face reshaping which doctor to go to?

[dimensionspectrum]

Hi jawful,
how much did you pay for your jaw shaving's surgery?
I heard that Dr.Pat offers different quotations to different customers. But I guess he's not the only surgeon who did that but my main concern is to prevent exploitation.
I was thinking of going to Dr.Pat initially but not so sure now after hearing a series of "numbness" incidents which may be related to nerve damage Can more people who have done jaw shaving before offer some valuable feedbacks? I'm really at a loss now... Have been researching but the infos dedrived from the net can be contradicting, ambiguous & vague. Sighs. And I need more assurance before I can muster ample confidence to proceed on with the surgery.

Factors that are holding me back:
1) Complications involved
2) Intensity of pain
3) Budget

I dont mind if a longer recovery time is needed provided the end result is satisfactory. Hoping to have a one time surgery w/o revision as it's very cumbersome to fly to and fro to a foreign country. (Need to book air tickets. settle accomodation. etc...)

Anyone know who are the doctors who offer free revision if result didnt turn out as expected? I guess I would be more assured then... and dont mind paying a little more for "insurance"... lols.

By the way, is it safe to travel alone to Thailand? I want to be discreet abt my surgery yet paranoid of travelling alone. Any suggestions?

I heard of Dr.Pat doing jaw surgery, how abt zygomatic surgery and thigh liposuction? Anyone can share? I cant find these services listed in his website but seem to have heard of him performing the above mentioned surgeries before, thus want to clarify.

Most imptly, is this Dr Pat experienced in jaw surgery as in better than other surgeons, mediocre or below average?

Appreciate all assistance, feedbacks, suggestions:D

Hi im sorry i can help much on Dr Pat, but i do have have info about the numbness issue.

It's normal to feel numb! Some it will go away in 6 mths, most recover in 1 yr. Some take longer...Permanent numbness is uncommon if done by an experienced doctor.

How do i know? I read so much feedbacks on the Taiwan fashionguide forum..most of their cases, the numb goes away in/within a year.

So you have to be prepared for it. My friend feels it, but she says it doesnt really bother her, knowing it will go away. Dr Chuang says the % is very very low (for him).

Hope this helps!

[mondayhue]

Hi again,
thanks to everyone who have given some feedbacks.
Jawful- how much did you pay for your surgery then?
I'm relieved to hear that Dr.Pat is generally nice & offers free revision

dimensionspectrum- I heard of Dr. Chuang before. Does he specialize in jaw contour surgery? what's his price range?

Another reason why I choose Thailand is due to it is by far the nearest country which is renowned for surgeries to Singapore.

Anyone here contemplating on having jaw or any facial contour surgeries done too?

[dimensionspectrum]

Hi again,
thanks to everyone who have given some feedbacks.
Jawful- how much did you pay for your surgery then?
I'm relieved to hear that Dr.Pat is generally nice & offers free revision

dimensionspectrum- I heard of Dr. Chuang before. Does he specialize in jaw contour surgery? what's his price range?

Another reason why I choose Thailand is due to it is by far the nearest country which is renowned for surgeries to Singapore.

Anyone here contemplating on having jaw or any facial contour surgeries done too?

HI mondayhue,

i posted the charges of 4 doctors (who does face reshaping) in the surgeries in Taiwan thread.
You can go there and take a look!

[mondayhue]

Hi dimensionspectrum,
I have checked the rates provided by you at the taiwan thread. I emailed to dr tsai to inquire more abt the procedures and he replied back to request some face profile pictures in order to advise me further and when I was abt to reply back with some pictures attached, the email bounced back thrice... hmm... is there any alternative email of dr tsai?

[dimensionspectrum]

Hi dimensionspectrum,
I have checked the rates provided by you at the taiwan thread. I emailed to dr tsai to inquire more abt the procedures and he replied back to request some face profile pictures in order to advise me further and when I was abt to reply back with some pictures attached, the email bounced back thrice... hmm... is there any alternative email of dr tsai?

Hi..the only one i have is tsai@miniface.com...
He replied you so fast?
He usually take 1-2weeks(or more) to reply me..
Mayb he didnt have time to read his emails and his mailbox is full?
Perhaps you shd try again..

[cupcakez]

I'm thinking of going to Korea to see Dr Park in May/June. Kalyn, how was Youngdong hotel? Did you have to be in bandage for long time? How long did you stay in Korea?

[boii18]

Dr charan is I think one of the best craniofacial surgeons in thailand and possibly the world. He still does alot reconstructive case, so it goes to show that his expertise is unparalleled compared to the korean and taiwan cosmetic surgeons who perform much simpler cases without need for wire fixation, distraction osteogenesis and all those complicated surgical maneovres.

