BSSO & Osseous Genioplasty
ฝัง
- เผยแพร่เมื่อ 26 มิ.ย. 2011
- The Bilateral Sagittal Split Osteotomy and Osseous Genioplasty
- an animation by Sara Egner
This animation was created with Mimics, 3DsMax, After Effects and Final Cut Pro. It was created with the help of UIC's craniofacial team, and biomedical visualization department. And it received an award of merit at the 2011 Annual Conference of The Association of Medical Illustrators.
Had this surgery done, the recovery was brutal but the results are amazing.
Meghan Reid how long was the recovery
It took about six weeks until I felt normal. The first two weeks are the worst.
HatedPixel I wasn’t able to talk or eat. I had trouble doing simple tasks because I had no energy from lack of food.
HatedPixel doesn’t really hurt. The swelling is uncomfortable but there’s not much pain.
Meghan Reid yes,, i have heard the recovery is awful time..
I had this surgery almost 7 years ago, and it completely changed my face for the better. I did however lose all sensation in the right side of my face, from my cheekbone down it's completely numb, lips and chin too. For anyone having this surgery, please understand this happening is very rare, I was just unlucky, and have since adapted to it :)
I am numb on my underlip and chin, but it was so worth it tho! :D
Annalise Cowen I am deciding whether or not to have this surgery. What’s it like to eat, speak and kiss with the numbness?
this is common and depending on doctor skills its very hard to cut the bone and soft tissue leaving the nerve intact
@@ionutlazarescu1710 I can tell my expirence with it but I only am numb under my lip. Kissing and talking isnt an issuie for me. But it is because Im only 50% numb there. And you wont think to much about it after a while. Are you doing both top and bottom?
Poka-SorM only bottom. Thanks for the response
Pain isn't a reason to back out. If you have trusted surgeons that do good work, get it done. I am 26 and I regret not having it done as a teen, I need to save more money but I will get it done before 30.
Mindless_Voters i had it done when I was 16 back in 2003, i'm 32 now and very very glad i got it done. It was a battle, but worth it in the end and now as an adult.
Wow!! Doctor are seriously an extension of God!!! Incredible!
Thank you Sara Egner for the beautiful animation!
I did this operation about a week and a half ago and the swelling is already almost gone, feeling is returning and everything is better. I don't know what people are whining about but if you have bite issues/self esteem/ sleep apnea whatever then just do it. Caveat is make sure you have a good surgeon who's done many of them prior. Don't go to some South Korean chop shop is all.
How much do you pay for the surgery?
@Jean Martin is it true?? They face problem in future?
Thank you so much for sharing this. I'm schedule for both procedures on Nov. 2nd. It was great to read the comments from people who have had this surgery.
BSSO used for elongation of mandible to put patient into skeletal class 1 instead of class 2. Need ortho before and after. bone is separated bilaterally pulled forward and teeth are put in proper order. Plates and screws are put and jaw is fixed.
Jaw surgeries can bring amazing results in experienced hands.👏👏
It really worth it! I'm 2 weeks post op and still a bite swollen but i can tell that it will look much better than t was before. I had no pain at all... the swollen feelling was really annoying but thats it.
for my boy leafy
Thank you!
hi, essentially for people who have a skeletal Class III malocclusion, BSSO is also employed to retract the lower jaw. So it's really the same procedure, but depending on the starting skeletal relationship, it is either advanced or retracted. Hope this helps= )
great informative video of how it works!
thanks sarah ...this video helps alot
very helpful , thank you
Had this surgery done and now my profile is awesome!!!
Hey chethan
How are ur results
Do u had Ginioplasty
Plzzz ans
Once in a while I watch these animations and feel awfully better about myself
And you needed that cause ur life sux huh
Dr. Mario Llop. Plastic Surgeon. Spain
Congratulations! This video offers a very clear understanding of the procedure.
And congratulations to Dr Pravin Pattel, for the councelling, who I had the oportunity to meet at UCLA.
Thank you
Thank you very much
thanks 👍
I’m looking to get this done when I return to the us
I liked so much this video! Great!
