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Who are the the best sliding genioplasty doctors?

Re: Who are the the best sliding genioplasty doctors?

Postby tolj » Sat Mar 28, 2015 7:25 am

Hi Acool!

Thanks so much for the in depth response! Super helpful. I am very interested in getting this done but I am trying to find a surgeon/doctor that has this and believes in it. Are you going to Steinbacher for your digital result ? How did you find a place that would do this sort of simulation for you?

I would love to have this done but i am not sure where to start to have it made.

Thanks so much again!! I am emailed Posnick my photos etc but I haven't heard back... any thoughts? How long did it take for him to get back to you?
tolj
 
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Re: Who are the the best sliding genioplasty doctors?

Postby acool6401 » Sat Mar 28, 2015 1:47 pm

Dr Steinbacher is in New Haven Connecticut so while I would not rule out a visit to him (I have actually emailed him and he replied)... There are many others with this software more local to me in NYC area. Many orthodontists use this software in their facial predictions for corresponding teeth alignments but I figure a maxilliofacial surgeon that uses this software would likely know more about moving the chin bone (horizontally and/or vertically) within the software in order to get a soft tissue prediction.

For all we know, both types of doctors probably know how to do it well but I am just speculating since an orthodontist is not normally trained in the dynamics of a sliding genioplasty. I did find one max surgeon in NYC that says he will do it for $500 out of pocket but that its possible to have it covered by insurance. I'm still shopping around for a better price in case insurance refuses to cover it. Just go into google and type into the search...."3D cone beam imaging" and the name of your town or region and/or "maxilliofacial" You should get back some decent returns for those search terms. Good luck. I've been trying to get an appointment with Dr Posnick for a long time but I prefer not to elaborate on this in public. Lets just say I was strategic and it was finally successful in securing that appointment.
:-)... he replied within a couple days after that move. Coincidence? lucky? I don't know but who cares now that I have actually visited him.
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Re: Who are the the best sliding genioplasty doctors?

Postby ellyb » Mon Mar 30, 2015 6:00 pm

Does anyone have any information on Dr. Wittenberg in Vancouver, BC. I notice he was mentioned previously in this form as being a surgeon to consider for sliding genioplasty, but I have also seen some negative reports on another form. Thoughts/experience/knowledge anyone?
ellyb
 
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Re: Who are the the best sliding genioplasty doctors?

Postby tolj » Tue Mar 31, 2015 9:26 am

Wittenberg has great results on his website. He also has some lawsuits against him. I have also read bad reviews on some forums/yelp etc. I also contacted their office and did not hear back/was not very professional. BUT his website results look good keep in mind that most are not just SG but SG + other implants/surgeries.
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Re: Who are the the best sliding genioplasty doctors?

Postby ellyb » Wed Apr 01, 2015 4:48 pm

Thanks for the reply tolj.
Are you in the Vancouver area and if so have you done any research or have you had any experience with any other surgeons in the area that perform this surgery. If so are there any that you would recommend?
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Re: Who are the the best sliding genioplasty doctors?

Postby ru_mx » Tue Apr 14, 2015 11:37 pm

Hi Acool,
Your posts are very interesting, thank you for sharing. You are right about taking your time choosing a surgeon, getting as many opinions as you can from reputable surgeons and being cautious. I had a botched SG, I was left with asymmetry, long face, chin ptosis, unevenness, hyperactive mentalis, step offs and permanent nerve damage, almost every existing SG complication. The doctor who did my surgery is theory “reputable”, he’s published papers, he’s written chapters for books, he gives conferences, he is also university affiliated, but he messed up so bad, that your post got me thinking… probably a case of ghost surgery.
How are you doing on your search? Have you taken a decision?
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Re: Who are the the best sliding genioplasty doctors?

Postby acool6401 » Sun May 10, 2015 8:53 pm

Hi ru_mx,

I'm really sorry to hear about your SG nightmare. That kind of result is exactly the kind of thing that
makes me and others hesitant about SG. It can literally keep you up at night tossing and turning as you debate the pros and cons of SG and struggle with the decision to trust the SG surgeon. The decision to have surgery is so hard to make in the first place. You have to really trust the surgeon you ultimately choose and its not always so easy to do that...especially if you have been botched in the past and spent a fortune to get it fixed.... I did!

