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Double jaw surgery. Case # 73: Pablo - Class 2, Biretrusion, overbite, short face

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  • Опубликовано: 14 дек 2020
  • Pablo underwent a double jaw surgery in our Center one year ago. In the video, he highlights the importance of being patient to see your results, as he didn't like his face at first, but now he couldn't be happier.

Комментарии • 198

  • @jannellecruz4624
    @jannellecruz4624 3 года назад +27

    Such a well designed surgery with a fantastic outcome!

  • @christosrizos461
    @christosrizos461 3 года назад +19

    I had sarpe surgery at the same Surgeon 3 months ago. now braces and I hope in 6 to 8 months my jaw surgery. I have similar situation like the young man here. hope to have the same results. The surgeon is TOP!

  • @justgeniusgeertthings8614
    @justgeniusgeertthings8614 3 года назад +84

    I had my surgery 5 days ago, I must agree that especially the first days of post-op are very physically and mentally demanding. It's getting better tho, I can pretty much do everything except eat/speak properly. This man's results are wild. I hope to have similar results in the end.

    • @WTI00
      @WTI00 3 года назад +1

      what are the chances of never regaining feeling in your chin area?

    • @justgeniusgeertthings8614
      @justgeniusgeertthings8614 3 года назад +3

      @@WTI00 In this article that I found (www.med.umich.edu/1libr/PedSurgery/PedOralSurgery/OrthognathicSurgery-Peds.pdf) it says that it's 10%, but it also depends on your country I think. Belgium is known to have very capable surgeons. Personally, it just feels numb atm. My doctor says that since I can still feel it, it should recover over time, so i don't think i'll have permanent damage.

    • @WTI00
      @WTI00 3 года назад +1

      @@justgeniusgeertthings8614 and what about bone relapse?

    • @justgeniusgeertthings8614
      @justgeniusgeertthings8614 3 года назад

      @@WTI00 I think some form of bone relapse is inevitable. However, I think it'll be very limited. I need to wear tight elastics now to make sure i don't relapse. I'll probably still relapse a tiny bit, but I think it'll be neglible.

    • @WTI00
      @WTI00 3 года назад +1

      @@justgeniusgeertthings8614 ​ why does it happen though? i thought since new bone forms then there wouldn't be any relapse. also what about the titanium plates? wouldn't they prevent relapse as well

  • @devnicole8989
    @devnicole8989 3 года назад +41

    I need this, I know healing will be tuff

    • @jn6711
      @jn6711 3 года назад +10

      I had my surgery 3 weeks ago and it's worth it!!

    • @devnicole8989
      @devnicole8989 3 года назад +4

      @@jn6711 that’s wonderful, happy healing !

    • @johndeo107
      @johndeo107 3 года назад +5

      @@jn6711 how much?

    • @savannah7084
      @savannah7084 3 года назад +1

      Same sis

    • @JohnyHotProductions
      @JohnyHotProductions 2 года назад

      hello is the numbness gone and how long did it take?thanks!

  • @Chewligan1
    @Chewligan1 15 дней назад

    These amazing transformations change boys into men. Very impressive.

  • @fantasyCLOOB
    @fantasyCLOOB 3 года назад +11

    Pues supongo que es comprensible al principio no estar seguro, pero el resultado es impresionante

  • @syasyaishavingfun
    @syasyaishavingfun 2 года назад +51

    Dang he goes from 12 to 32.

    • @ArCC.
      @ArCC. 2 года назад +4

      Exactly what i was thinking haha

    • @jazzya7383
      @jazzya7383 9 месяцев назад

      Yes I see it

  • @onee
    @onee Год назад +11

    His face went from teenager to adult.

  • @RS54321
    @RS54321 Год назад +1

    The main thing I noticed is that he now has his mouth open in the side-by-side photos, which isn't good. His lower and upper jaws could've come forward much more as he still has a very thin upper lip and flattened/longer face.

  • @beaconing7689
    @beaconing7689 3 года назад +17

    WoW this is life changer, i hope i can afford one in the near future

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  3 года назад +7

      We'll be happy to help whenever you're ready!

    • @johubify
      @johubify 2 года назад

      @@Maddixsmall i have an overbite:(
      I feel like underbites are better than overbite

    • @besapeposhi2008
      @besapeposhi2008 2 года назад

      @@InstitutoMaxilofacialBarcelonaHi its risky that surgery?

