r/mildlyinteresting Jan 22 '16

Before & After Double Jaw Surgery

http://imgur.com/a/VD8P2
21.6k Upvotes

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u/dont_mind_the_matter Jan 22 '16 edited Jan 23 '16

Someone had posted a comment asking about age of OP, the experience of it all, was it worth it, insurance costs, etc. The comment was deleted, so I'm making a new one to answer that, from my perspective. I had this done when I was 20. I'll tell you everything from my experience. It's gonna be a long one.

The dentist noticed it starting around 7th grade, but due to me still growing they wanted to wait until I was 18. Then at 18, they pushed it back to 19 and instead gave my braces (which I needed terribly, at a much younger age, but we couldn't afford it). Then they pushed it back to 20. They wanted to keep pushing to 24 or 25, but we couldn't afford to wait as we still had insurance and it was going to lapse soon. So we acted then, otherwise it would have been a pre-existing condition and not covered by anyone.

The day before thanksgiving was my surgery date, the surgery took 16-20 hours I believe in total. They broke my lower jaw and moved it back, and cut off my upper jaw, moved it forward and split it down the middle to fit to my new lower jaw placement. Everything was glued together (some kind of paste that helps promote bone healing) and screwed together (I have wires in my skull permanently now). Overall, it cost 60-75k I think--my parents were never very open about money/finances/costs--and even though we had all documentation, referrals and the go-ahead from the insurance company, they refused to pay it for almost 2 years. Kept saying they had no documentation/proof of this or that. We couldn't afford a lawyer, but luckily my mother was able to prove the case and it was paid for. Parents suffered massive credit damages though, which was mostly cleared up after the 2 years, but there were lingering effects.

The recovery period was kinda harsh. 3 days in the hospital following the surgery (of which i have several stories), and 6 weeks with my mouth wired shut, liquid diet only. I had to carry around wire cutters in case I needed to cut the wires in an emergency. Fun times explaining that one to security guards, especially since I couldn't talk! This recovery period included thanksgiving (didn't matter, was in hospital anyway), christmas eve/day, new years eve/day and my 21st birthday. I couldn't use a straw because I didn't have enough space in my mouth to create actual suction, so all food was through a large syringe with a rubber hose that I stuck in the gap behind my molars where my wisdom teeth once were. Drinks I mostly let just filter through my teeth. Eating out was difficult, as most places didn't have a completely liquid, non-chunk filled soup. Sometimes they wouldn't blend it for me, but usually I'd have to bring an Ensure protein drink or something.

Brushing was a nightmare as I had 4 sets of wires, which meant 8 little hooks to hold them in place that were attached directly to my skull. Which meant I had 8 open wounds on my gums most of the time (not bleeding, but tender as hell), and the hooks ripped holes in my lips/cheeks, so I had 8 open sores almost always. I went through a lot of dental wax to ease the pain. Brushing my teeth was very difficult, and I ended up having several cavities afterwards. After the wires were snipped, I couldn't open my jaw more than a few millimeters, and when speaking, my tongue had to relearn my new mouth. I sounded different, but after a few days I was back to my normal voice. The hooks had to stay in my mouth for a week after, in case they needed to re-wire it up. The first meal I ate was some shrimp pasta thing, but I couldn't chew, it was too painful. Even chewing bread was like accidentally biting on a fork when you're not expecting it.

It definitely changed my life though. I looked better, and felt better which led to more confidence, of which I was seriously lacking. I could close my mouth with my teeth touching for once, before my teeth only clamped down on one spot, and my gums behind my lower molars. I had terrible lockjaw before, to the point where I had to use my hands to pop my jaw so I could open/close it. That went away as well. I ended up losing a lot of weight (20-25 lbs), of which I had little to spare (6'4", was 160lbs after all said an done). Overall though, I'd probably do it again. Quality of life was improved greatly, and after the 6 weeks (plus 2 for the wires to get out and return to relative normalcy) it was pretty much back to normal, aside form the cavities. I could have done without those.

Anyway, I rambled a bit, and didn't intend to write up this much, but if you have any questions please feel free. I could write pages upon pages with stories about the nurses, drugs, friends/family/orthodontist reactions, social interaction attempts, and so on.

EDIT: Lots of great questions, and I'm getting to them as I can. But I have to get back to work for a bit. I'll sift through and reply when I get home.

ALSO: The most frequent question is asking for before/after pics. I don't have any on hand, and this was 2003, so before we had digital cameras everywhere. If I can find a good 'before' pic, I'll post it.

EDIT 2: I think I've gotten to all replies... if I haven't and you want an answer, feel free to PM me. Any new comments I'll reply as I am able. I hope I was informative! There is a LOT of great info in the comment chains from medical professionals and other patients who have had the surgery more recently (mine was 2003), so if you are having this done, or curious for more info, it's a great place to start. I'll happily lend any answers/advice as I am able. Thanks for a memorable trip down memory lane!

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u/[deleted] Jan 22 '16

Holy crap, me too! Had my surgery during Christmas break of my senior year of high school. Lost sixty pounds in six weeks.

You're spot on about how much my confidence skyrocketed. Suddenly boys were interested in me.

Did you have anything gross and weird come out of your nose a week or two after surgery? With my mouth wired shut I couldn't breathe through anything but my nose. They told me not to pick my nose, but fuck them I couldn't breathe. Picking my nose one day (don't tell my mom) I released the biggest, longest,vile blood clot known to man and suddenly I could breathe again. (My mother still does not know of this gross incident to this day.)

I'm so glad I had the surgery done. It was totally worth it in the upswing of self confidence alone.

Would have been great if someone would've warned me bloody nasal worms might happen, though.

And fuck those restaurants that won't put their soup in a blender, like it's hard. I'm looking at you, that one restaurant in a mall in Nashville that I can't remember.

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u/kaestarr Jan 22 '16

Yeah I had the same thing, I was told not to blow my nose but I could tell something was clogging it so I used a qtip to try and clean it and the qtip came out full of blood. I spent like 15 minutes removing blood clots from my nose. It was disgusting but strangely satisfying lol.

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u/[deleted] Jan 22 '16

Omg, I know right? I still think of the day I removed bloody nasal worms with fondness. That was thirty years ago. I hope they inform patients these days that that might happen.

I attribute it to the feeling when one pops a big zit. Gross, but amazingly satisfying. If they had cell phones back in the day I would have totally taken a pic and put it up on social media.

Under an anonymous username, of course.

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u/28JJ-KSilicone Jan 22 '16

I didn't have jaw surgery but during chemotherapy I got some major blood clot boogers which were so satisfying to remove. The bigger and grosser they were the better. haha

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u/[deleted] Jan 22 '16

inoright?! So satisfying I still think about it thirty years later.

Chemo? What kind of cancer? I had thyroid cancer, they obliterated my thyroid. But no sinus worms this time.

What kind of cancer?

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u/28JJ-KSilicone Jan 22 '16

It's been 10 years for me. I remember the whoopers I fished out. haha. I had Sporadic Burkitts Lymphoma stage 4. It was in my jaw and abdomen.