Great video..thank you
I just recently got this surgery, the week before the recovery is hard, but will power, and determination makes it bearable.
hi is your jaw still okay
amazing
1:58 when you have to smile to people you don't like
Looks like a super delicate surgery 😳 I had braces like 10 years ago and they recommended this but my parents didn’t consent at that time and I’m thankful cause I now see how risky it is. I’ll just get a chin implant and fillers for my mentolabial to fix my side profile, seems safer.
You’d probably get better results from this surgery than doing that
If you only care about your appearance and not your health then go ahead with your chin implant and fillers. Double jaw surgery not only improves your side profile more than implants and fillers, they also improve your breathing and posture
@@drunkenboss6549 You’re right, I actually have been doing more research about it since I posted this comment and at first It was for cosmetic reasons that I wanted to do this but then looking into all the health issues this can cause, one of them is sleep apnea which I suffer from and all the consequences that come along with sleep apnea, now the main reason/concern, me wanting to do this is for health reasons. I actually have hard time swallowing food/pills, breathing, speaking, and aside from the sleep apnea
@@kimberlyvillanueva25 any updates sir? thx
i had this.its worth it.
avice01 i love you for uploading this
I had this exact surgery in 2003. I guess my surgeon wasn't very careful with those nerves. Lol i lost certain feeling in my face for yeeeeaaars.. but bow 15 years later it has repaired itself. Just a very slow process regaining sensation o n my cheeks... From what I remember, the surgery was extremely difficult. Granted I was only 16 at the time. But, if I coukd go back I would definitely do it all over again. I was doing acting and modeling at the time and already having dominant features, high cheekbones, and a strong jaw. The surgery helped my profile tremendously, giving a much more prominent jawline, and did help my self esteem. Having a dominant nose when your chin is pulled back slightly makes your nose appear muchb larger. Lol I believe the adjustment was only a few millimeters, but it definitely made a vast difference in appearance. Now, to this day at 32 years old I still get a lot of compliments on my features, being compared to certain celebrities like johnny depp, heath ledger, and others that have dominant facial features.
Nicholas W.M. Hey! I think i’m going to get this surgery. Do you have any recommendations or tips for the recovery? Is there something that i must know before doing it?
olinda013 Not really, just keep doing what you're doing on researching the surgery. Be aware that every one reacts differently. I had a girl who had the same surgery in the same room and her swelling was soooo much less than mine. My dad was like wtf? My cheeks could be seen from the backside of my head the swelling was so bad. Lol do remember though my surgery was done 15 years ago and I'm sure they've improved like the medical field does with time.. Besides that just ask if you have any questions and I'll try to answer best I can.
olinda013 one more thing, keep in mind the recovery is quite a process.. Ensure drinks become your best friend. Just make sure to keep your protein intake up because it's going to take a while till you can comfortably eat solid foods.
Nicholas W.M. Ok! Thank you!!
How much does it cost
Looks like a character in oblivion
THANK U
I ll have to go through this ...soon
Just had the surgery on Nov. 2nd. It really isn't that bad--not really painful. The worst part for me was that I kept biting the inside of my cheeks. My chin and lower lip are still numb--very annoying! So glad I did it. It has eliminated my sleep apnea.
Do you have feeling in your lower lip back?
wow such a long time wearing braces :o
but if you're happy now and look even more gorgeous then it was totally worth it :)
Yeah
Is this a trimax if it's with a lefort 1?
Looks like fun
Yes it's been 1 year that i have my braces and the surgery went really well! I still look myself but it just looks better :) It really worth it to do this surgery and the first 5 days is the worst (but not THAT worst) :P
hi is everything still good?
Bilateral saggital split osteotomy used for Skeletal class 2 malocclusion ..to advance mandible .
Those bolts which are shown in video that were placed in your jaw, are those permanent or the doctors will remove them post surgery?
@@learniteasily3020 after stability they will remove it
@@thegreatindians8456 Thank u very much for replying !!!
Getting ready to have this and I'm freaking out
Dont.. it will be a disaster
@@albaniaalbania2326 Or it could be life changing and the best thing she ever did.
What bite do u have?
