Tokai Clinic (Thailand)

[incamaiden]

Hi,

I need some serious advice from anyone who might have had the same experience as me.

I had my jaw shaving done at Tokai clinic. Still slightly swollen as expected. BUT, my lower lip has been numb for the past 2 weeks plus already making my smile look unbalanced. I couldn't wait around and do nothing and decided to check on it. A PS is suggesting that I have surgery done to try and repair the nerve even though this kind of surgery does not give very good chance or recovery. From the tests done, he's quite sure that the nerve has been cut during my jaw shaving surgery at Tokai.

I'm worried that my nerve damage is really permanent and surgery to repair it seem to be the only option.

Can anyone advice me?!?!

Thats terrible... I think you should go for the surgery. Your nerve is most likely cut through. ( Trigeminal nerve? ). He resected alot?

i think its the marginal mandibular nerve, that controls the movement in that area. PS say that area can still feel sensation but cannot move, cos only the motor nerve is damage but the feeling nerve is still ok... what do u mean by resected alot?

[boii18]

Means did he cut alot of bone out?

http://en.wikipedia.org/wiki/File:Gray7 ... eminal.png

[incamaiden]

Means did he cut alot of bone out?

http://en.wikipedia.org/wiki/File:Gray7 ... eminal.png

Hi,

no he didn't cut out a lot. And yah, the marginal mandibular nerve is part of the trigeminal nerve at the lower end of the jaw, controlling the motor movement of the lower lip and chin. Once the numbness goes away, I'll be able to feel sensation in the area, but I won't be able to move that area, as only the motor nerve is damaged.

I just want to know if there's anyone with similar symptoms and what they did with it. Dr Pat is a little surprised too but I'm not sure what to do.

And, with nerve damage, the PS say its best to have a surgery asap to TRY and repair it. (Not very sure will be able to repair or not), but Dr Pat seems to suggest waiting, as he's confident that it'll be alright after a while. But then again, even if the nerve is damage, by passing electric current through it, it should still cause movement in the lower lip and chin area. Which unfortunately did not move when the local PS did some tests on it. Meaning that its a high chance that the nerve is already damaged. Local PS says only a full hospital with a very strong surgical microscope will be able to see the nerve, and Dr Pat might have severed the nerve without even he realising it.

sad...

[incamaiden]

Hi,

I need some serious advice from anyone who might have had the same experience as me.

I had my jaw shaving done at Tokai clinic. Still slightly swollen as expected. BUT, my lower lip has been numb for the past 2 weeks plus already making my smile look unbalanced. I couldn't wait around and do nothing and decided to check on it. A PS is suggesting that I have surgery done to try and repair the nerve even though this kind of surgery does not give very good chance or recovery. From the tests done, he's quite sure that the nerve has been cut during my jaw shaving surgery at Tokai.

I'm worried that my nerve damage is really permanent and surgery to repair it seem to be the only option.

Can anyone advice me?!?!

i did my jaw implants with tokai, my lower lips were also numb for quite a while. i did reflect this to Dr Pat, and told him i was concerned my nerve may be damaged. he told me he did from inside my mouth along my gums, so there is no reason why it shld damage the nerve at the lip. just had to take his word for it and wait

it got better as time went by and right side got back feeling after few weeks. few months later, the feeling came back to the left side as well. cld have been due to microscopic swelling, maybe wait a while more and see? did he do from inside as well for u?

Hi, thanks for the response. Mine was done from the inside though he did mention that there was a lot of bleeding. Check with you, when your right side recovered do you see yourself having a lopsided smile? Mine was jaw shaving, so not sure if how similar it would be to your implants. Did you went to any other PS to check on the numbness as you waited for them to recover on their own? I'm hoping that its only temporary due to the swelling, but the other PS that I talked to was saying that the longer i wait, the harder it might be to repair the damaged nerve. And he did do some nerve testing on my lip area which did not response even when a high current was passed through, which he said even if nerve is damaged they should still be able to respond involuntarily just that on our own we cant really control that part until the numbness goes away.

Hi AADVARK,

just want to check with you. When you had the numbness for quite some time were you still able to smile properly? Meaning, were you still able to move the lower lip and chin area on your own even if you couldn't really feel anything there?

Cos i know numbness might take some time to go away, but im more concerned about the ability to move that area.

and did you see any other doctor regarding the nerve condition previously?

appreciate your feedback. thanks.