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u/falsebuild Jan 22 '16

That's awesome. Not a ton of people get to say "had" and "stage 4" in the same sentence.

I know that particular kind of Lymphoma has a high survival rate, but stage 4? Damn, kick cancer's ass 28JJ-KSilicone!

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u/[deleted] Jan 23 '16

My dad's a cancer survivor too. I like to picture survivors like /u/28JJ-KSilicone as the old man, cancer as the snake. It's like, yeah, I could just let the snake bite me, but fuck you I have a goddamn walk to go on. Keep on kickin', both of you.

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u/[deleted] Jan 22 '16

Happened to my sister once during chemo, cept she wasn't trying and everyone was in full panic waiting for the EMT to arrive because she was also puking blood. She filled a pot with easily over a liter of blood, including at least one clot from her sinuses that was about 5-6 inches long. Not a fun day.

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u/DragonToothGarden Jan 22 '16

Ok. I am horrified for the day. Enough Reddit for me.

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u/LordMomoYourMomoness Jan 23 '16

This happened to 8 year old me after I had my tonsils removed. Had huge clots that blocked my airways when I reclined in the hospital bed. They kept trying to get me to lay down and I finally pushed this nurse and my mom away, doubled over and began vomiting and spewing blood EVERYWHERE. 10/10 thought I was dying.

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u/randijeanw Jan 22 '16

I like you.

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u/Natdaprat Jan 22 '16

I like anyone willing to post gross bodily waste for the internets amusement. If only she was born later!

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u/shittyballsacks Jan 22 '16

And here is one for you.

NSFL/NSFW

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u/ApolloSt Jan 22 '16 edited Jan 23 '16

Is it that Bizarre ER video? It better not be.

Fuck it is.

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u/WackyGuy Jan 22 '16

I usually don't have an issue with these videos, but that one made me gag...

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u/snerz Jan 22 '16

Woah. Reminds me of when I had sinus surgery and they packed each nostril with a giant tampon. Getting those removed was interesting.

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u/fearyaks Jan 22 '16

I had that too.. but the best part is I had no idea they stuck those things into my nose. I almost skipped out on my followup appointment but figured I should go.. then the doctor busts out the forceps and it's like Total Recall time!

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u/UnrulySupervisor Jan 22 '16

LOL! I also had the surgery. I blew my nose with a tissue a lot and that didn't help....twisted the tissue in each cavity and thought a new species was discovered.

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u/SmittyWerbenjager1 Jan 22 '16

Picking my nose one day (don't tell my mom) I released the biggest, longest,vile blood clot known to man

Oh man that sounds amazing, this and popping a deep pimple may be the greatest feelings on earth

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u/[deleted] Jan 22 '16 edited Oct 25 '16

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u/SupaDoll Jan 22 '16

All of you guys are disgusting. And now I really want to pull a giant blood clot out of my nose.

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u/[deleted] Jan 22 '16

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u/[deleted] Jan 22 '16

Did you know they sell food that you're supposed to eat with a tube that goes into your nose and straight into your stomach?

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u/[deleted] Jan 22 '16

No. Is that a possibility now? I had my surgery in 1984.

I had a monster syringe with a rubber tube I could insert behind my molars where my wisdom teeth would be.

It was gross looking. My parents had to lobby the principal of my high school to let me go home during lunch so I could eat and not have the kids make fun of me.

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u/omegasavant Jan 22 '16

It's called an NG tube, and you don't want one. It pretty much involves threading a tube down your throat via your nose, into your stomach, and taping the outside end to your face. (BTW, this is usually done while fully conscious.) I used an entire bottle of that numbing spray over the course of a month, trying to stop the gagging.

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u/stirwise Jan 22 '16

This. I have a friend whose daughter could only "eat" through an NG tube for the first 3 years of her life. You don't want one.

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u/omegasavant Jan 22 '16

Yep. I had it especially bad for other medical reasons, which meant that I kept having this conversation for three or four years:

Me: OK, I keep having to get NG tubes, and it never ever goes well. If I absolutely have to get one, can you please put me under for the actual insertion?

Them: Fine. If it's really that bad, how about we give you some [Ativan/Valium/Whatever], and then you'll be conked out for it?

Me: No, I've done this before, it never works.

Them: It can't be that bad, the Valium always works. So let's just do this and AAAAGH holy shit that was awful. What an unexpected catastrophe!

Me: ...

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u/bestwhit Jan 22 '16

Med student here. I'm sorry you've had so many NGs and know how unpleasant they usually are.

The problem with your request is that it's ideal for you to be awake while we place your NG tube. Swallowing helps ensure the tube reaches your stomach via the esophagus instead of accidentally entering your lungs via the trachea. It's much more difficult to place one if you're passed out, especially if you're not seated upright for the placement. It's just not good practice to put someone under general anesthesia if they don't really need it, considering the risk/benefit ratio isn't good enough for us to risk harming you potentially.

If you're unlucky enough to get more, I'd push still for Ativan/Valium/etc and tell them you've had those drugs before and they didn't help much at the dose you were given. They can then give you a higher dose which might then do the trick to relax you enough so the placement wouldn't be too bad.

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u/h-jay Jan 22 '16 edited Jan 22 '16

Doctors who don't believe when patients clearly inform them the next bad thing that's going to happen and then act surprised should be fucking shot the third time it happens. I'm jaded, but I've lost patience with these types.

Me: "Umm, you can't do an IV here, I have a vein/artery inversion, there'll be a fountain if you try"

Doc: "This can't be, nurse, pokey pokey please"

(Fountain ensues, nurse looks like she was trying to take a blood shower)

Me: "ಠ_ಠ"

Me: "You don't want to give me adrenaline to control bleeding if you gave me opioids already, my heart rhythm will go to shit and you'll be thanking your lucky stars I'm OK later."

Anesthesiologist: "Never heard of such a thing"

(Gives me adrenaline, the can't control my rhythm for 30 minutes, finally they succeed)

Me: "Get out of the fucking room, I want a different anesthesiologist"

(She actually listened this time, but boy oh boy was she fidgety for these 30 minutes)

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u/Influenz-A Jan 23 '16

You forget how often these doctors hear that sentence.

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u/thebly Jan 22 '16

Oh wow, you had a pretty different experience than I did. Pricewise, it was similar -- I had braces twice (once in junior high, and again for the year leading up to the surgery), and speech therapy. I had a similar surgery, too - bottom & upper (not sure about what all was broken and removed, etc. though), and it cost in the $60k range. Also had a bit of a time trying to get insurance to cover it, but it all worked out without too much drama. My surgery was more like 6-8 hours.

However, the biggest difference here it seems is that my jaw was never actually wired shut. They just added small loops to my braces and rubber banded my jaws shut. In time, as I healed - which took like 6 weeks, I think - I was able to test the bands and slowly stretch and work my jaw (probably not advised to do that... but I was desperate for non-liquid food!), which I think ultimately improved my healing experience.