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  2 года назад +1

      @@besapeposhi2008 there are risks inherent to all surgeries, mainly related to anaesthetics. As for the specific risks to orthognathic surgery, there are risks associated to numbness, but in our 25 years of experience we have never had a patient with serious sequels related to the surgery.

    • @besapeposhi2008
      @besapeposhi2008 2 года назад

      😊 I wish everyone who does this operation to go everything well, because I am doing this too.

  • @albertoginelsalvador2172
    @albertoginelsalvador2172 3 года назад +8

    Entiendo que las secciones de la mandíbula inferior se fusionan debido a que comparten superficie debido al corte transversal (amarillo-azul). Pero, ¿y la mandíbula superior con el resto del cráneo? (blanco-verde) Seguramente no quede flotando, ¿Posicionáis algún material ahí? ¿Algún tipo de injerto? ¿Trabajáis con algún tipo de material impreso en 3D que luego el cuerpo transforma en hueso propio, tipo CT-Bone de Xilloc? Vuestro trabajo es impresionante.

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  3 года назад +1

      Muchas gracias Alberto, en todos los casos las osteotomías se fijan con placas de titanio, que son completamente biocompatibles. En casos donde hay gaps muy grandes, también se rellenan con materiales biocompatibles.

  • @KeenBulldozer
    @KeenBulldozer 3 дня назад

    I think he looks much better pre-op

  • @hellvon9573
    @hellvon9573 3 года назад +9

    Is there no way to get insurance coveres from a different country, 15k-40k is quite expensive if you dont live in barcelon

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  3 года назад +5

      Sometimes it is possible, you should check with your insurance company

    • @general4601
      @general4601 3 года назад

      How is it 40k? Wth? In Germany you pay like 8-10k

    • @hellvon9573
      @hellvon9573 3 года назад

      @@general4601 idk ask them why it's so expensive

    • @Bonita.Vampira_
      @Bonita.Vampira_ 3 года назад

      @@general4601 because amerikkka is more business when it comes to anything

    • @vladimirporo8653
      @vladimirporo8653 2 года назад +1

      @@general4601 In Germany on jaw upper/lower is 8-10k. If you sum up all costs around the surgery you end with 24 - 30 k. This is from an uniklinik (University + clinic). If you go to private surgeons it goes 30 - 50 k range. In a normal Spanish clinic it will be cheaper as well, but this surgeron here is private and can set his own prices. Capitalism. But as you see, he is doing just this surgery all day long, so you can be sure he got experience.

  • @conscienciadetraloxevil9467
    @conscienciadetraloxevil9467 3 месяца назад

    From the front profile pictures, I can tell that his midface ratio has increased past what I would consider ideal (this is the reason his appearance seems more "adult"). Basically, this is making his face seem elongated. Despite correcting his side profile, he lost too much harmony. Is there no way to avoid this when performing jaw surgery?

  • @vanidadesyrecuerdos
    @vanidadesyrecuerdos 3 года назад +5

    Perfect bro

  • @lukmaz507
    @lukmaz507 3 года назад +3

    How this kind of surgical approach can be stay for rest of his life ?

  • @noinfo7656
    @noinfo7656 3 года назад +8

    Excellent work! Do you have locations in the US?

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  3 года назад +1

      Good morning Reem, we're only located in Barcelona, but we can offer virtual consultation service if you are interested.

    • @TheNikkiLaFatale
      @TheNikkiLaFatale 3 года назад

      @@InstitutoMaxilofacialBarcelona how much would this be paying out of pocket. Just an estimate

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  3 года назад

      @@TheNikkiLaFatale Hello Nikki, in this article you have a range of prices for orthognathic surgery: www.institutomaxilofacial.com/en/2019/06/28/cuanto-cuesta-una-cirugia-ortognatica/

  • @bbb-th1vu
    @bbb-th1vu 10 месяцев назад

    How do they fill under the nose? Omg i had no idea this also can be done with jaw surgery. Like i know people like him and never ever thinked they have jaw issues. Just wowww

  • @cristoff3
    @cristoff3 3 года назад +5

    Superb. Are there any problems with eating or speaking after 6 months - 1 year?

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  3 года назад +3

      Many thanks! no that we know of

    • @cristoff3
      @cristoff3 3 года назад +1

      @@InstitutoMaxilofacialBarcelona ok. how to get in touch?

