discomfort without pain medication, but no pain. You wont really see clear results up to months after the surgery because of swelling around the jaw, but every person is different, and her doctor may give her a type of steroid to decrease the swelling. Your friend will need someone to take care of her for a couple weeks 24/7. Eating and writing to communicate are inconvenient, but she’ll get used to it. The recovery process is pretty bothersome but her doctor and her nurse should explain the process thoroughly before surgery.
Also, risks of surgery may be numbness around her chin and her upper lip. It may last for months, but it also may be permanent.
She should take all these factors into consideration for her surgery, but personally, I believe it was all worth it with my jaw problems and also aesthetically. It may seem scary and a lot to take in, but as long as she has a good support system, and her doctors and nurses, she should be fine!
For information, check out this website : http://www.zip-n-squeeze.com/recovery.html
It is extremely helpful, and it has information about orthoganic surgery, the process, recovery, care, and recipes!
Hope this helps and good luck to your friend :]

Paul asks…
How much can cosmetic surgery change your Aesthetics?
On a man this is.I want to start off by saying I’m asking because I’m curios not because of potential uptake (I’m 14).
Obviously there is so much about your appearance that can be changed from Chin and Jaw Augmentation,Rhinoplasty,Lipo suction etc;.
but have we reached a point in cosmetic science where the perfect face and body can be made under the knife?.
It will be interesting to see the answers!…see,not all teenagers use this site to cheat on their homework lol.
I don’t see how it is anything else other than a Science myself…
Chloe Adisson answers:
Cosmetics cannot, in my view, be viewed as a science. It is more akin the a highly specific and skilled trade.
That such procedures can alter appearance is obvious but the question is does the change always lead an “improvement”?
When cosmetic procedures yield the desired result (not always the case) AND when healing occurs without any tissue distortion (definitely not always the case), the results are usually pleasing.
When healing does not go as planned/desired, the outcome can be quite garrish with distorion of features, formation of thick unsightly scars, infections.
I would suggest NOT considering such surgery as guaranteed to yield good results. It has a chance of failure and this needs always to be kept in mind – the final product could be worse than it was at the outset.
Powered by Yahoo! Answers
|
Related posts:
- Aesthetic Surgery Questions Answered
- Aesthetic Surgery Questions Answered
- Aesthetic Surgery Questions Answered
- Aesthetic Surgery Questions Answered
- Aesthetic Surgery Questions Answered


Leave a Comment
You must be logged in to post a comment.