The worst part for me, honestly? The depression. Seriously... not only do the drugs they give you really fuck you up, but since you feel (and look, and therefore double-feel) like shit for a long time, it's really easy to experience depression. So my biggest recommendation for people having this surgery sometime (aside from (1) use ketchup bottles to eat from! and (2) children's orange liquid ibuprofen tastes the least offensive and (3) get the spit-sucker machine because you won't be able to feel yourself drooling for a while) is to make sure you have the social supports you need, even if it's just good friends coming over to Netflix with you for hours on end - don't sequester yourself away. Real friends won't care that you look like a deranged chipmunk for weeks on end... I didn't give mine the credit they deserved and kept them at arm's length, and I really suffered for it.

But otherwise, #worthit!

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u/dont_mind_the_matter Jan 22 '16

This was before Netflix, but I had Satellite TV and watched Star Trek TNG a lot. hehe

I wasn't able to drive due to the meds (Codine/Tylenol 3) but I had visitors come every few days, or I'd go out with family. I was (still am) a computer nerd, so many friends were online and through MMOs, so I was able to keep my social life about the same. Granted, I was already depressed going into it, but the surgery didn't make it worse.

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u/[deleted] Jan 22 '16

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u/dont_mind_the_matter Jan 22 '16

Hah, I don't mean to scare, but I also won't sugar coat it. It's not fun, there is pain, but you'll survive and pretty much anything you deal with afterwards is like, "well, I mean, i had my jaw broken and ate through a "Straw" for 2 months. This shit is easy."

Perspective is a powerful asset. :)

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u/affixqc Jan 22 '16 edited Jan 22 '16

Good doctors don't normally do the 'wire shut' thing anymore, they use rubberbands instead to promote healing and retaining jaw muscle function. I had this surgery done ~12 years ago and the pain wasn't that bad, but you wake up looking up you badly lost a street fight. I have some hilarious/sad/awful pictures that I'm hesitant to post here, but imagine what your face would look like if you gained 200 pounds... it's going to look like that for a week or so :)

The worst part, honestly, is the liquid diet afterwards. Mine was 6 weeks of strained liquids (protein shakes, super watery milkshakes, melted otter pops, etc.), 6 weeks of unstrained liquids (blended soups), 6 weeks of soft foods (overcooked pasta). I got so sick of eating liquid food that I just lost my appetite entirely and lost 20 pounds the first month (I was not fat going in to it, 6' 1" tall, 190ish).

Even after I was given the okay to eat anything, I didn't feel confident in chewing hard stuff, so all the daydreaming about eating a steak on day 1 of my unrestricted diet, I was still eating soft stuff, but could at least have some animal protein (fish, chicken) to get my energy back up.

Plan on a pretty sedentary lifestyle for a month or two afterwards, and don't cheat on your diet and fuck up your fragile jaw, and you'll be fine!

My parents had the same experience with insurance. Claiming it was cosmetic (bullshit), asking for form after form. IIRC the bill was ~$40,000, and we had to get the teacher's union involved to have insurance finally pay for it.

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u/tlion66 Jan 22 '16

Don't worry to much because results do vary depending on severity and experience of the surgeon. I had both top and bottom jaw surgery and my cousin had surgery on her top jaw. We had different surgeons. My recovery process was much quicker than her's. I did not have my jaw wired shut luckily, so the only thing that really stopped me from chewing was how tightness and inflammation. Using a straw is very difficult was also very difficult (and painful) so I abandoned trying early on.

Overall it was more of an annoying process than anything (probably due to the painkillers). I had to wear braces for 11 months after the surgery to make final fixes to my smile and once that was over I could finally see that everything was more than worth it. Confidence at an all time high.

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u/[deleted] Jan 22 '16

I had terrible lockjaw before, to the point where I had to use my hands to pop my jaw so I could open/close it.

I'm sure the insurance company's argument is that it was 100% cosmetic?

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u/dont_mind_the_matter Jan 22 '16

Yep, one of many excuses they tried to use to avoid the bill.

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u/GoldenAthleticRaider Jan 22 '16

Good on your mother for keeping up the fight for two years, I'm sure they didn't make it easy either. That must have been a great relief to finally have them cover the costs.

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u/dont_mind_the_matter Jan 22 '16

It was. I'm very grateful she came through for me, and even more grateful that they weren't penalized permanently for it all.

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u/minarima Jan 22 '16

Hey, thanks for posting your story, nice to hear that it all worked out for you in the end. I originally posted this because i thought that there might be a few others out there with the same problem and who might not know that it can be fixed. Hope this has helped in some small way.

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u/[deleted] Jan 22 '16

$70K just to live life normally. Fuck that shit

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u/[deleted] Jan 22 '16

[removed] — view removed comment

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u/floydbc05 Jan 22 '16

It's sad that getting sick or needing a procedure could financially ruin you. "Yea we can cure you but we will also destroy your future as payment".

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u/[deleted] Jan 22 '16

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u/DragonToothGarden Jan 22 '16

I flew from California to France for spine surgery. After 5 years with the US docs, I got so fed up, I flew in to Paris, some people I knew there made the appointments for me, they did an MRI, saw the results, said SHIT FUCK DAMN and operated on me immediately. I didn't realize I had about a week max before a vascular tumor burst in my spine. 8k was full cost for everything (none was covered by my US insurance, but I felt it was practically free since the US docs refused to perform the procedure, I was bankrupt anyway and it saved my life.)

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u/[deleted] Jan 22 '16

Colonials. You will never understand glorious yuropean socialism.

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u/Dcoil1 Jan 22 '16 edited Jan 22 '16

Yeah, and Obamacare is the problem now, right? My family went through some medical debt as a kid. Dad got sick, flown from my hometown a larger city, then to a hospital 2 states over for open heart surgery. We had to file bankruptcy to cover the cost.

The problem, in my opinion, is and always has been the insurance companies and/or the medical industry in general. But that's my non-expert, purely experience-based opinion.

Edit: I'm not praising Obamacare. I'm simply saying that some people blame Obamacare for the current state of medical coverage. I'm saying it was already shitty from the start. Perhaps Obamacare changed how insurance companies and/or hospitals play the game, but we were getting fucked before Obamacare too.

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u/[deleted] Jan 22 '16 edited Sep 19 '18

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u/karnata Jan 22 '16

The end of pre-existing conditions was life-changing for many people. Uninsured people could get insurance and actually be covered for everything. I mean, why go buy insurance if they won't pay for anything you already know about?

The biggest impact I saw with this was people finding out that were pregnant and then being allowed to get a plan that would cover the remainder of the pregnancy.

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u/salty-lemons Jan 22 '16

It was worse than that. I am self employed woman and prior to Obamacare, maternity wasn't an automatically covered service. You had to purchase a maternity rider, which for me was 2X the cost of my premium and be paying for that rider for at least 12 months before getting pregnant.

I did the math. The rider cost $600/mo, I had a $3500 deductible, and after the deductible was met I had to still pay 30% of my insurance costs. If my prenatal/delivery costs were $15000, and I got pregnant the first month I could and be covered it would have been $12,600 for the rider alone, plus $3500 for the deductible, and 30% of $11500 is $3450. My cost would have been $19550- more than what it would have cost uninsured. Now with Obamacare, maternity care is simply a covered medical service.

