Being a dentist would provide stability, have good prospects, and allow me to use my strengths, so I decided to pursue it.
When they express genuine gratitude and satisfaction for the outcome, I can sometimes feel myself tearing up as well.
Some patients, on the other hand, don’t tell their friends or family about the surgery, or even try to hide the fact that they had it, acting as if nothing happened.
They had been very satisfied with the outcome, so I was about to greet them warmly, but they subtly stopped me with a look.
I was certain they saw me but deliberately avoided acknowledging me, which I thought was strange, until I realized they were with acquaintances.
Since many people don't notice someone has undergone jaw surgery unless it's been explicitly mentioned, it's possible that the patient had not told their acquaintances about it, which led to this situation.
I guess this is one of the characteristics of jaw surgery.
When I consult with patients, there are instances where, based on the patient’s own standards, they think a certain result will look beautiful, but may appear strange or excessive from the perspective of the general public.
If a patient requests changes that go beyond the normal range and into an abnormal or excessive level, I do not recommend surgery to them.
I only proceed with surgery when improvements can be made within the normal range, and not only the functionality but also the aesthetics can be enhanced.
The ideal surgical outcome begins with finding a mutually satisfying agreement between what the patient expected before the surgery and the range of improvements I can realistically achieve through the procedure.
These days, there are various 3D simulation programs that can help predict the results before surgery, and these tools are being used as part of the process.
However, even 3D programs can sometimes have discrepancies between the predicted results and the actual outcome.
While they are useful as a reference, the accuracy is still not perfect. In the end, it’s the surgeon’s experience that can assess the unique features of the face and achieve the best possible results.
I don’t believe that a computer program can determine aesthetic using data.
Ultimately, beautiful faces come from the experience of a surgeon who has performed numerous surgeries and consistently achieved ideal results over time.
"Pursuing Objective Consultation"
Many patients consider surgery after looking at photos of celebrities they find attractive.
However, even with surgery, each person’s bite and bone structure are completely different, so there are limitations.
Rather than trying to replicate someone else’s face, it’s more realistic and likely to yield better results to plan the surgery based on improving your own features.
With the advent of Photoshop and AI programs, using these tools to mark or draw lines on your photos can help express your thoughts more clearly, leading to a more objective diagnosis and realistic results.
8) Surgical plans developed through thousands of cases
Our hospital isn't small, but it's not a place that competes with huge, flashy facilities.
What we pride ourselves on is the data we've accumulated over many years of performing facial bone surgeries.
Each patient who is considering surgery has different symptoms, and even within the same category of symptoms, the specific types can vary greatly.
Generally, facial bone abnormalities are classified into categories like prognathism (underbite), micrognathia (receding chin), protruding teeth, and asymmetry. However, even within prognathism, there are different types, such as the upper jaw protruding, the upper jaw being recessed, the chin being retruded relative to the lower jaw, asymmetry, and more. These variations can be further subdivided.
Not only the shape of the face but also functionality and safety are extremely important. Even if the outward appearance is similar, we must consider the position of the nerves inside the bones, the shape of the airway, the condition of the temporomandibular joint, and other factors to ensure both functional and aesthetic improvements.
Unless you're performing surgery on identical twins (and even then, there are subtle differences), no two faces are the same. Therefore, I usually show patients cases of successfully treated individuals that align as closely as possible with their concerns, and we consult and plan the surgery based on those examples.
9) What is your approach to surgery?
"At least two people must be satisfied"
Those two are the patient and myself.
It’s not enough if only I’m satisfied, and it’s not enough if only the patient is satisfied.
That’s why I think it’s extremely important to first understand what the patient wants.
This mainly relates to the aesthetic aspects.
In fact, functional aspects—like stable occlusion and normal joint function—have clear answers.
But when it comes to aesthetics, there’s no one-size-fits-all answer. I believe that by aligning our perspectives and finding common ground, we can ultimately achieve a result that satisfies both parties.
10) To those reading this who are considering surgery
First of all, if you’re considering contouring or jaw surgery, I would not recommend consulting with just one oral and maxillofacial surgeon.
Doctors may have different opinions, and this might confuse patients, but I think it’s helpful to hear at least 2–3 different opinions to gain a more objective understanding of your condition.
This surgery is not a simple procedure, which is all the more reason to get multiple perspectives.
There was a time when it was popular to perform all jaw surgeries without prior orthodontic treatment, just going straight to surgery.
But what may have worked for others might not be suitable for you.
In fact, many people who come to decide on surgery often can’t undergo it right away.
So, if you’ve decided to go ahead with surgery, it’s best to give yourself some time, undergo an initial examination, and understand your condition first. This will make the process smoother when you’re ready.
In cases where orthodontic treatment is required before surgery, it often takes 6 months to a year.
For those who are thinking, ‘I want to have surgery right away,’ this can cause some frustration.
Because of the nature of the surgery, just improving the shape of the face doesn’t always lead to the best overall result, so understanding the orthodontic treatment plan is important as well.
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