To clear up some confusion on cheekbone surgery methods :

1) coronal method - i think is incision below the eyes, is a very very old mtd, nvr used by surgeons..

2) scalp incision , intra-oral incision - used by dr kim and other surgeons, supposedly better to reduce facial nerve damage. but still a very old technique, possibly refined by koreans? is some sort of craniotomy? seems incredibly invasive!

3) sideburn (preauricular) and intra-oral - relatively newer technique , used by dr park ( 3mm side-burn stab incision - could be endoscopic surgery?? ) , dr pat ( 1 cm incision ) , dr chuang ( 0.5-1.0 cm incision ) . some surgeons claim that this avoid nerve damage? but no, from what i know dr pat no longer perform this method ( sideburn incision ) in fact he doesnt do cheekbone reduction nowadays because it cause nerve damage. he also explain to me in detail where the motor nerve is and why it can be affected

4) intra-oral approach (whhich owns them all): http://www.ncbi.nlm.nih.gov/pubmed/12925859
new approach invented by charan in late 1990s ; i suspect could be the a technique used in thailand. i believe there is an older less refined intra-oral method and the most effective method is pioneered by charan and Rojvachiranonda N. so safest to go to the pioneer.

"Mahatumarat C, Rojvachiranonda N.

Chulalongkorn Craniofacial Center, Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, Thailand. Charan.M@Chula.ac.th

BACKGROUND: The concept of Eastern facial beauty is different from that of the Western. Prominent malar bones are perceived as unattractive by Easterners, including the Thai. Many techniques for malar reduction, such as chiseling or burring of the zygomatic body, are ineffective in reducing facial width. At present, the concept of medial movement of the zygomatic body is accepted as the treatment of choice. However, all current approaches leave some external facial scars, usually at the preauricular area. OBJECTIVE: A new, effective, and simple technique for reduction malarplasty that leaves no external scars is described here by the authors. METHOD: The technique consists of a purely intraoral approach to remove a segment of anterior zygomatic body, to create a greenstick fracture at each zygomatic arch, and to medially mobile the zygomatic body, which is then fixed by wiring at the end. RESULTS: All eight patients who underwent this surgical procedure have satisfactory results without complications after one to six years of follow-up. CONCLUSION: This technique represents another step of improvement in cosmetic craniofacial surgery to reduce both anterior and lateral projections of the malar eminences for better facial harmony."


OWNED

"Dear Chris;

From your photos I think , you may get the following surgery;

1. Cheek bone reduction , by Malar bone "Osteotomy and invert shift " and contouring, intra Oral approach , no skin incision , means no scar , under GA - cost about U.S.$ 3,000

2. Mandible , I don't think you should have reduction but in reverse , I think you should get "Chin Augmentation" instead.
cost about U.S.$ 1,000 under LA
3. Upper Eyelid surgery -under LA cost abut U.S. $ 750

I need to see the X-Ray of Cephalogram of Face and skull and also Submento-vertex view .

Best Regards

Dr Charan"

[boii18]

Dr charan is I think one of the best craniofacial surgeons in thailand and possibly the world. He still does alot reconstructive case, so it goes to show that his expertise is unparalleled compared to the korean and taiwan cosmetic surgeons who perform much simpler cases without need for wire fixation, distraction osteogenesis and all those complicated surgical maneovres.

To clear up some confusion on cheekbone surgery methods :

1) coronal method - i think is incision below the eyes, is a very very old mtd, nvr used by surgeons..

2) scalp incision , intra-oral incision - used by dr kim and other surgeons, supposedly better to reduce facial nerve damage. but still a very old technique, possibly refined by koreans? is some sort of craniotomy? seems incredibly invasive!

3) sideburn (preauricular) and intra-oral - newer technique , used by dr park ( 3mm side-burn stab incision - could be endoscopic surgery?? ) , dr pat ( 1 cm incision ) , dr chuang ( 0.5-1.0 cm incision ) . some surgeons claim that this avoid nerve damage? but no, from what i know dr pat no longer perform this method ( sideburn incision ) in fact he doesnt do cheekbone reduction nowadays because it cause nerve damage. he also explain to me in detail where the motor nerve is and why it can be affected.. written by dr park et al :
http://www.ncbi.nlm.nih.gov/pubmed/1673 ... rom=pubmed

4) intra-oral approach (whhich owns them all): http://www.ncbi.nlm.nih.gov/pubmed/12925859 <- written by charan
new approach invented by charan in late 1990s ; i suspect could be the a technique used in thailand. i believe there is an older less refined intra-oral method and the most effective method is pioneered by charan and Rojvachiranonda N. so safest to go to the pioneer.

"Mahatumarat C, Rojvachiranonda N.