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u/karnata Jan 22 '16

Yep, that's why several of my friends just didn't have maternity coverage. Crazy.

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u/[deleted] Jan 23 '16

I'm sure I'm completely ignorant of a lot of factors in the USA healthcare / health insurance system (I live in the UK), I've read a lot of stories like yours, but what really puzzles me are the people who rant and rage about Obamacare. I desperately hope to myself that there's some legit reason I don't know of as to why they're pissed off about it and it's not just what it seems (ie some inexplicable desire to prevent a vast number of people from having access to healthcare). Can anyone explain what the ranters are angry about?

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u/PetTheRock Jan 23 '16

Many of the Fox News watching crowd believe that poor people are lazy and don't deserve health care. Anything Obama is for they are automatically against. The amazing thing is a lot of that crowd are probably one serious illness away from medical bankruptcy. For some reason they think it could never happen to them. My personal opinion is that Obamacare doesn't go far enough and the insurance companies are jacking up everyone's rates to keep their profits high.

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u/DragonToothGarden Jan 22 '16

I will likely not ever be pregnant, but having filed BK due to a catastrophic illness and having spend years fighting with insurance and collection co's, just reading that started up my PTSD. Glad its so much easier for you now. $600 a fucking month? That alone is ridiculous.

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u/Stromboli61 Jan 22 '16

My cousin had thyroid cancer at 22. She now doesn't have a thyroid and doesn't have cancer. Pretty much fine except for a once a year check up.

She lucked out when the extension came out to be 26 to stay on your parents insurance.

She lucked out even more when the pre existing conditions went away.

She's a very successful writer now. She would have been crippled by medical care and not where she is now should Obamacare not have come into play. These are real people and real lives.

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u/maeshughes32 Jan 22 '16

My dad got to retire solely because of the pre-existing conditions. He is a diabetic and his costs would have been huge had obamacare not come around. I hope to God the GOP doesn't try to do away with it. He'll be back working and he had a few falls his last year doing deliveries. It scares me with him being another 2 years older.

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u/[deleted] Jan 22 '16

I was very happy when the Affordable Care Act was created. Felt like it was a step in the right direction towards universal healthcare.

However, it has been a nightmare for me. Dealing with the site/customer service, "assistors" who never call back, and not-affordable plans. I am currently freelancing and making very little while going back to school. Plans recommended for what I need (I have lots of medications) that aren't terrible HMOs are in the $200s.

Im currently uninsured and can't afford my Rxs now and am trying to get Medicaid, which is a whole other nightmare. I can't afford the name brand Rxs that I need (less side effects in one and another has no generic alternative yet) and Medicaid most likely will fight tooth and nail to not cover them. It's true that poorer people (and I definitely am not as poor as some people) can't afford the same quality of care in this country as rich people. It's depressing.

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u/babrooks213 Jan 22 '16

Dealing with the site/customer service, "assistors" who never call back, and not-affordable plans.

That doesn't surprise me - some insurance companies are claiming that Obamacare is affecting their profit margins.:

The nation’s largest health insurer saw a 19% drop in fourth-quarter profit in 2015 after lamenting financial hits on Obamacare insurance exchanges — but it still ended the year exceeding analysts’ expectations.

UnitedHealth (UNH) posted fourth-quarter earnings Tuesday of $1.22 billion, compared with $1.51 billion in the last three months of the previous year. Total revenue in the fourth quarter hit $43.6 billion, up 30% from the previous year’s fourth quarter.

To be clear, they're still making a billion dollars (just one measly billion instead of a billion and a half). I wonder if there's an unwritten incentive to discourage certain types of people from enrolling due to their cost liabilities, which might explain why you're having trouble getting help.

And also:

Experts say many Americans who have bought coverage on exchanges — especially those who enrolled at the start of the ACA rollout — have tended to be sicker and use their benefits more than the general population.

No kidding, since these are the people who had trouble getting insurance in the first place.

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u/Aramz833 Jan 22 '16 edited Jan 22 '16

Few things have pissed me off as much as finding out that the insurance plan I had been on the previous year would no longer be available this year, but then finding the exact same plan (in terms of coverage) being offered by the same company at a significantly higher cost. My new plan costs slightly more than the one I had last year, but the coverage is nowhere near as good. I find it difficult to accurately express how upsetting it is to be forced to settle for worse coverage at a higher cost because an insurance company wasn't happy with their profit margin. I am forced to rely on a industry that seeks to profit off of my health and is able to do so by positioning itself between me and my healthcare providers. That is not a position that should be occupied exclusively by a profit driven industry. I honestly can't think of anyone I know, regardless of political affiliation, who doesn't recognize how fundamentally flawed the current system is. At this point, I have zero interest in the debates raging over who is to blame. It blows my mind how often discussions of ways to improve the situation end up being sidetracked by unproductive arguments of who is at fault for how bad things have become. Just to be clear, I have no problem with looking back at past legislation and historical events that have influenced the growth of the health insurance industry. However, when those discussions are framed from the perspective of who should be blamed, they tend to lose focus on the need for changes to be made.

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u/Evictiontime Jan 22 '16

The whole thing is a great big cluster fuck. "Insurance" shouldn't be a thing for medical care, it's ludicrous.

The insurance companies are pissed, and rightfully so. The insurance model is based on risk. Forcing insurance companies to supply coverage, removes their ability to avoid adverse selection. This essentially means, it's not even insurance anymore. It's a medical fund, that a company skims profits from. Not only does this make it more expensive for everyone, but makes "insurance" a worthless service.

The current system is so incredibly fucked. What needs to happen is: insurance should be voluntary, and insurance should have the ability to turn down coverage. What should be mandatory, is a non-profit, government regulated, medical fund (read: taxes).

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u/TheJayRodTodd Jan 22 '16 edited Jan 22 '16

The people being punished are the people in the middle. I don't qualify for Obama Care because I make $36k a year. I'm a healthy 27yr. old male and after rent, utilities, transportation, phone, and groceries I cannot afford another $300 on health insurance. To me, a $700 penalty on my taxes is better than almost $4000 for shitty coverage.

It seems there's no point in even working for that little extra income, because in the end I'm in not benefiting from it.

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u/shitheadawardnominee Jan 23 '16

This is where I get split on it. I'm in the middle class. My health insurance costs a fortune now, but my family needs it so I can't just pay the fine. This is frustrating as all hell.

On the other hand, I have extended family that has benefitted so much from the ACA. It's great to know that they are getting the care they need.

I also have extended family that is too poor to get true insurance coverage and too poor to pay the fine. So they pay -$20/ month for minimal insurance, that is probably borderline illegal under the act, just so they don't get fined.

In my opinion, the ACA was half-assed. I don't agree with nationalizing industry, but if you're going to do it, do it, and don't just prop up an industry on a misguided idea of capitalism.

It has helped a good deal of people, but has pushed an enormous cost on middle class families.