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  3 года назад

      @@cristoff3 Write to our International Coordinator at international@institutomaxilofacial.com

    • @justgeniusgeertthings8614
      @justgeniusgeertthings8614 3 года назад

      @@cristoff3 For some reason my comments are not getting through on my comment, so i'm commenting on this one. My surgeon was Dr. Loomans, together with Dr. Denis and Dr. Vandekeere. Dr. Loomans has a private clinic in Antwerp together with Dr. Koerber. This is the site of their clinic: www.face-ahead.com/ . I had jaw surgery mainly to fix my sleep apea, which you can find more information for here: www.face-ahead.com/behandelingen/kaakchirurgische-ingrepen/obstructief-slaapapneusyndroom . I am however quite sure that almost all surgeons in Antwerp are very capable. Where are you from if i may ask?

  • @El_dilemaxx
    @El_dilemaxx Год назад

    Yo tengo casi el mismo problema, clase 2 y cara corta y ancha y mi cuello se ve muy corto, con la cirugía es posible alargar la cara y además que el cuello se vea un poco más largo y proporcionado?

  • @irinat1242
    @irinat1242 Год назад +1

    Please give me address of the clinica and doctor name .Suffering for so many years . Okay hank you so much.

  • @rachg6787
    @rachg6787 3 года назад +1

    I have this too.

  • @blt537
    @blt537 3 года назад +7

    when lowering the upper jaw what did you use to fill the gap?

  • @kanalprobny1927
    @kanalprobny1927 Год назад +2

    He cant close his mouth now. Look 1:24
    When you lengthen the mouth, the volume of skin and lips stays the same, therefore you should do some work on the skin and/or lips, to fully close them

  • @ElJuli24
    @ElJuli24 16 дней назад

    Anyone knows an aprox cost for the procedure?, thanks.

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  16 дней назад

      Hello, in this link you can find a price range for orthognathic surgery: www.institutomaxilofacial.com/en/2019/06/28/cuanto-cuesta-una-cirugia-ortognatica/

  • @erenpapermind3775
    @erenpapermind3775 2 года назад

    El tratamiento de brackets es igual que uno tradicional o este posiciona los dientes distinto para la operación?

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  2 года назад

      La preparación ortodóncica prequirúrgica no es igual a un tratamiento tradicional de alineación dental, ya que lo que se busca es posicionar los dientes en la posición que tendrán una vez se movilice la estructura ósea. Un tratamiento tradicional busca alinear los dientes en la posición ósea actual.

  • @nannygoatj
    @nannygoatj 2 года назад

    ¡que acento castellano más lindo!

  • @enriquesuarez7113
    @enriquesuarez7113 10 месяцев назад

    How much does it cost to get operated by you guys on a surgery like this? I know it depends on the case by case, but whats a good ball park number?

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  10 месяцев назад

      Hello Enrique, in this link you can find a price range for orthognathic surgery: www.institutomaxilofacial.com/en/2019/06/28/cuanto-cuesta-una-cirugia-ortognatica/

  • @marinette4032
    @marinette4032 3 года назад +2

    How much money do i need in dollars to do this surgery

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  3 года назад +1

      Hello Mari, this article might help you. For the conversion euro-dollar there are several online services that can help you. www.institutomaxilofacial.com/en/2019/06/28/cuanto-cuesta-una-cirugia-ortognatica/

  • @christaoulas6485
    @christaoulas6485 2 года назад +1

    I moved to Malaga and I always wanted to improve on the structure of my jaw area. I am 34 going to 35. is it still possible to have such a procedure. Can I make consultation appointment over the internet or do I need to attend.

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  2 года назад

      Hello Chris, of course you are in time, we have had patients getting surgery at 60. For a consultation, you can call +34 933933185 or write to international@institutomaxilofacial.com to arrange your virtual consultation.

  • @damiamatamoros4466
    @damiamatamoros4466 3 года назад

    Pues no lo sabía pero tengo el mismo problema que este chico. Sobremordida. La verdad estaria muy interesado en operarme.

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  3 года назад

      Hola Damià. Estaremos encantados de ayudarte. El primer paso sería pedir una primera visita de exploración. Para ello, puedes llamarnos al + 34 933933185 o escribir a atencionpaciente@institutomaxilofacial.com desde España o a international@institutomaxilofacial.com desde cualquier otro país.

  • @shay9096
    @shay9096 Год назад

    Hello sir , I would like to have this surgery as I'm also having the short face syndrome . Can you please share the price and the no. of days required for the surgery ?