Chulalongkorn Craniofacial Center, Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, Thailand. Charan.M@Chula.ac.th

BACKGROUND: The concept of Eastern facial beauty is different from that of the Western. Prominent malar bones are perceived as unattractive by Easterners, including the Thai. Many techniques for malar reduction, such as chiseling or burring of the zygomatic body, are ineffective in reducing facial width. At present, the concept of medial movement of the zygomatic body is accepted as the treatment of choice. However, all current approaches leave some external facial scars, usually at the preauricular area. OBJECTIVE: A new, effective, and simple technique for reduction malarplasty that leaves no external scars is described here by the authors. METHOD: The technique consists of a purely intraoral approach to remove a segment of anterior zygomatic body, to create a greenstick fracture at each zygomatic arch, and to medially mobile the zygomatic body, which is then fixed by wiring at the end. RESULTS: All eight patients who underwent this surgical procedure have satisfactory results without complications after one to six years of follow-up. CONCLUSION: This technique represents another step of improvement in cosmetic craniofacial surgery to reduce both anterior and lateral projections of the malar eminences for better facial harmony."


OWNED

"Dear Chris;

From your photos I think , you may get the following surgery;

1. Cheek bone reduction , by Malar bone "Osteotomy and invert shift " and contouring, intra Oral approach , no skin incision , means no scar , under GA - cost about U.S.$ 3,000

2. Mandible , I don't think you should have reduction but in reverse , I think you should get "Chin Augmentation" instead.
cost about U.S.$ 1,000 under LA
3. Upper Eyelid surgery -under LA cost abut U.S. $ 750

I need to see the X-Ray of Cephalogram of Face and skull and also Submento-vertex view .

Best Regards

Dr Charan"

list of articles charan has wrote on pubmed:
http://www.ncbi.nlm.nih.gov/pubmed/1673 ... rom=pubmed

do note that totally intra-oral method is being researched by dr park too in 2006 ( most recent ) ; possible charan invent it first
http://www.ncbi.nlm.nih.gov/pubmed/1249 ... rom=pubmed

[mondayhue]

Wondering is there anyone who is considering to go to thailand for cosmetic surgery in like 2 yrs time... maybe can go tgt... as much as I wanted to go alone, the idea of having surgery alone in a foreign country just freak me out... perhaps I didnt even have any experience to begin with...

[prido]

hi.. im just wondering if there's any good doctor that's good at performing face contouring job. im not sure if this is the right term
i want to change my square jaw to those sharper kind. and my cheeks are kinda chubby. wanna make them slimmer.. any recommendations..?

im most probably doing before june this year. anyone wants to join me..?

[prido]

I have read some websites and they say the extra-oral incision is better than intra-oral due to

1) ability to re-shape the jaw bone instead of just filing . that means able to change the angle to make it more female and defined.

2) more effective

3) less risky

4) shorter recovery time

this is in total opposition to what Dr Chuang of wishclinic.tw says. Perhaps Dr chuang was referring to a special extra-oral technique developed by korean surgeons. But the normal intral-oral approach by USA or watever doesnt produce as goood a result as the extra-oral

hello.. just wondering is jaw reshaping changing the shape of the jaw..?
im thinking of getting a more feminine jawline instead of my square jaw..

is the effect obvious..? i dont wanna look as if i have done nothing to it..
my cheeks are a little chubby too.. will just jaw reshaping correct the problem too..??
\
im really confused whether to go for face re-shaping or BOTOX. botox obviously have less complications but im not sure if it will work for me..

can someone enlighten me pplss ^^

[youngrace]

boii18, thanks for the info! would you happen to know dr charan's e-mail addy? and how much does he charge for jaw reduction? thanks again!

[dimensionspectrum]

boii18, thanks for the info! would you happen to know dr charan's e-mail addy? and how much does he charge for jaw reduction? thanks again!

youngrace,

Dr Charan charges USD$3000 for jaw reduction!
I emailed him to ask him...
Same price as what boii18 told me. So must be standard price.

[monkey-banana]

I have done jaw shaving with Dr Pat, not too bad and didn't hurt much. From the second day it does not hurt at all, only the bandage is uncomfortable. I haven't seen my face because of the bandage so can't comment on the result. He said extra oral method would be more efficient, less pain, cheaper, but I'm a bit worried about the scars. Apart from that everything is fine, the staffs are nice and helpful.

heyy Dr Pat from where?
haha do u suffer any side effect?

[monkey-banana]

hi.. im just wondering if there's any good doctor that's good at performing face contouring job. im not sure if this is the right term
i want to change my square jaw to those sharper kind. and my cheeks are kinda chubby. wanna make them slimmer.. any recommendations..?

im most probably doing before june this year. anyone wants to join me..?

i have alot of fats on my cheeks. :/ im thinking of what to do.