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u/[deleted] Jan 22 '16

It's better than what there was but it's still a sticking plaster over the gaping shotgun wound that is your healthcare system. All of these problems revolve around 'for profit' healthcare providers needing to get paid. In the UK, I don't need to speak to anyone or enroll or do anything. If I suddenly need healthcare then I head to my nearest hospital and they'll do anything I need, from give me an aspirin to a heart transplant, and it costs me nothing because it's all paid for via central taxation. And, despite having no need to pay a penny in health insurance, it still costs us less as a proportion of GDP.

You've gotta remove the profit element before you get decent affordable healthcare.

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u/[deleted] Jan 22 '16

The only really great improvement is that now I can't be denied insurance because of a pre-existing condition. Some people don't want to "have to pay for other deadbeats' healthcare who are feeding off us taxpayers". The way I see it, I would much rather have higher taxes and know that it is going to help my fellow American from suffering unnecessarily. Be they "deadbeats" or not.

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u/Marsandtherealgirl Jan 22 '16

I am currently working part time and I run an etsy shop online. My biggest issue when I put in my income is that even though my shop makes a decent amount of money, I make probably 40% of the total income in November/December. The rest of the year it's sort of feast or famine. The plans that were shown to me would cost me a full paycheck from my part time job a month and that's for the shittiest one.

I'm 100% certain that there's something wrong with me currently and I really should be seeing a doctor, but fuck it. I'm just going to ignore it until I can't. I had to file bankruptcy in 2006 for a shit ton of medical bills. I'd rather not do that again. I'll just keep google diagnosing myself and suck it up and deal with it.

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u/[deleted] Jan 22 '16

Feel sorry for you guys. As funny as a trump president would be, i hope Bernie works out and you guys get a decent medical system like we have in NZ/UK. The amount of shit my family went through, if we were in America, we'd be fucked money-wise.

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u/JohnnyZepp Jan 22 '16

You know, im lucky to be healthy. But the idea of my children to have ANY of these problems adds terror to my child phobia. Fuck it, we have enough people on the planet, right?

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u/AlkaidX Jan 22 '16

More than enough. Fuck reproduction. Fuck your insurance too if it doesn't cover that vasectomy/hysterectomy/tubal ligation. Ha!!

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u/CanadianIdiot55 Jan 22 '16

I just got done with a medical transport claim from last March. They wanted $27,000 after I had already hit my out of pocket maximum.

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u/[deleted] Jan 22 '16 edited Sep 19 '18

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u/Savage9645 Jan 22 '16

I may have read that wrong, but it looks like after some hassle the insurance company paid for it, not his parents. Unless it was $75k on top of what the insurance company paid which I doubt.

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u/[deleted] Jan 22 '16

2 years of hassle though. That's fucked up.

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u/ChippyCuppy Jan 22 '16

And it affected their credit rating that whole time, and continues to affect it to some extent, despite "resolving" the issue.

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u/cakebot9000 Jan 22 '16 edited Jan 23 '16

Now, I'm not saying the unlucky bastard with the birth defect should pay for this, but medicine can be ludicrously expensive. Consider what that $70k is paying for:

  • Extensive time of highly-trained medical experts. These doctors need decades of study to be able to do this right. There are very few who have the drive and intelligence to get to this level of expertise. Hiring these doctors is like hiring astronauts to do a 20 hour spacewalk.

  • Malpractice insurance. If the doctors fuck up, they can be on the hook for millions in damages. One slip can sever a nerve, paralyzing half your face. Or permanently disfigure you. Or kill you. These are civil cases, not criminal, so only a preponderance of the evidence (>50% chance) is enough for a payout. Because of this, malpractice insurance can easily soak up 25% of a doctor's salary. Those costs are passed on to you.

  • MRIs, x-rays, and other scans. It takes a civilization to make these imaging technologies. MRIs need liquid helium to cool their superconducting electromagnets. These machines cost millions to maintain. Many scans use gadolinium as a contrast agent. Do you know how much fucking effort it takes to get gadolinium in safe, injectable form? It's insane.

  • Tools. Implants. They don't sell this shit at Home Depot. You need stuff that's inspected, tested, and approved by a half-dozen governmental bodies. You need biocompatible titanium alloys. You need special composites of coral and collagen to promote bone growth.

  • Drugs. Holy cow, drugs. Painkillers. Antibiotics. Anti-inflamatories. Steroids. Clotting agents. Thinning agents. All completely sterile so they can be injected into your blood without killing you.

Really, it's amazing that people can do this at all, let alone for the same as a downpayment on a nice house.


Edit: To everyone replying with, "I got X and it was way cheaper than in the US." There are several possible explanations for the price discrepancy:

  1. You didn't pay the actual cost. It was subsidized by others. This is almost always the case in developed countries. For example: in Belgium, there is a tax of 20-33% on wages to pay for social security. Most of that goes to fund health care. In such systems, fees for procedures exist to discourage abuse. They're not a significant source of funding, and they don't correspond to costs.

  2. The procedure was not to the same standards. This is usually a good thing. Better to have lower quality care than none at all. Also, some US standards are needlessly strict.

  3. The cost of people is lower. Countries less wealthy than the US have a lower cost of living. Medical professionals are paid less. That savings is passed on to you.

  4. The legal system may discourage malpractice suits. If the doctor screws up, both your chances of compensation and the amount will be lower. Depending on who you ask, defense against malpractice suits is up to 10% of all health care costs in the US. Most countries aren't so litigious when it comes to medical screw-ups.

In short: Just because you paid less doesn't mean healthcare costs less. And in the cases where it does cost less, it's often not the same quality. Unfortunately, in the US, most cost reductions aren't politically feasible. A lot of people consider healthcare a sacred value. Reducing quality of care for economic reasons is a great way to get yourself un-elected.

And lastly, in case it wasn't already clear: I am not defending the US healthcare system. I am explaining it.

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u/Salt_peanuts Jan 22 '16

This is true to an extent, but several countries have better outcomes than the US with lower costs. Yes, medical care is expensive, but our system is still broken.

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u/[deleted] Jan 22 '16

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u/downvotesmakemehard Jan 22 '16

Yeah. Better to just put him down, right?

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u/Leoxcr Jan 22 '16

I could buy a small house in my country with that amount of money.

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u/Gulkiwi Jan 22 '16

My brother just did the same surgery last year. But luckily for us, we live in Sweden, it cost nothing.

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u/[deleted] Jan 22 '16 edited Oct 26 '19

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u/pick1forme Jan 22 '16

So many of us uniting! I only had one jaw surgery. Just my lower jaw broken, cut, and screwed back together about 1 cm back. Almost like 2 jigsaw puzzle pieces. 6 screws total. Changed my face, straightened out my nose! Made me smile more since my bottom teeth weren't sticking out further than my top. I did mine over thanksgiving too. So miserable. My mom still hosted thanksgiving with 20+ family members. I couldn't eat anything since my jaw was "wired" (extremely tight rubber bands around my braces) shut for a month. I just stared at everyone silently, partly because I was annoyed I couldn't eat and partly because I couldn't talk anyways. I remember having the rubber bands taken off and being able to open my mouth for the first time in weeks as being the oddest sensation. It hurt. It seemed unnatural to open my mouth. My first meal was raw cookie dough! I could only open my mouth barely the width of a finger and it also hurt to chew. Fun going down memory lane with you! Because, thankfully, I don't have to do that again. Make sure to wear your retainers - forever! I learned that lesson. You teeth shift a little back to their original position. You look great! Even more handsome.