@@aac2289 I have a Crossbite
@@albaniaalbania2326 why are you saying it will be a disaster?
im going to do this type of surgey , hope it goes alright like this
I have a question deer .. how long the time .. from begain this surgery until finish the treament .. and get final result ??
I had this exact surgery done to me in 2004 with great results. I would do it all over again if I had to.
will it pain
Dr mike mew said that it put the mandible under a lot of stress do you had pain or still have slight pain because of it
Agent Smith I mean if mewing ain’t bringing you the results you want you could go for this
Hey Rs M
What type of surgery u had
Plzzz reply
sonu gen you must have 10 iq
i would still like to see the bone recovery in this case and would like to know if the screws ever get removed or not.
Screws are removeble,if you need be,,they can do it.
I had this done a week and a half ago. Almost able to eat solid food (toast etc)
very nich informision
Good wrk
I'm in Canada. The BSSO is about CAN $5000, and to get the genioplasty with it is an additional CAN $500. I'm thinking if you got the genioplasty alone it would be about $1000-2000 though.
this is insane. knowing what doctors are able to do... they could just take your entire lower row of teeth out! that’s really unsettling
Unsettling?I think it's very impressive
I wonder if this can also help tmj in addition to a receding jaw?
Please do a video on class 3 malocclusion 😅
I just had this done im now 3 weeks post op. If your surgeon recomned u getting jaw surgery seriously get it done. It is well worth it and if u dnt ur just question urself with what if i did it how would i look.
Shabani Farooq So true, i hadthis done in 2003. So glad i did it.
Good morning, I have a question, I hope you can answer it: I had a gummy smile, I showed a lot of my gum and three weeks ago they cut it by orthographic surgery, they also did a mentoplasty; before the surgery I could not close my lips in a natural way since my upper lip could not cover my teeth along my maxilla, now after surgery I can not close my lips even though they took 6mm of my jaw, I do not know if it will be because I still have to give time to the muscles of my face because I still have my bozo and my upper lip asleep, my question is: do you think that with time I can close my lips naturally?
THANKS IN ADVANCE!
Dayana Morales Mentoplasty or Genioplasty? Did they use an implant or just your bone with some screws? If they use your bone they had tu cut bone and obviously it will get some time to your muscles to get familiar with the new position but you should ask your Doc.
Piero hello Piero, I did both, they operated on my upper jaw to eliminate my gingival smile and they also did a mentonplasty with my bone, they did not use an implant
Tenia sonrisa gingival , utilizo traductor, habló español y quizás algunas palabras se cambian
Hello, i have got 4 extractions and have gaps, my question is do the gaps have to be totally closed before i can have BSSO surgery? (I have an overbite and im an adult)
Hey did you got this surgery?
Before putting braces or after ?
Excellent work .. very informative from dentist point of view :) ;)
thank you for replying What province are you in? I live in Ontario.
Had this done exactly 2 weeks ago. It's more uncomfortable after then pain
how is it going? did it improve the air way or fix sleep apnea?
good luck with your continued recovery. getting this done next year.
How come his alveolar nerve and vessels will not be hurt by pulling out the jaw??
小許 it does more likely will heal by sometimes it doesnt
i whould like to undergo the surgery and le fort 1
if the screw does not come out one will Be screwed lol
Marneuliiii
I'm in BC, things tend to be expensive out here.
After the total completion of the procedure, including the post-surgery braces, how well do the teeth line up? If my lower front teeth were directly under my upper front teeth, the other teeth would have to be raised, not just moved laterally. Can that happen? Can gums grow under as well as around, if teeth are coaxed upwards with braces? I looked into this 15 years ago and was told that the teeth would no longer really line up as well - and that I'd have to get my lower back teeth removed (my wisdoms are already gone) in order for the surgeon to have room to work. So my lower jaw would be extended, giving more room, but having teeth removed to do it. That kinda sucks.
Also, I was told a permanent retainer would be left in, otherwise the teeth would eventually migrate back - which sounds to me difficult to clean (floss) around. Is that what other folks found?
Mewing
Did you undergo Orthognathic surgery?
@@user-p6-3561 Nope. I'm not in any hurry and I'd want a lot more questions answered first. Plus COVID came along which affects elective surgery. And then there's the lack of money... Maybe some day.