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  Год назад +1

      Hello Shay, in this link you can find a price range for orthognathic surgery: www.institutomaxilofacial.com/en/2019/06/28/cuanto-cuesta-una-cirugia-ortognatica/

  • @parasjoshi1062
    @parasjoshi1062 2 года назад +3

    Sit I want video conference I am depressed

  • @canadianbaconjunky
    @canadianbaconjunky 3 года назад

    Is biretrusion caused by camouflage orthodontics from childhood and bicuspid removal?

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  2 года назад +4

      Hello, no, biretrusion is most normally caused by an incomplete development of the bone structure of the face.

  • @parasjoshi1062
    @parasjoshi1062 2 года назад +1

    Sir wanna ask at how much mm maxilla downgrafting u use bone graft to secure

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  2 года назад +2

      Starting from 5mm

    • @parasjoshi1062
      @parasjoshi1062 2 года назад

      1Does CW rotation would increase philtrum length . Does using bone graft means there will be no bone growth that why bone graft is use in larger movement

  • @hoe1601
    @hoe1601 2 года назад +1

    GIVE IT TO ME NEOW

  • @adham66425
    @adham66425 Год назад

    iam 20 yrs old, to what age can i still do this surgery ?
    how much time after surgery does it need to heal ?

  • @Byemiek
    @Byemiek 2 года назад +1

    Eso te pasa por quitarte los premolares y hundirte la mandíbula con el tratamiento previo de ortodoncia

  • @Alex-wx8be
    @Alex-wx8be 3 года назад

    So how much does this cost in Barcelona?

  • @finefabricsbyqasimantall
    @finefabricsbyqasimantall 3 года назад

    Sir my mandible lower jaw third part of face vertically height is very less vertically advancement is possible

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  3 года назад

      Hello Ali, it is impossible to say so without seeing you first. If you are interested in a virtual consultation, kindly write to international@institutomaxilofacial.com

  • @Bhupii5ab
    @Bhupii5ab 3 года назад

    Can indian done this surgery....its possible?

  • @justinockhuis
    @justinockhuis 8 месяцев назад

    Yours looks ok😢

  • @growacademy3267
    @growacademy3267 3 года назад

    Como hago para operarme con ustedes? soy de Argentina

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  3 года назад

      Hola Ignacio, por favor escribe a international@institutomaxilofacial.com y nuestra Coordinadora Internacional te informará de los pasos a seguir.

  • @destroyerofdaleks4871
    @destroyerofdaleks4871 Год назад

    Why does short face need to be corrected? Does short face affect your breathing?

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  Год назад

      Maxillo-mandibular retrusion affects breathing, and oftentimes it goes hand to hand with short face. Also, many patients do it for cosmetic reasons.

  • @WTI00
    @WTI00 3 года назад +2

    what are the chances of relapse

  • @kajukatla6637
    @kajukatla6637 2 года назад

    Cant this be done with chin fillers ?

  • @user-xy6ql8jn7i
    @user-xy6ql8jn7i 2 года назад

    Hello I want to send you pictures of my status and Rate it and if I can come to you Because my mental state is tired because of that
    How i can send u photo?

  • @parasjoshi1062
    @parasjoshi1062 2 года назад

    If our bite is ok and want to do bimax for aesthetics should we removed tooth for bimax

  • @MuradHossain-cw7ws
    @MuradHossain-cw7ws 2 года назад

    Please tell me this surgery cost

  • @dancingdev1088
    @dancingdev1088 2 года назад

    Why his teeth do not bite in planning?

  • @PackCentral
    @PackCentral Год назад

    1:24 what is that redness on his upper lip

  • @undiawow5660
    @undiawow5660 3 года назад

    Yo quiero tambien eso pero soy pobre bu.uuuuu

  • @MuradHossain-cw7ws
    @MuradHossain-cw7ws 2 года назад

    Please tell me country name

  • @Yzandros666
    @Yzandros666 3 года назад +2

    Hello ! What does the Dr. Alfaro uses for graft ? Is bone graft okay ?

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  3 года назад +2

      Hello, in some cases we use autologous bone, and in other cases we use biomaterials

    • @hmjs13
      @hmjs13 3 года назад +1

      @@InstitutoMaxilofacialBarcelona is a bone graft necessary if the vertical rotation of the upper jaw is minimal?

