Surgery scheduled & question about upper & lower

[Guest guest]

Hi, everybody! It's been a long while since I posted, but my teeth are

pretty much straight and I've been scheduled for surgery on October

8th. I'll be looking over the recent emails to remind myself of

everything I need to remember.

I have an underbite, and will definitely be having my lower moved

back. It is a question whether I will have my upper moved forward

also. Here is my concern:

In our last meeting, the surgeon said I was a " triple decker. " Meaning

I needed upper, lower, and genio. He told me my upper was flat: it

hadn't grown forward enough, and my lower had grown too much. He said

my upper lip needed support and moving the upper forward will take

care of that. I accepted this and looked forward to breathing better

and I began to look forward to how moving my upper forward might make

my midface look better (more convex instead of flat).

A week ago, when I scheduled the surgery, the assistant told me I was

scheduled for lower only. I told her that he had recently told me I

was a " triple decker. " She said she'd check. Today, she told me

again: lower only. I will bring this up in my scheduled meeting 2

weeks before the surgery, but I am confused (why such a huge change in

plans) and a little disappointed: even though I know that recovery is

much more difficult with upper and that a double procedure will

increase risk of complications, I can't help but think that my upper

should be moved forward. After a big procedure and difficult recovery,

I want the best result possible, which should mean both jaws where

they *should* be.

Also, he told me that he would " open my sinuses, " and I was thinking

that would help me breathe better. I can't breathe well through my

nose. That would be a big positive for me, since I think my problem

may have been exacerbated because I can't breathe well and sleep with

my mouth open.

Also, the first surgeon that I interviewed said they only need to do

upper and genio. I'm not bashing my current surgeon, he's one of the

best in Baltimore, and I trust his opinion, but I'm confused and want

the best result.

Does anybody have insight as to why he would decide not to do upper

even though it is completely flat? Has anybody experienced a big

change of plan like that? What should I say to express my thoughts to him?

Thanks so much for your thoughts!!!

Eileen Ptak

[Guest guest]

Hey Eileen,

I am not going to be much help on your questions, but I just wanted

to let you know that we will be surgery buddies. I am also scheduled

for Oct. 8. I also have small children (4 1/2 and 6 months).

Several people on this board recommended " lin Goes to the

Hospital " as a prep for the kids. I am not sure where they will be

staying for the first few days post op. While I am in the hospital,

my husband and in-laws will work out the arangements. Once I get out

we are going to play it by ear. My in-laws are very supportive and

my mother-in-law is semi-retired from her own business, so she can

set her own hours. My husband is planning to take the first 1 1/2

weeks off to take care of us all.

Good luck and talk to you soon.

[Guest guest]

Hi, Eileen. I also am not an expert to answer your questions.

However, my son recently had upper & lower surgery to correct an

underbite. His oral surgeon had a partner who worked with him. In

addition, my son also saw a battery of doctors/residents at the

hospital where he had the surgery. Right before the surgery, they

took extensive molds on two occasions, and he had to come into the

office for a consultation with both oral surgeons and the chief

resident. Seems there was some disagreement amongst all the staff

who had looked at my son on whether he really needed the upper

surgery. His oral surgeons said he needed upper & lower without

genio. The hospital staff felt he needed lower & genio. His oral

surgeon told me that my son was borderline but he really felt to have

optimal results that upper/lower without genio should be performed.

He even consulted on my son's condition with another doctor who has

been doing these surgeries since forever, and who actually taught him

15 years ago. Maybe it would be best to request a talk with your

surgeon to find out why he changed his mind. If you still aren't

satisfied, perhaps having someone else to consult on your case would

be helpful. Sorry I don't have concrete answers ... all this was

just to say that it seems that there can be many opinions on what

surgeries are needed and to reiterate what my son's oral surgeon

said ... that sometimes molds don't tell the whole story, this

surgery is an art and experience/judgment plays a huge part in the

whole thing.

Tee's Mom

> Hi, everybody! It's been a long while since I posted, but my teeth

are

> pretty much straight and I've been scheduled for surgery on October

> 8th. I'll be looking over the recent emails to remind myself of

> everything I need to remember.

>

> I have an underbite, and will definitely be having my lower moved

> back. It is a question whether I will have my upper moved forward

> also. Here is my concern:

>

> In our last meeting, the surgeon said I was a " triple decker. "

Meaning

> I needed upper, lower, and genio. He told me my upper was flat: it

> hadn't grown forward enough, and my lower had grown too much. He

said

> my upper lip needed support and moving the upper forward will take

> care of that. I accepted this and looked forward to breathing better

> and I began to look forward to how moving my upper forward might

make

> my midface look better (more convex instead of flat).

