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Multi-Surgeon FFS

Started by Mangothedog, July 09, 2017, 11:21:46 PM

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Mangothedog

So I have my consultation with Facial Team coming up in August, but I am considering Deschampes-Braly for certain surgeries as well...

Currently my surgery list stands at:

-Forehead reconstruction
-Hairline lowering (via transplant)
-Buccal fat removal
-Eyelid surgery
-possible lip lift
-Jaw work

I'm going to have forehead + hairline + buccal + eyelid done with facial team, and most likely visit Deschampes for Jaw alteration...

The most elusive surgery that I need more knowledge on is the 'LeFort I/III'... I've read that user 2cherry had a LeFort III performed and that this may eliminate the need for certain other surgeries as it helps to correct/accentuate the midface significantly...

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anjaq

Can I ask you why you would choose Facialteam for the things you listed instead of doing it all with one surgeon? I am also considering getting the jaw done by someone else than FT, but am now still trying to figure out if they can do what I need. But if I do not get the jaw done with them. I wonder if it still makes sense to do the rest with them or let someone else do the whole combination... I prefer one surgeon or team doing it all, so the aesthetics of each part match up.

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Mangothedog

Quote from: anjaq on July 10, 2017, 05:24:29 AM
Can I ask you why you would choose Facialteam for the things you listed instead of doing it all with one surgeon? I am also considering getting the jaw done by someone else than FT, but am now still trying to figure out if they can do what I need. But if I do not get the jaw done with them. I wonder if it still makes sense to do the rest with them or let someone else do the whole combination... I prefer one surgeon or team doing it all, so the aesthetics of each part match up.

Yeah, I know, I would ideally like one practice doing the whole lot in 1 go as well...

But it's mainly because for starters, I am looking into either a modified LeFort 3 or standard LeFort 3 much like the user 2cherry had done, and I figure it would be best to have that performed on its own and then allow it to settle so I can evaluate it's effects at a later date.

From that point onwards, I would then go to Facial Team for their forehead reconstruction and hairline lowering via transplant as I have the utmost faith in their results when it comes to this area as I have 2 friends who have had the aforementioned procedures with FacialTeam.

THEN (yes I know it's already become drawn out enough)

I have a rather unconventional issue with my jawline and cheekbones, so rather than the standard "shave this down please" approach most women here go with, I'm getting custom wraparound implants that accentuate the jawline from Eppley, and if need be, buccal fat removal...



it hurts my head thinking about all that
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Venusxoxo

Quote from: Mangothedog on July 09, 2017, 11:21:46 PM
So I have my consultation with Facial Team coming up in August, but I am considering Deschampes-Braly for certain surgeries as well...

Currently my surgery list stands at:

-Forehead reconstruction
-Hairline lowering (via transplant)
-Buccal fat removal
-Eyelid surgery
-possible lip lift
-Jaw work

I'm going to have forehead + hairline + buccal + eyelid done with facial team, and most likely visit Deschampes for Jaw alteration...

The most elusive surgery that I need more knowledge on is the 'LeFort I/III'... I've read that user 2cherry had a LeFort III performed and that this may eliminate the need for certain other surgeries as it helps to correct/accentuate the midface significantly...

I know a friend who'd done leFort 1 osteotomy in Brazil, she looks very and completely different now, like it's a different person, she managed to remove 9mm of the bone and shorten the mid face. Please be careful with LeFort, I think it's the most dramatic change someone can do. And when you do LeFort 1, it can make the alar nose base wider, but whilst you do shorten the length of the nose, the nose does become wider! I had a look and Dr. Deschamps does perform Le Fort (1), 2&3. In South Korea they can do double jaw surgery to reduce mid-face length, but would le fort 1 or a double jaw surgery be more important for cosmetic reasons? There's not much research about LeFort, but perhaps Dr. Deshamps is the only USA surgeon who comes to mind who can perform this? I'm not sure just how important le fort 1, can be in FFS or gender marking, but it's very invasive surgery and you can end up looking like someone completely different.
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anjaq

Ok, I understand that the LeFort has to be done separately - that totally makes sense. But not sure why separate the other two . Is Deschamps not as good as FT in the forehead and hairline surgery and FT not as good in the jawline surgery that you want to split this up and not do both with one of them?

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Mangothedog

Quote from: anjaq on July 10, 2017, 03:23:33 PM
Ok, I understand that the LeFort has to be done separately - that totally makes sense. But not sure why separate the other two . Is Deschamps not as good as FT in the forehead and hairline surgery and FT not as good in the jawline surgery that you want to split this up and not do both with one of them?

From what I've seen regarding Deschampes hairline work, he tends to opt for the scalp advancement, something I'm not particularly willing to get, I'd much prefer lowering via transplant, and as I said, my friends had it done with Facial Team, so I think it's best to go with what you know.

Also with that being said, I'd prefer to go to Deschampes for Jaw alteration (separate from LeFort) as from what I can gather he provides a better range of options...