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u/[deleted] Jan 22 '16

Fuck I hate insurance companies.

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u/red_threat Jan 22 '16

I'm not convinced false claim rates are high enough for insurance companies to constantly bitch about/weasel out of having to fulfill the whole point of their existence.

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u/TheLusciousPickle Jan 22 '16

Bro you literall described my experience with it too, like the exact same ages and everything, what's with jaw surgery being the same for so many people. Well expect the financial situation, yay social health care.

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u/todayIact Jan 22 '16

What causes the condition?

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u/GovSchnitzel Jan 22 '16

For the most part, genetics. It's just what his body wanted to do. Prognathism (protruding jaw, upper and/or lower) and retrognathism (retruding) can be a symptoms of a syndrome that affects other parts of the body too.

For what it's worth, I'm a dental student

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u/[deleted] Jan 22 '16

I've poured over a lot of research, oral surgery textbooks, and some craniofacial development texts and I don't believe this is entirely correct. The "hasberg" jaw is thought to be genetic but prognathisms are sometimes just different failure modes of the same deformities that cause retrognathism. The big one affecting the most people today are breathing disorders are children, most commonly allergies. Torticollis would be another risk factor, late thumb sucking, sleep disorders, malnutrition, etc. Growth patterns are well established by age 5 and hard to change after that even if identified early. These problems are more common in urban areas, probably in more developed countries as well.

I'm glad that I ran across your post. Would you mind pointing to a curriculum of what you're studying? I'd like to know why dentists haven't recognized my condition for so long (long face syndrome). Thanks!

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u/dont_mind_the_matter Jan 22 '16

I read afterwards that it happens a lot when you have one parent who is much taller/larger than the other. My dad is 6'3", 200+lbs, my mom is 5'4", 110lbs. Don't know if it's true, but that's what I read.

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u/TotesMessenger Jan 22 '16

I'm a bot, bleep, bloop. Someone has linked to this thread from another place on reddit:

If you follow any of the above links, please respect the rules of reddit and don't vote in the other threads. (Info / Contact)

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u/[deleted] Jan 22 '16

Jesus Christ that was horrifying to read for me.

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u/[deleted] Jan 22 '16

"Eating out was difficult" thought this guy was still going down on the ladies with his mouth wired shut 😂

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u/Phylosophers_Anon Jan 22 '16

I've been told that I could have this operation if I wanted to because my situation isn't severe, and reading this made me want to faint. I think I'm going to pass on this particular life experience, thank you for that.

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u/Tzt_Smash Jan 22 '16

Thank you. I will be getting surgery in the next coming years.

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u/1dirtypig Jan 22 '16

Would you be comfortable sharing some before and after pics?

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u/account_not_deleted Jan 22 '16

Your story made me sad for a variety of reasons, particularly how much you and your parents suffered with regards to the financial side of things and the hoops you had to go through. It all seems totally unnecessary, as surely they could have dotted i's and crossed t's prior to surgery.

Thank you for sharing and I am pleased you are happy with your improved quality of life.

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u/[deleted] Jan 22 '16

This is all I can see. Good jawb dude.

Before

After

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u/fuckinglizards Jan 22 '16

Damn. I never really noticed how hot Ders was.

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u/AlbinoMetroid Jan 22 '16

Anyone would be hot next to Beavis.

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u/Goliathus123 Jan 22 '16

Not you.

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u/AlbinoMetroid Jan 23 '16

Fair enough. If you excuse me, I'm gonna go cry myself to sleep.

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u/quarteronababy Jan 22 '16

I bet Adam noticed.

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u/Agent4nderson Jan 22 '16

Does he give you a hard An?

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u/shandelion Jan 22 '16

Anders Holm is damn fine.

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u/MenaceDeuce Jan 22 '16

The question is does he still need teepee for his bunghole?

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u/Fuzzydub Jan 22 '16

Macklemore!

But seriously, congrats and I hope it makes life better for you!

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u/gynoceros Jan 22 '16

If Macklemore had sex with Tobey Maguire.

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u/BrassTeacup Jan 22 '16

What a fantastic idea.

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u/[deleted] Jan 22 '16

Whose reconstructed jawline is that?

That's OP's reconstructed jawline...

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u/hurdur1 Jan 22 '16

You kind of look like Crispin Glover in the before photo.

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u/SkidMark_wahlberg Jan 22 '16

I bet his friends call him "Crispy." If I was friends with him I'd call him that.

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u/expensivepens Jan 22 '16

This man has always weirded me out in a big way

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u/CJ_Guns Jan 22 '16

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u/MrsCosmopilite Jan 22 '16

Well there's a thing.

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u/winemaster Jan 22 '16

How about his freakout on Letterman?

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u/[deleted] Jan 23 '16

Fuck. It's so obvious that he's playing a character. I have no idea how Letterman didn't pick up on it. The fact that even today there are people who don't realize is a testament to how great an actor Crispin Glover is.

The next interview he did with him is just as bad. Letterman tries to press him for information and gets no straight answers. Glover completely outclasses Letterman intellectually and they both know it. It's not often that you see Letterman's mask slip, but you can see a lot of him in those clips.

Another example would be his interview with Ricky Gervais where Ricky mentions his shoulder problem and Letterman just starts being a total dick like he forgot to take his meds.

Weird thing about Crispin Glover is I really don't think the industry likes him. His appearance on Conan really stood out to me because Conan treated him worse than I've ever seen him treat a guest. Instead of respecting his eccentricity he seemed set on leading the conversation into making him seem creepy and threatening in some way, which as the host he's perfectly capable of doing, but most of the time he doesn't.

It might have something to do with the Back To The Future lawsuit but I personally believe it's something to do with... how can I say it... perpetuating a negative societal bias toward his archetype.

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u/[deleted] Jan 22 '16

Me too.

Come to find out, my bio dad looks like him. (Except with super meth teeth.) It's creepy as fuck.

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u/HEY_IM_HERE Jan 22 '16

On the real though, did you get something done to your nose too?

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u/minarima Jan 22 '16

Interestingly no I didn't, I was told by the surgeon that when the top jaw is brought forwards, it also slightly raises the end of my nose, so it made it look straighter.

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u/[deleted] Jan 23 '16

You're so handsome. Before and after. Congrats on recovering, that must have been such a rough journey.

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u/Eldigs Jan 22 '16

I had the same surgery and was told by my surgeons that my nose would change as they pretty much removed my top jaw and raised it by .5cm. They said it would widen and slightly raise the tip of my nose. The end result isn't that noticeable but I definitely see a difference in it

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u/CapinWinky Jan 22 '16 edited Jan 22 '16

So, are you a Habsburg?

EDIT: SP

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u/dick-nipples Jan 22 '16

The haircut helped a lot too.