[Maverick21]

Day 6 of my post op later will be heading down to Bangmod for removal of stitches though Doc said he is using dissolvable sutures but I still want to remove them.... Do not want to be seen in Singapore with the stitches on my nose hehe....

Nose is getting smaller by the day but there is still some swelling guess it will get better only....My friend have to keep assuring me it looks normal and natural haha...As for cheeks getting better too but still some residual swelling...

[walkthewalk]

Hi all, I am new to posting but i have been following the forum and i think its great. You are all so helpful Aadvark you are a saint with the advice you give and are a credit to the forum. My question Aadvark is did you have facial lipo as well as buccal fat pad removal with DR Pat.

[boii18]

Means did he cut alot of bone out?

http://en.wikipedia.org/wiki/File:Gray7 ... eminal.png

Hi,

no he didn't cut out a lot. And yah, the marginal mandibular nerve is part of the trigeminal nerve at the lower end of the jaw, controlling the motor movement of the lower lip and chin. Once the numbness goes away, I'll be able to feel sensation in the area, but I won't be able to move that area, as only the motor nerve is damaged.

I just want to know if there's anyone with similar symptoms and what they did with it. Dr Pat is a little surprised too but I'm not sure what to do.

And, with nerve damage, the PS say its best to have a surgery asap to TRY and repair it. (Not very sure will be able to repair or not), but Dr Pat seems to suggest waiting, as he's confident that it'll be alright after a while. But then again, even if the nerve is damage, by passing electric current through it, it should still cause movement in the lower lip and chin area. Which unfortunately did not move when the local PS did some tests on it. Meaning that its a high chance that the nerve is already damaged. Local PS says only a full hospital with a very strong surgical microscope will be able to see the nerve, and Dr Pat might have severed the nerve without even he realising it.

sad...

I think in that case you better have the surgery? Where did you have the tests done? Are they subsidised?

[aadvark]

Means did he cut alot of bone out?

http://en.wikipedia.org/wiki/File:Gray7 ... eminal.png

Hi,

no he didn't cut out a lot. And yah, the marginal mandibular nerve is part of the trigeminal nerve at the lower end of the jaw, controlling the motor movement of the lower lip and chin. Once the numbness goes away, I'll be able to feel sensation in the area, but I won't be able to move that area, as only the motor nerve is damaged.

I just want to know if there's anyone with similar symptoms and what they did with it. Dr Pat is a little surprised too but I'm not sure what to do.

And, with nerve damage, the PS say its best to have a surgery asap to TRY and repair it. (Not very sure will be able to repair or not), but Dr Pat seems to suggest waiting, as he's confident that it'll be alright after a while. But then again, even if the nerve is damage, by passing electric current through it, it should still cause movement in the lower lip and chin area. Which unfortunately did not move when the local PS did some tests on it. Meaning that its a high chance that the nerve is already damaged. Local PS says only a full hospital with a very strong surgical microscope will be able to see the nerve, and Dr Pat might have severed the nerve without even he realising it.

sad...

I think in that case you better have the surgery? Where did you have the tests done? Are they subsidised?

think u shld get it done if really damaged, and also a 2nd opinion with another PS. u never noe whether these PS will ask u do op just for the money, so just in case...

[aadvark]

i did my jaw implants with tokai, my lower lips were also numb for quite a while. i did reflect this to Dr Pat, and told him i was concerned my nerve may be damaged. he told me he did from inside my mouth along my gums, so there is no reason why it shld damage the nerve at the lip. just had to take his word for it and wait

it got better as time went by and right side got back feeling after few weeks. few months later, the feeling came back to the left side as well. cld have been due to microscopic swelling, maybe wait a while more and see? did he do from inside as well for u?

Hi, thanks for the response. Mine was done from the inside though he did mention that there was a lot of bleeding. Check with you, when your right side recovered do you see yourself having a lopsided smile? Mine was jaw shaving, so not sure if how similar it would be to your implants. Did you went to any other PS to check on the numbness as you waited for them to recover on their own? I'm hoping that its only temporary due to the swelling, but the other PS that I talked to was saying that the longer i wait, the harder it might be to repair the damaged nerve. And he did do some nerve testing on my lip area which did not response even when a high current was passed through, which he said even if nerve is damaged they should still be able to respond involuntarily just that on our own we cant really control that part until the numbness goes away.

Hi AADVARK,

just want to check with you. When you had the numbness for quite some time were you still able to smile properly? Meaning, were you still able to move the lower lip and chin area on your own even if you couldn't really feel anything there?