But if it turns out that Deschampes will perform a LeFort for cosmetic reasons then I'll just see FT + Deschampes and skip the need for visiting Dussen (only surgeon who I've found that will perform a LeFort for a cosmetic purpose alone)
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Mangothedog

Quote from: Venusxoxo on July 10, 2017, 03:12:20 PM
I know a friend who'd done leFort 1 osteotomy in Brazil, she looks very and completely different now, like it's a different person, she managed to remove 9mm of the bone and shorten the mid face. Please be careful with LeFort, I think it's the most dramatic change someone can do. And when you do LeFort 1, it can make the alar nose base wider, but whilst you do shorten the length of the nose, the nose does become wider! I had a look and Dr. Deschamps does perform Le Fort (1), 2&3. In South Korea they can do double jaw surgery to reduce mid-face length, but would le fort 1 or a double jaw surgery be more important for cosmetic reasons? There's not much research about LeFort, but perhaps Dr. Deshamps is the only USA surgeon who comes to mind who can perform this? I'm not sure just how important le fort 1, can be in FFS or gender marking, but it's very invasive surgery and you can end up looking like someone completely different.

This has made me reconsider whether a LeFort I or LeFort III would best suit me, I have a consultation with Dussen in August so I will go form there.

When you say your friend managed to have her midface shorter, was she suffering from a gummy smile prior to the surgery?
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Venusxoxo

Quote from: Mangothedog on July 10, 2017, 07:35:00 PM
This has made me reconsider whether a LeFort I or LeFort III would best suit me, I have a consultation with Dussen in August so I will go form there.

When you say your friend managed to have her midface shorter, was she suffering from a gummy smile prior to the surgery?

I was planning to do a consult with Dr. Deshamps regarding le fort but he doesn't do Skype consults, only a face to face meeting. It would need to be more than one reason for me to do a long haul flight for just he's particular opinion. Would you open the question to him about le fort 1 (& 3 - I don't think the 3, is needed? It's very invasive in my opinion) osteotomy for cosmetic reasons, and the price range & recovery etc. It'd be lovey to keep me/us updated on this part during your consultation with him...

Nope, her smile was perfectly fine, and she did it for cosmetic reasons, for mid-face shortening, and now she looks completely different, it somehow feels something doesn't look naturally proportionate, because after you do this procedure you need to rhinoplasty because it makes your nose wider & the tip more bulbous. I would think Dr. Deschamps being a recognisable and well know FFS specialist and a cranofacial surgeon would be a very good Dr. To ask in regards to this matter.

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Mangothedog

Quote from: Venusxoxo on July 10, 2017, 09:11:49 PM
I was planning to do a consult with Dr. Deshamps regarding le fort but he doesn't do Skype consults, only a face to face meeting. It would need to be more than one reason for me to do a long haul flight for just he's particular opinion. Would you open the question to him about le fort 1 (& 3 - I don't think the 3, is needed? It's very invasive in my opinion) osteotomy for cosmetic reasons, and the price range & recovery etc. It'd be lovey to keep me/us updated on this part during your consultation with him...

Nope, her smile was perfectly fine, and she did it for cosmetic reasons, for mid-face shortening, and now she looks completely different, it somehow feels something doesn't look naturally proportionate, because after you do this procedure you need to rhinoplasty because it makes your nose wider & the tip more bulbous. I would think Dr. Deschamps being a recognisable and well know FFS specialist and a cranofacial surgeon would be a very good Dr. To ask in regards to this matter.

I would absolutely keep you informed and up to date regarding Deschampes and LeFort - I'm visiting the Belgian surgeon Dussen (who mentored the surgeons that performed 2cherry's LeFort) in August, regarding LeFort so I will let you know the outcome of that. In the mean time I will also open a line of inquiry with Deschampes and his stance on performing LeForts...

So with your friend, just to be clear, her mid face became more harmonious? as in the distance between her eyes and lips became shorter?
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anjaq

Quote from: Mangothedog on July 10, 2017, 07:31:59 PM
Also with that being said, I'd prefer to go to Deschampes for Jaw alteration (separate from LeFort) as from what I can gather he provides a better range of options...

Ok, did you have a consultation with him then? I have not seen too much of him and sadly he only does face to face consultation in California after an appointment via phone call - not exactly inviting for a European patient.
What options does he offer for the jaw surgery that FT does not? I have the impression, FT tries to minimize the work in that area unless it really is needed. They tend to only rehape the chin and maybe the frontal 1/3 of the jaw next to the chin, only in cases where it is very difined they also work on the mandibular angle and the rest of the jaw. I am not yet sure why and what I need in that area... but I do not know at this time any surgeon I can ask for a second opinion - except maybe Dussen, wo is within reach for a face to face consultation, but since you also know him ald also are not satisfied with the options he provides for the jaw, maybe its not worth doing the consultation

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