These days I often go back and forth between thinking about the custom implant route and the SG route. I have even looked into something called distraction osteogenesis but not sure if they routinely use that method to extend the chin forward and down.
Though Dr Posnick stated that I have a mild "short face syndrome" and in his aesthetic opinion...I actually need more vertical increase than horizontal increase. No other surgeon I consulted said I needed vertical increase so now I feel totally confused! Dr Posnick stated 3mm to 4mm on the horizontal but about 4mm to 6mm on the vertical. He does not use software but I want to use a software that can receive those inputs and show me how I will look from all possible angles.

Something like this software is what I am seeking because I must know how I will look for a specific movement in millimeters before committing to actual surgery.

https://www.youtube.com/watch?v=SLXFx8asYiA

I am really scared to death of "university affiliated" surgeons. In my mind the words "University Affiliated" is strongly associated with the words "Ghost Surgeries" I can't separate those two terms in my mind and your story only compounds my fear of university affiliated surgeons even more.

It basically means you pay all that money intended for a highly reputable surgeon...only to have some rookie straight out of medical school mess around with YOUR face and get his training at your expense!. Later that night the rookie is invited to a nice dinner with the surgeon and his wife whereby he thanks him profusely for giving him a shot at surgery on YOUR face! They all raise their wine glasses to toast the budding new surgeon while you suffer the consequences of his botched surgery. Of course they will never reveal that to you and probably hide the procedures he performed from the records....though the operation report should state who was in the operating room with the surgeon at the time he "supposedly" operated on you.

The basic logic and rule of thumb I would subscribe to is.... If the results are not on par with the quality and precision expected of the highly reputable surgeon you chose.... then.... you have to wonder if you were actually a live guinea pig for some hopeful and aspiring rookie. Could you please tell me the name of the surgeon who botched you and send it to me in a PM?... I would highly appreciate this because we all need to stick together and protect each other from such surgeons.

Most surgeons will claim that the fellows or students only assist them but you have to wonder what they mean by the word "assist" Do they mean... hand the instruments over to them and let them cut here or there?... Or....do they really mean the student performs some critical aspect of the surgery that has the potential to make or break your surgery if not properly done? Have you ever consulted with Dr Posnick or any other surgeon about a revision to correct all your complications?
I really feel for you and my heart goes out to you in this difficult time... I sincerely hope that you find resolution.
acool6401
 
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Re: Who are the the best sliding genioplasty doctors?

Postby ru_mx » Fri May 22, 2015 3:27 pm

Hi Acool, I sent you a PM.
ru_mx
 
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Re: Who are the the best sliding genioplasty doctors?

Postby acool6401 » Mon May 25, 2015 12:13 pm

The other thought thats been floating around in my mind lately is that in order to insure a smooth and harmonious flow from the chin to the jawline...I may need some kind of custom extended anatomical jaw implant that not only defines a better angle (given the new chin) but extends to the area where the SG would likely create a step off. Assuming that my jaw-line is more or less already in good proportions with the chin (notwithstanding the horizontal deficiency).... There must in fact be some point whereby the whole jaw-line needs more vertical height in order to keep pace with the vertical chin movement otherwise things may begin to look out of place. I guess I can always do the SG first and then determine if any other surgery is needed to make the whole chin-jawline more natural and harmonious in flow.
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Re: Who are the the best sliding genioplasty doctors?

Postby ranger2008 » Tue Sep 01, 2015 10:26 am

@acool6401 - I am also very interested in an SG, and am local to DC. I'd love to get an appointment with Dr. Posnick, but haven't been successful. Is there any chance you could PM with your tactic that made you successful in getting an appointment? I would really, really appreciate your help. Thank you for all of the other info you've posted thus far, it's been invaluable!
ranger2008
 
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Re: Who are the the best sliding genioplasty doctors?

Postby jamamb » Mon Aug 22, 2016 2:37 pm

Late response, but I notice someone asked about Wittenberg. I had a sliding genio with him and it left my chin misshapen, with the tissue drooping off the bone and creating a very unpleasant look (and he quoted me at between $5500-$8800k for an 'unpredictable' revision). I have posted photos in a thread I started about revising this.
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Re: Who are the the best sliding genioplasty doctors?

Postby laudorn » Thu Aug 02, 2018 9:26 pm

Before you have your sliding genioplasty, know the long term consequences:

https://youtu.be/KuSdVYDCgwc
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