Cos i know numbness might take some time to go away, but im more concerned about the ability to move that area.

and did you see any other doctor regarding the nerve condition previously?

appreciate your feedback. thanks.

yes was still able to move the area, just couldn't really feel the area, so even if i have sauce all over the area, i also wouldn't noe

[aadvark]

Hi all, I am new to posting but i have been following the forum and i think its great. You are all so helpful Aadvark you are a saint with the advice you give and are a credit to the forum. My question Aadvark is did you have facial lipo as well as buccal fat pad removal with DR Pat.

thanks, but i'm not the only one in here, everyone is sharing really generously and making fantastic recommendations, kudos to everyone!

yup, first trip to dr pat, did cheek lipo and under-chin lipo
2nd trip did buccal fat pad removal and jaw implants. recent third trip revised my chin implant

[takuda]

aadvark, was ur cheek and underchin lipo good? like is it just satisfactory(with an improvement) or is it like damn good? wad kind of lipo was it? laser/vaser/traditional?

and i also see tht ure interested in forehead augmentation. do share ur research with us..for a start, i shall begin..basically, we can use silicon, our own fat or medpor(which is more rare). Silicon, i guess everyone knows about the pros/cons, and also autologous fats. Apparently, i've asked dr pat about fat graft to forehead and his reply was ''he has done fat graft for 20 years but to forehead has been unsuccessful'' which is contrary to TW docs like dr chuang, who does fat graft to forehead successfully. he is also one of the few who does medpor if i'm not wrong. but for cost wise, dr chuang's fat graft is a bit steep. it's like you pay by no. of sessions(not a one time off thing) and it depends on whether you need to ''refill'' the fats ie dependent on how much has been absorbed..an implant on the other hand gives the results immediately and is a one time off thing..aadvark do share your research with us..am also interested..

[cersepn]

wtf? do forehead augmentation for what?

[aadvark]

wtf? do forehead augmentation for what?

lol, becos most ppl have a pretty filled out forehead. mine slopes at a very steep degree from my eyebrow to my hairline. my female frens were the ones who pointed this out to me. after noticing mosts celebs, i realised it's true, u need a filled out forehead to look better. most ppl dun have this problem, so it wld seem a little alien

[baybiblu]

Hi everyone. I consulted Dr. Pat a few months ago and he told me that my nose has a slight deviation and bends slightly to the right. He told me that he'll be able to straighten the nose bridge for about US$1000 which is only a fraction of the price that the other doctors quoted me.

May I know if anyone has done this procedure with him before and how was the outcome? Upon asking him, he told me that he's not an ENT and not an American & Thai board certified plastic surgeon either and it worries me a little in that aspect.

So far, the photos that Dr. Pat showed me of his nose work are of those who are modifying their nose tip and those who have a curve nose (have a hump on the nose) and it looks pretty good. Unfortunately it's not the nose surgery which he suggested to me.

Thanks in advance

[baybiblu]

aadvark, was ur cheek and underchin lipo good? like is it just satisfactory(with an improvement) or is it like damn good? wad kind of lipo was it? laser/vaser/traditional?

and i also see tht ure interested in forehead augmentation. do share ur research with us..for a start, i shall begin..basically, we can use silicon, our own fat or medpor(which is more rare). Silicon, i guess everyone knows about the pros/cons, and also autologous fats. Apparently, i've asked dr pat about fat graft to forehead and his reply was ''he has done fat graft for 20 years but to forehead has been unsuccessful'' which is contrary to TW docs like dr chuang, who does fat graft to forehead successfully. he is also one of the few who does medpor if i'm not wrong. but for cost wise, dr chuang's fat graft is a bit steep. it's like you pay by no. of sessions(not a one time off thing) and it depends on whether you need to ''refill'' the fats ie dependent on how much has been absorbed..an implant on the other hand gives the results immediately and is a one time off thing..aadvark do share your research with us..am also interested..

Hi Takuda. Some time ago, I was looking into having forehead implants to have a more rounded and prominent forehead (something like what Dawn was rumored to have undergone) and was told by many doctors that each round of fat grafting would usually retain about 20-30% of fats (the rest would be reabsorbed by the body). This would result in quite a few rounds of grafting to get the desired permanent effect.

The doctors suggested either using bone cement (not sure what this consists of) or using silicon implants to augment the forehead. However, I noticed that the bone cement costs more than double the costs for silicon forehead implants. Do you know why this is so? Do you know of the pros and cons of silicon forehead implants and bone cement for forehead augmentation?

I can't seem to find much information about this on the internet...