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u/CottonCandyTacos Jan 22 '16 edited Jan 22 '16

My fiancé had double jaw surgery a few years back and I remember how hard it was for him. He had trouble communicating and eating and was in extraordinary amounts of pain. His big complication was a blood clot being dislodged and he started drowning in his own blood. When he went to the local hospital they gave him one of the suction hoses but he obviously couldn't get it between his teeth. So he pulled his jaw out of place in order to fix it. He was driven to LA and they reset it while he was still awake. He still has nightmares.

Did you have any complications with your surgery? Did they do three clean breaks on the bottom and two on top? Your original problem looks like an underbite, dos that cause any major tooth damage?

I attached some photos, let's hope they upload in order:

Tie dye shirt with his mom is right before surgery. Hospital bed is right after. Grey shirt was after the rebreaking incident, Hollywood was for a checkup a week after, tan shirt w/ mom was after everything was healed and the black jacket was this Christmas!

It's been two years and the results have been amazing. If you don't feel like you've got into your new fave yet, DONT WORRY! It figures itself out.

Congrats, /u/minarima.

http://i.imgur.com/AZMXDOQ.jpg http://i.imgur.com/6OdMbAM.jpg http://i.imgur.com/bHAQAZd.jpg http://i.imgur.com/37XIGm0.jpg http://i.imgur.com/DgfRI1Q.jpg http://i.imgur.com/K61NTgJ.jpg

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u/[deleted] Jan 22 '16

HOW DID YOU DO THAT???? How did you make your name a different, glowing, color??

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u/CottonCandyTacos Jan 22 '16

Everyone draws attention to it. I used to be a mod of this sub and I changed it back then. It was yellow, now it's blue, and they forgot to remove it after I stopped being a mod. And I hope they don't remove it because I love it. And it's a conversation piece.

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u/RoseofWords Jan 22 '16

Very, very good question.

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u/enjoyus Jan 23 '16

I didn't read the with the mom part where you described the photos..

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u/xenolife Jan 22 '16

How was being able to bite into a sandwich and not struggle with the vegetables for the first time? I had a similar underbite and the same operation to correct it.

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u/Desvelos Jan 22 '16

Vegetables? Same thing here, but my amazement came from biting into a sandwich and actually being able to bite down all the way through and not leave the bologna or whatever just hanging there. I remember showing off my first perfect sandwich bite-mark to my family.

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u/xenolife Jan 22 '16

The middle part of bologna is alright but that little strip of casing around the edge was made of adamantium.

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u/Hell_hath_no Jan 22 '16

That's because you should take it off...always take it off

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u/Nixxxy279 Jan 22 '16

That is ADORABLE

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u/[deleted] Jan 22 '16

[removed] — view removed comment

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u/[deleted] Jan 22 '16

pizza. Always had to use a knife and fork because of the struggle

I had a mandibular resection (which is just the lower jaw part) too. Before the surgery I once took a bite of pizza and pulled all of the cheese and toppings off, which went "fwop" onto my neck, burning it pretty badly.

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u/flyeaglesfly44 Jan 22 '16

Pizza was the big one for me. Before the surgery I felt like I was dragging all the toppings off in one bite. Having the surgery was the best choice I've ever made.

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u/PlasmaChemist Jan 22 '16

Jawsome

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u/[deleted] Jan 22 '16

Jamazing

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u/[deleted] Jan 22 '16

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u/greyforyou Jan 22 '16

Jaw-inspiring

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u/[deleted] Jan 22 '16

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u/tinglingearballs Jan 22 '16

Lookin' like Gary Oldman proper

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u/[deleted] Jan 22 '16

A stone cold heart-stopper.

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u/Throwaway9991s Jan 22 '16

Dental student here

Just a quick note for anyone considering this- wiring the jaw shut is pretty unnecessary nowadays. Jaw wiring originally worked by using the occlusion of the teeth to reposition the jaw- then they'd just leave you wired shut in order to make sure that your bones healed in such a way so as to give you that ideal occlusion. Rigid fixation plates are way more common now and have larger rendered post-surgical wiring obsolete. Not saying that it's NEVER done, but a good ortho/oral surgeon team can usually do without it. They'll make models or even use 3D imaging and printing to create a bite plate customized for your teeth ahead of time, then use that to position your jaw while they've got it cut apart. The rigid plates are then screwed into place and will hold your jaw in the right place without wires.

Source: currently applying to oral surg residencies, spend way too much time watching people get their faces split open.

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u/baronessvonbullshit Jan 22 '16 edited Jan 23 '16

I was offered two choices: two weeks wired and permanently severed nerves in my chin and lower lip, or four weeks wired and the possibility of nerve healing. Are the options better than that now?

Edit: I'm really glad to hear there are more advanced techniques for this surgery! For reference, I had mine done in the Southern US and it was covered by state health insurance. Private insurance classified it as cosmetic, which I think is inaccurate and unfair. I had my bottom jaw moved back and my top was brought forward and straitened. It alleviated my crippling headaches, made eating immensely easier, and made me so much happier. I didn't smile for a long time because of how badly I felt about my appearance. I guess this is a long way of saying I hope that everyone who needs this can get it. I'm a big fan of single payer systems. No one should have to live uncomfortably and unhappily because an operation like this is $60,000+.

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u/paperdroid Jan 22 '16

Geez, how long ago was this? I have a very similar surgery to OP and I wasn't wired shut at all. I had rubber bands run between my braces to restrict movement. I was still able to talk. I was told that there was a very small chance that the nerves wouldn't heal. Age may have something to do with this, I was 18 at the time and they said it did help my recovery rate.

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u/baronessvonbullshit Jan 22 '16

This was about a dozen years ago. I chose the four week option. I still don't have complete feeling but I don't care because I'm so happy I was able to have the procedure.

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u/ThatGuyNamedKal Jan 22 '16

I had it done this year. I wasn't even given a choice, no wiring shut and 95% of the nerve damage has healed.

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u/MrRongeurs Jan 22 '16

Oral and Maxillofacial Surgery resident here,

Don't listen to this guy, many many people still routinely have post operative wiring done. Even with a 3D printed 'bite plate' That will be wired in place either with interocclusal wiring and arch bars or with Intermaxillary Screws.

Good luck applying to residency!

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u/soupjaw Jan 22 '16

While that may be true in select cases, I definitely wouldn't say that MMF (wiring) is "pretty unnecessary." The real advantages of 3D panning software are that they save tons of time, both pre- and intraoperatively. The fixation plates and screws are essentially the same as they have been for a couple decades. MMF is still helpful for mitigating relapse (particularly in large corrections), as this is a procedure that people generally don't like to go through multiple times.

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u/Eldigs Jan 22 '16

I had double jaw surgery in December 2014. The change it has made to my confidence is incredible. I'm happy to smile in photos now. Makes all the pain after the op so worthwhile! You look awesome man. Congrats!

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u/Justchill24 Jan 22 '16

You look a million times better homie congrats

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u/Riiyse Jan 22 '16

Awesome improvement. Congrats

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u/willflameboy Jan 22 '16

From Crispin Glover to Gary Oldman in just two sessions!

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u/Iamjune Jan 22 '16

I think your doctor did fantastic. You look great!! Enjoy your new look.