@@moxad do you have sleep apnea? You could get double jaw surgery covered/partly covered by health insurance IIRC.
@@user-p6-3561 I don't know - I've never been tested. It's just not important enough for me at this time, and surgery could very well make my TMJD worse.
Hey pippynjune. how much is Upper jaw surgery in CAN and how much will the suregon fees be?
For improving small mandible and recessed chin issues, can someone please elaborate on BSSO vs Mandibular Distraction Osteogenesis? And their pros and cons?
BSSO is more invasive while Distraction Osteogenesis is less invasive
Did you undergo IMDO?
What about the lingual nerve?
And donnot try to chew drink ensure from from straw
I just got double jaw surgery 2 weeks ago, hoping it’s all worth it.
Those bolts which are shown in video that were placed in your jaw, are those permanent or the doctors will remove them post surgery?
@@learniteasily3020 those are permanent! if wanted though you can go in the future and have them removed though. it’s a different surgery.
@@adrianajones8231 Thank u very much for replying !!!
@@learniteasily3020 of course! if you’re thinking about going through with the surgery, i 100% recommend. i’m only a month post op, and it’s already so worth it!
@@adrianajones8231 OK i will !!
Dr Sunil Richardson should watch this video to learn how to avoid nerve damage. He usually cuts the bone completely (separating both sides) along with the nerve and all his patients end up losing sensation in their face and mouth.
100 rupees for lefort 4 in the deepest slums of mumbai
Thanks for the warning
All the wounds have healed, just the odd ache and pain, chin/lip still numb, although feeling is coming back more and more each day. Doctor said it should be all good in a few months.
The metal pieces are taken later or are they forever?
It's depends. You can take it out after 6 months. Some people keeps it forever
Mine are still in there. They were installed in 2004
@@ScottySmac are you fine with the surgery??
0:12 Oblivion character
My question is, how can I get at least 3 to 4 inch larger lower facial part including chin & jaw than before?
10 cm larger? You don't have any jaw then?
@@tedarcher9120
Some people have short jaw & chin, so it's for them.
Look at the video, the jaw & chin is very small.
My question is how to enlarge this kind of round face to a tall & sharp face shape...
@@sahebzadaqaziarshavinqurai6511 you might want to do a head transplant then
@Rahul thilak fix the face
4 inch??
I'm on my phone so I hope this replies to you! I had SARPE for my upper jaw. It was $1500 CAN.
Ive done this surgery 8 months ago my nerve got damaged the side where the nerve is damaged is weak also hard to talk very tight and it looks unrecovered
I'm very sorry to hear that. I hope things have gotten better. What have your surgeon said about it?
Heinz Litzel the dr told me to wait for a year but i read that it could be permanent that I wouldn’t get back my chin sensation fully
@@nina755 oh I see. Well I really hope you will heal well get the sensation back! The best of luck!
@@user-wv8hv8uw2c you see, jaw realignment can only be done through this surgery. Chin implants are just for aesthetics. I have one and it doesn't affect the jaws in any way.
@Gary Choopper I didn't. I wanted to have genio done but it just wasn't possible at the time for some reasons.
one doubt i did bsso 3 years ago but untill lower jaw sensation do not recover.it is any nerve problem?
I guess the surgeon should have informed you of the possibility of inferior alveolar nerve injury
though they might have tried their best to avoid that, there is no guarantee that wont happen...
ashif m yes you have damage
I lost a lot of my facial feeling when i had it done in 2003. For years it was like that slowly slowly repairing itself... now, 15 years later its repaired itself for the most part. But there's still parts of my face that are slightly dulled. But after this long, to me its just normal.
@@NicholasWM2044 hey how does it feel like having ur face numb all the tym how do u manage with numb face doesnt it irritate
@@nusraturrashid3766 my face isn't numb anymore. All the nerves in my face have repaired themselves, but for a while yes there was a few spots where there was little sensation. And it was a bit annoying and weird. Nothing super drastic though, like it wasn't my whole entire face. Just few certain spots where they cut and did the work. But like I said, majority of the feeling has returned. It did take years to repair though. Not everyone will experience that. It depends on the surgeon, if certain nerves are cut, and other factors.