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  3 года назад +1

      @@hmjs13 no, we use bone grafts when there are big gaps; otherwise it's not necessary

    • @Yzandros666
      @Yzandros666 3 года назад

      @@InstitutoMaxilofacialBarcelona Thanks a lot ! surgery booked with Pr. Alfaro and the clinic :)

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  3 года назад

      @@Yzandros666 We'll be delighted to see you here :)

  • @vjdubey4761
    @vjdubey4761 2 года назад

    I'm 20 male, I have short face , my face length is 15 cm. Can this surgery elongate my face by 2 cm ?

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  2 года назад

      Hello, yes, it is possible. Please contact our International Coordinator at international@institutomaxilofacial.com if you wish to arrange a virtual consultation.

  • @aa1364
    @aa1364 3 года назад +3

    Worst surgery ever, I regret it!

  • @parasjoshi7018
    @parasjoshi7018 2 года назад +1

    What is vertical advancement

  • @sairatariq9710
    @sairatariq9710 Год назад +1

  • @richkadn9013
    @richkadn9013 2 года назад

    Interesting 🤔

  • @BestAIRapmusic
    @BestAIRapmusic Год назад

    is this considered cosmetic?

  • @parasjoshi1062
    @parasjoshi1062 2 года назад

    I have same problem can maxilla can be downgrafted by 10mm are there any limitation

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  2 года назад

      Hello, if you need your case to be evaluated please write to international@institutomaxilofacial.com

    • @parasjoshi1062
      @parasjoshi1062 2 года назад

      @@InstitutoMaxilofacialBarcelona I have filled form but it does not work

    • @parasjoshi1062
      @parasjoshi1062 2 года назад

      @@InstitutoMaxilofacialBarcelona just want to know by downgrafting maxilla will it can be notice by outside that maxilla has be lengthmed I want people to see that my maxilla has been lengthened

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  2 года назад

      @@parasjoshi1062 did it give you an error message?

    • @parasjoshi1062
      @parasjoshi1062 2 года назад

      @@InstitutoMaxilofacialBarcelona yes

  • @Polo2H
    @Polo2H 3 года назад +1

    Podría subir el vídeo del chico que le reconstruye completamente la articulación izquierda.
    Les sigo en instagram.

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  3 года назад

      Hola Paul, no todos los pacientes están de acuerdo con compartir sus experiencias. En ese caso el paciente accedió al post de Instagram, pero nada más.

    • @Polo2H
      @Polo2H 3 года назад +1

      @@InstitutoMaxilofacialBarcelona ah si tienen razón.
      Yo tengo un caso similar más o menos me podrían dar un precio estándar de cuánto saldría esa cirugía porfavor.
      Pueden escribirme al correo paulgualotuna10@gmail.com

  • @barbaraocwieja5021
    @barbaraocwieja5021 2 месяца назад

    😍😍😍

  • @tylerwentworth3818
    @tylerwentworth3818 Год назад

    Anyone know the rough cost of any of this

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  Год назад

      Hello Tyler, in this link you can find a price range for orthognathic surgery: www.institutomaxilofacial.com/en/2019/06/28/cuanto-cuesta-una-cirugia-ortognatica/

  • @juancalvino790
    @juancalvino790 Год назад

    A mi paresía guapo antes de la sirugía. Yo si fuera él no me ubiera operado.

  • @RossLey-yf9rb
    @RossLey-yf9rb 3 дня назад

    it's funny they show a pic of them as teenagers and then as adult, the jaw will develop by itself without surgery ,,,,not realistic

  • @kushaljoshi7380
    @kushaljoshi7380 2 года назад

    Hello

  • @spacepod100
    @spacepod100 3 года назад

    im from UK, can I work with you?

  • @kaitlink8571
    @kaitlink8571 2 года назад

    What does biretrusion mean

  • @kushaljoshi7380
    @kushaljoshi7380 2 года назад

    Do u perform clockwise rotation

    • @InstitutoMaxilofacialBarcelona
      @InstitutoMaxilofacialBarcelona  2 года назад

      It's doable, but there are very few cases when patients require this movement.

    • @kushaljoshi7380
      @kushaljoshi7380 2 года назад

      Does anterior downgrafting will cause gummy smile or more tooth show

  • @MuradHossain-cw7ws
    @MuradHossain-cw7ws 2 года назад

    Country and hospital name

  • @nithins9643
    @nithins9643 3 года назад +1

    Any other branch in india....?

  • @NECROMAGICIAN666
    @NECROMAGICIAN666 2 года назад

    His face is still not symmetrical, his whole face shifted to the side

  • @wolfieaqt1415
    @wolfieaqt1415 3 года назад

    What is pablos @