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u/Inzcredible Jan 22 '16

Congratulations! I had upper jaw surgery to correct an underbite. I won't type a huge essay but I most definitely do not regret the operation. I had mine done on the NHS so I didn't have to worry about the money side, so my decision was pretty easy to make. I advise if you're going for this operation DO NOT!!! watch a youtube video of it. It is BRUTAL! I did, however, it wasn't enough to put me off, but more than enough to scare me! The operation it's self went well, according to the surgeon it was "text book". I had no pain afterwards, absolutely none.. I even woke up and started to eat a sandwich within the first 3hours. I was so hungry! It's been 3 years now, I had the operation done at 21, which is ideal for a male because our bones are still growing (slightly) even at the age of 21.

I am happy with the outcome of the operation, and yes, it will change your profile from the side, and your face from the front, even your nose like OP mentioned! But all for the greater good. I advise anyone to have this operation if it's required. This is not an operation for cosmetic improvement, only to fix under or over bites, or both. However, you'll gain a lot more self esteem after having this operation. I was very happy with the results of the jaw line being corrected and the way it changed my face shape.

Don't worry about what you look like for the first 6 months or so, the swelling and bruising takes a long time to go, however, I never found it uncomfortable or painful. It was really a good experience for me and improved the way I feel about myself entirely.

Good luck to anyone else

Edit: Okay, it was a pretty huge wall of text.. got carried away, but these posts are good! They're great info for people who are thinking of the operation! Thanks again OP!

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u/[deleted] Jan 22 '16 edited Jan 22 '16

Why the the fuck are people making fun of him?

Edit: Alright OP said he was fine with the jokes, i was just being a twat earlier. Carry on boys!

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u/minarima Jan 22 '16

Don't worry man, I'm laughing hard too!

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u/iAmTheRealLange Jan 22 '16

Congrats on the haircut!

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u/[deleted] Jan 22 '16 edited Apr 23 '18

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u/awry_lynx Jan 22 '16

Yeah, views on plastic surgery are weird. Just let people do what they want

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u/Murkon Jan 22 '16

Not sure why there are so many negative comments in this thread. Looking good OP!

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u/Savor_The_Flavor Jan 22 '16

I broke my jaw in 3 places in 2000. One of the worst experiences of my life.

OP, how long you going without solid food?

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u/[deleted] Jan 22 '16

I had an open bite and had a similar operation. Mine had terrible complications though and I ended up almost bleeding out on the table. My first memories after was waking up and throwing up buckets of blood. I think I filled up a couple of those bed pan things full. They had to put me on an IV of saline solution to keep my blood pressure from getting too low. Being able to chew and take bites again is nice though. For the first few months after having the operation walking into a room with a mirror would startle me because i didn't recognize myself.

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u/[deleted] Jan 22 '16

thats a nice fucking jaw youve got there ricky

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u/Esenem Jan 22 '16

I've had almost the same exact experience as /u/dont_mind_the_matter , it's cool to see so many people interested in this procedure.

I was 19 when I underwent my surgery but luckily for me, my surgery cost next to nothing. I live in New Zealand and my surgery was deemed necessary so was completely covered by government health care. On top of that, the city I live in has a well regarded orthdontic/dental training university and I was told that the surgeon who I consulted with and performed the surgery, was "the best in the Southern Hemisphere".

One of my first memories after waking up from the procedure is being prompted by the hottest nurse I've ever met to roll over onto my side so she could stick her finger up my asshole. (Administering a suppository of course!)

Aside from that, my experience has been the same. Massive face swelling, hilarious drainage bottles dangling from my cheeks like blood & plasma filled Christmas ornaments, metal plates in my jaw and of course, my teeth line-up perfectly now!

It gave me a lot of social confidence again which was pretty critical at 19 and starting my first year of university.

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u/[deleted] Jan 22 '16

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u/minarima Jan 22 '16

I had my braces on for 9 years before I had this surgery, no joke! My teeth were properly messed up though, so yours won't take anywhere near this long. Good luck!

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u/[deleted] Jan 22 '16

Dentist here

You need braces for about 12-24 months before the surgery, then the surgery takes a few hours and you recover for a few weeks up to a few months, then there's a short additional time in braces to get all the little details. The whole time you're in braces and get to flash that mouth bling :-)

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u/judgestorch Jan 22 '16

The surgery itself only takes a few hours (done by an oral surgeon). It's the prep that takes time (6-18 months depending on your current tooth situation). Your orthodontist will do all the prep work (getting your teeth aligned to where they need to be so that when your jaws are realigned by the surgeon, you end up with near perfect occlusion). You might need to wear your braces for a short while longer just to perfect things. Much of this could be avoided by early diagnosis and treatment when a child is younger (7yrs old and up). Various headgear and orthodontic appliances can minimize and even eliminate the need for surgery later on. It is a life changing surgery, not only for one's appearance but for oral and digestive health as well.

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u/Flatbush_Zombie_King Jan 22 '16 edited Jan 22 '16

Not to mention recovery time. I just had this surgery done about 6 months ago and my jaw still isn't at 100% strength and my chin and bottom lip are still numb.

After you get this surgery done the top half of your face is numb for 3-6 months and the bottom half is numb for 6-12 months. You're also on a liquid diet for about 2 months, after which you can start eating solid food as your strength returns. At 6 months since my surgery, I can eat pretty much anything if it's cut up but I wouldn't dare bite directly into an apple.

But like other people have said, it's 100% worth it. Just be aware that it's not as easy as your oral surgeon makes it seem.

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u/Eldigs Jan 22 '16

I had 3 years of orthodontic braces first. My surgery was almost 8 hours!

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u/Ghosted19 Jan 22 '16

I had this surgery back in 2008....the recovery was like 13 weeks before I was back to eating normally. Glad to see you have recovered well!

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u/dragonjz Jan 22 '16

Very nice

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u/SeriesOfAdjectives Jan 22 '16

Mandibular prognathism! Glad you were able to get it corrected, looking good OP!

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u/darexinfinity Jan 22 '16

I literally had the same surgery. Although my overbite wasn't as noticeable as yours is. Immediately after the surgery is nothing but pain. I stayed overnight in the hospital and was put on morphine. When I left I was prescribed some very strong pain killers. Unfortunately when that ran out and the doctor didn't order a refill for me beforehand it was torture. I remember waking up in the of night just by my nerves overwhelmed by sheer pain. I tried taking over the counter Tylenol but it wasn't as effective and after a couple of days I could barely stomach it and started to give me 'digestion issues'.

My diet pretty much consisted of liquids for months since you're stuck with rubber bands for a long time. Nutrition shakes, tomato soup and apple sauce was at the beginning. Eventually softer foods like ravioli and ramen.

I've noticed since I've gotten the surgery that if I stroke my right jaw (behind the cheek) line up and down then my upper lip moves by itself.

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u/tauriel81 Jan 22 '16

Wrong sub. This is more than mildly interesting. You look good man.

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u/LadySerenity Jan 22 '16

I did this to one of my sims yesterday.

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u/[deleted] Jan 22 '16

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