Hello .. l want to do surgery .. but there is 2 reason .. because i afraid it's high risk .. and its very expensive ... l hope that my god help me to do it ..
im about to do it but im so scared my nerve is gonna be damaged forever , so i couldn't ever feel a kiss with a girl anymore and have the weird feeling forever
+Behroz Afzali im having the surgery in about 6 months my surgean wants to put my chin forward to i dont really want it because i have a chin you know and its bigger risk for the nerve i think so yeah dont know how im gonna make that clear... Maybe hes right tho i dont know i dont like o take risks with my face
420 i had it done 15 years ago, I did end up with nerve damage that lasted for years. But it's only on the lower part of your cheeks, and under your bottom lip. You will still b able to kiss. Lol I probably had one of the worst nerve damage you could get, its healed up now, maybe a little dull in spots. But all my feeling is back. Im sure they've improved a lot in the last 15 years. But I will say I am very happy I got it. It was a hell of a battle. But I absolutely love my dominant facial features and the stronger jawline i now have.
+Nicholas W.M. Thank you brotha thats exactly the comment i needed !
420 no problem, if u have anymore questions just let me know. 👍
I wanna do this and I'm worried, really worried
I need help to bring forward my chin bone
Hii.. i just got the surgery done yesterday.. and i can say that I'm fine.. as this is just the previous day of my surgery swelling is there, and pain?! ntng at all... your doctors will give general anesthesia while doing the surgery and you won't feel anything. and little numbness would be there for some 3 to 5 weeks.. and it isn't that bad.. for two days you need to have soft and liquid diet. swelling will go in 1week. no fears at all..!! :-) :-) am good inspite havin surgery yest,
Pavivenkat i will get chin reduction this saturday im a bit worried about how painful it can be after anestesia and if is painful drinking water and fruit juices that i will have to take during 6 days.
How much cost this surgery ? Plz answer me
@@PriyaPatel-dx8hg in U.S. $80-$120k without insurance
That looks like Anfisa from 90 Day Fiance. She needs this procedure.
Whiskered Wise Holy Fuck LMAO
Whiskered Wise damn
Where in uk is clinic to do this???
Thank you for replying but do you know the name of the clinic maybe..?? Many thanks
All major NHS Hospital with Maxillofacial unit have this facility
Mine at at George hospital in london
How can you guarantee that nerves wont get damaged? Thats serious
sultan dördüncü vites you can’t. Hence why you should research the surgeon before undertaking such a procedure. They don’t talk about it here but the lower third of the trigeminal nerve can also be damaged. There is always risk.
>there’s no guarantee but the surgeon try to avoid damage
>nerves CAN heal so damage isn’t the worst thing; damage however may be permanent which is assumed risk
true.. Orthognathic surgery one of the main post treatment complications is neurosensory disturbance, and in many cases nerves never heal leading to permanent parasthesia or traumatic neuroma or neuralgic pain.
Surgery comes at price..
My left side was damaged but I regained my feeling after about a year.
@@muzammilriyaz hello sir
Can u plzz ans my question
Sir i have a weak jaw line...i mean its not sharp and nose is crooked
I talked to a maxiofacial surgeon he suggested Ginioplasty along wid rhinoplasty...
Are there any major complications
Plzz ans
Help me
your lucation wich contry
I had this 6 years ago. Still my chin is numb and no sensations. I didn’t do the final chin surgery as I wanted to grow my beard instead. Is it worth it? Absolutely. Is it worth the price? Depends on you
Do you regret having done the surgery?
@@magalygonzalo3544 Nope. I think I have much more confidence now.
Is your bottom lips numb to? Or only the chin area? And did thad affect to your smile in a bad way? Sorry for my english!
@@jackieH22 Unfortunately yes. My bottom lip also numb. But I got used to it after couple of years. It’s not effecting to my smile and I think my smile is much better than before the surgery. Also I usually use a serviette all the time when I eat to wipe my lips.
@@RushWije I'm so sorry for you, I'm surprised that you're happy after all. Excuse me for the spam, but what does your doctor think about it? Did you take X-rays to see if there was any damage to the nerve?
good rersult but a lot of complications and treatments! people suffer terribly
#nochin
When does the screws come out?
who was your surgeon??
