Forehead Reconstruction!!!!!

[everyAday]

Hi all!

I really need some opinions and advice! I just booked ffs with a not so "well known" surgeon in the community, and he has great credentials but there just isn't anything out there on his work, he did show me before and after pictures in my consult though. I'm getting a type 3 forehead reconstruction as one of my procedures and my question is: is there a chance that even though you're getting a type 3 that there will still be some bossing in the sinus area (which is my main concern) or will it be completely flat, period? I ask this because people talk about which ffs surgeon is the best at type 3's so is there a variance in the results? I thought once they removed the bone, reshaped it and put it back that it will be flat regardless of which surgeon does it... is that a wrong assumption? also, is there a chance of the bone not going back after its removed? Thanks so much in advance! I'm really nervous about this! 

[possessed]

From your post I got a feeling that you are not confident in your doctor selection. You must trust the choosen doctor which is very important in the post surgical recovery. If type 3 reconstruction is performed promptly you should get a flat forehead. I think that you should seriously question your doctor selection again and in case you come to a state of trust to proceed with the surgery. 

[StartingOver]

Surgery outcomes depend on (1) the skill of the surgeon, (2) what the patient brings to the table, and (3) a little luck.  In my mind, (2) is the most important.  If you're bringing the surgeon a fairly flat forehead to begin with, you'll stand a really good chance of ending up with that "perfect" flat forehead.  If you're bringing in a caveman brow, it's unlikely that any surgeon will be able to make it perfectly flat.  He or she will make it more feminine, but perhaps might not be able to provide that ideal smooth surface.

Even some of the "best case" pictures on the web sites of surgeons who perform type 3 forehead reconstructions don't show a flat forehead.  The results are dramatic, but not always perfect.

So to answer your question, there's a chance that a type 3 forehead reconstruction won't give you that flat line that so many people seem to chase these days.  It's not so much surgeon-dependent as patient-dependent.  A type 3 will give you the best chance of achieving that flat forehead though.  What's your starting point?

[deeiche]

There is a limit to how far the forehead can be setback.  On the other side of the bone at the rear of the frontal sinus cavity is the brain cavity.  No surgeon is going to attempt modification of the bone at the rear of the frontal sinus for cosmetic reasons.  This would turn FFS into brain surgery, which it is not.  You can only tell where this area is by prior to surgery with 3D CT or during surgery.

I believe I know which surgeon you refer to, if so I had two Skype conversations with him.  I highly considered going there, but decided on Dr Rossi.  A lot of that decision has to do with posts here, but also I am familiar with Amanda since her initial posts on the Yahoo FFS forum where she discussed her travels finding good FFS surgeons in Buenos Aires.

[Jannicke]

Hello,


I'm in totally aggreement with possessed. This type of surgery is very invading. You should only consider surgeons with a proven track-record who can provide consistent, good, natural results over a lengthy period of time. You might consider Dr Spiegel, Dr De Braly/Ousterhout,
Dr Di Maggio, Dr Suporn. Dont rush into anything and do a proper homework.

Best of luck

Jannicke

[deeiche]

FWIW the OP did not state who the surgeon is, this thread would be less opaque if she had.

I believe I know who the surgeon is, but will not post the name.  If it is who I think it is he worked along side Dr Spiegel for a number of years, including listed as co-author with Dr Spiegel on published papers.

[everyAday]

Hey everyone! Thanks for all the replies! I did not mention the surgeon because I didn't want him to get a bad reputation based off of my personal fears before he has the chance to develop a good one... I have done extensive research on ffs for 3 years now while saving and I feel like I'm basing my decision on a highly educated and non biased mind frame. That being said after talking once more with the doctor and his staff today and viewing his beautiful before and afters he has in his office, I am now confident he is the perfect surgeon for me.... He will be adding his before and afters to his website shortly, per the surgeon himself....

and yes, deeiche, you are correct! 

I will posting a new thread shortly documenting my experiences and journey to help get his name out there, because I believe he's going to be the next "big thing" when it comes to ffs surgeons in the U.S.

Thanks again for all the relies, they really helped!

...and Jannicke.... happy healing! I've been following your recovery thread as well.... you're very brave 

[kittenpower]

Our community does need more FFS and SRS surgeons, but it is difficult for them to get established, because most of us would prefer to go to the more experienced well known surgeons, but as long as they have the proper credentials, and are board certified they should be capable, however their prices should not be the same as the more experienced surgeons, IMHO.

[everyAday]

Our community does need more FFS and SRS surgeons, but it is difficult for them to get established, because most of us would prefer to go to the more experienced well known surgeons, but as long as they have the proper credentials, and are board certified they should be capable, however their prices should not be the same as the more experienced surgeons, IMHO.

EXACTLY! I completely agree! The surgeon I chose offers a very renowned surgeon's (who he worked with for several years) technique at a competitive price....

[Celia0428]

is there a chance that even though you're getting a type 3 that there will still be some bossing in the sinus area (which is my main concern) or will it be completely flat, period?

An experienced FFS surgeon should be able to give you a higher or lower degree of forehead setback according to your preferences. Some people like very flat foreheads, others prefer them not so flat (I mean without bossing but with some slight prominence above the eyes). My surgeon told me that he gets consultations from cisgendered men who have cavemen foreheads. They want a type 3 reconstruction without getting to the point where they would start to look feminine, and it can be done. They just get a smoother, more handsome forehead that is still male. So to answer to your question, yes, there is a chance, whether it is done on purpose or as a result of some lack of skills.

[jhulyglow]

Considerando a aposentadoria do Dr. O. Quem tem os resultados mais surpreendentes em relação a testa e estética para mim, é o Dr. Chettawut - Tailândia. Depois, Suporn. Spiegel embeleza bastante, mas, não retira tanto osso orbital quanto os outros.