I had this done in 2003, my screws are also still in. And yes, feels like a small bump on your jaw bone. But you cant see it. Im glad i had it done, but i did suffer from the nerve damage foor years. I used to think certain spots i would never have feeling back. But after 15 years majority of all my feeling is back. I do have tmj, but i was possibly going to have it anyway. One of the reasons for the surgery, besides cosmetic. So maybe my tmj would be a lot worse without the surgery. Anyway, im glad i got it, my jawline is much more prominent as well as my profile being a lot better.
Do the screw come out once the bone is healed ???
I got this surgery in 2003, still have all 12 screws in to this day. Looks crazy on an xray. Like im Frankenstein Lol
any problems with going through customs in airports?
Ruslan Zhao Lol No, and I was actually wondering the same thing when I had it done. But I've never set off a metal detector.
B.T. 333 from my understanding it would be more trouble and impact on the body to go under again, be cut open again, and remove them if they aren't having a negative impact.. the screws over time sort of fuse into the bone. It's like the people that need to have pins or a hip replacement or something. It becomes one with your body. So as long as your body doesn't try to reject the foreign material or it doesn't cause any discomfort then there's no need to risk going under and getting cut into if everything went smoothly.
The screws can be removed after a year and it's not a big surgery to remove them, but your face feels numb afterwards
Oh boy this really is scary :/
The face looks like the starting breton woman in Oblivion
Mirip atta halilintae
I want asked about how long pain and recovery ? And after this surgery the jaw weak or that get like a normal person > sorry about my English
I want to know the same. I have to go through this surgery, but the procedure scares me. 😢
You probably will take painkillers after the operation so you will not feel the pain. It will take 6 - 12 months to fully recover. Just my personal opinion I have no medical experience
I had the operation a year ago. Pain was not a problem. I got painkillers in the hospital but decided not to take them after the third day, because I didn't need them. The wirst part was the swelling and not beeing allowed to chew for 6 weeks. As for recovery that's hard to say. It takes around 4 months till you can chew ereything again (that includes real hard things). It takes 2 months for the swelling to be unoticable for strangers, 3 fir people who are close to you, and 4 till you feel like your face is back to normal. Also took me 4 months to get the feeling in my chin back. The screws can be removed after a year.
BUT it was all worth it and everyday I'm glad that I did it! I didn't know that my jaw was causing me so much trouble bevor 'till I got it fixed. Chewing and speakin clearly are so much easier now. Plus it looks better
It was hard, but I'd do it again without hesitation :)
I didn’t feel pain at all probably because they injected some pain meds on my IV but when I get home, I still didn’t take pain meds...the 1st week was just uncomfortable because of the constant drooling, swelling and also I had a sore throat due to the breathig tube that they inserted during the surgery...I was on a no-chew diet for 6 weeks...it took me 3 weeks to gain back full energy...overall, my jaw surgery journey was not that bad...it was worth it ❤️ I’m very confident now and my lisp is totally gone 😊
@@nani7570
Thank u 💜
Ah fuck, im gonna hate this...
Very informative though :)
This surgery is high risk and expensive
My insurance is covering it for me lol
@@davidmartineztorres8731 Do you know what's funny... I posted that comment four years ago and I'm actually getting this surgery + LeFort1 later this year haha!
Getting mine in three years, do you guys know if it hurts after?
@@ourtimecomes1902 Yo when are you getting the surgery bro?
i need plastic surgry
I had this 4 days ago ☺️ r
What's ur experience
@@athulsurendran6349 I have been completely pain free. I’m so surprised. I had 3mg of morphine in the first 24hrs and paracetamol afterwards just incase it gets painful. I’d go as far to say that my 4 wisdom extraction surgery recovery was far worse!
how are u going
@@braziliansimon2737 I’m great thanks! Would have this surgery again in a heartbeat. My breathing has improved so much! And so happy with my results!
I just had the same surgery 4 days ago it’s so painful
hi everybody. I need this surgery , I don't have insurance and wondering if anyone can tell me how much it cost? thanks