>

> A week ago, when I scheduled the surgery, the assistant told me I

was

> scheduled for lower only. I told her that he had recently told me I

> was a " triple decker. " She said she'd check. Today, she told me

> again: lower only. I will bring this up in my scheduled meeting 2

> weeks before the surgery, but I am confused (why such a huge change

in

> plans) and a little disappointed: even though I know that recovery

is

> much more difficult with upper and that a double procedure will

> increase risk of complications, I can't help but think that my upper

> should be moved forward. After a big procedure and difficult

recovery,

> I want the best result possible, which should mean both jaws where

> they *should* be.

>

> Also, he told me that he would " open my sinuses, " and I was thinking

> that would help me breathe better. I can't breathe well through my

> nose. That would be a big positive for me, since I think my problem

> may have been exacerbated because I can't breathe well and sleep

with

> my mouth open.

>

> Also, the first surgeon that I interviewed said they only need to do

> upper and genio. I'm not bashing my current surgeon, he's one of the

> best in Baltimore, and I trust his opinion, but I'm confused and

want

> the best result.

>

> Does anybody have insight as to why he would decide not to do upper

> even though it is completely flat? Has anybody experienced a big

> change of plan like that? What should I say to express my thoughts

to him?

>

> Thanks so much for your thoughts!!!

>

> Eileen Ptak

[Guest guest]

Sounds like some office confusion to me.

Definitely, get straight with your surgeon about what he's gonna do.

Definitely tell him that on two recent occasions, some of his

staffers have told you what they told you, and you want to be sure

that everybody at the hospital knows what's gonna happen.

Ask him to write it down on your chart, and if you can, watch him

while he does it.

And, if you get that far with him, (and if he has a sense of humor)

I'd ask him whether you should write it on your face with a magic

marker before the surgery!

I once went to the hospital for removal of something insignificant

from my nether regions. The sweet little nurse lady handed me the

hospital gown, and told me to " Take off everything but your

underpants. You can keep those on. "

I looked at her with a beady eye and said, " Just what do you think

this doctor is gonna do to me? "

" I guess I'd better go look, " she giggled, and came back

shamefaced. " You only have to take off your underpants; you can leave

the rest of your underwear on. "

Geez!

Cammie

> Hi, everybody! It's been a long while since I posted, but my teeth

are

> pretty much straight and I've been scheduled for surgery on October

> 8th. I'll be looking over the recent emails to remind myself of

> everything I need to remember.

>

> I have an underbite, and will definitely be having my lower moved

> back. It is a question whether I will have my upper moved forward

> also. Here is my concern:

>

> In our last meeting, the surgeon said I was a " triple decker. "

Meaning

> I needed upper, lower, and genio. He told me my upper was flat: it

> hadn't grown forward enough, and my lower had grown too much. He

said

> my upper lip needed support and moving the upper forward will take

> care of that. I accepted this and looked forward to breathing better

> and I began to look forward to how moving my upper forward might

make

> my midface look better (more convex instead of flat).

>

> A week ago, when I scheduled the surgery, the assistant told me I

was

> scheduled for lower only. I told her that he had recently told me I

> was a " triple decker. " She said she'd check. Today, she told me

> again: lower only. I will bring this up in my scheduled meeting 2

> weeks before the surgery, but I am confused (why such a huge change

in

> plans) and a little disappointed: even though I know that recovery

is

> much more difficult with upper and that a double procedure will

> increase risk of complications, I can't help but think that my upper

> should be moved forward. After a big procedure and difficult

recovery,

> I want the best result possible, which should mean both jaws where

> they *should* be.

>

> Also, he told me that he would " open my sinuses, " and I was thinking

> that would help me breathe better. I can't breathe well through my

> nose. That would be a big positive for me, since I think my problem

> may have been exacerbated because I can't breathe well and sleep

with

> my mouth open.

>

> Also, the first surgeon that I interviewed said they only need to do

> upper and genio. I'm not bashing my current surgeon, he's one of the

> best in Baltimore, and I trust his opinion, but I'm confused and

want

> the best result.

>

> Does anybody have insight as to why he would decide not to do upper

> even though it is completely flat? Has anybody experienced a big

> change of plan like that? What should I say to express my thoughts

to him?

>

> Thanks so much for your thoughts!!!

>

> Eileen Ptak

[Guest guest]

Hi ,

We can fret together when the time comes! hee hee I also don't have

any idea what to do with my kids. I think the key is having fun so

they won't dwell on the fact that I'm not there. Maybe my in-laws can

take them to Ocean City or something. Thanks for the book suggestion.

I'll check it out.

I think my husband doesn;t realizr how tired I'll be and how much help

I'll need. He told me he'd take a few days off. I felt like saying " I

can hardly handle the kids NOW! " Ha ha.

Eileen

> Hey Eileen,

>

> I am not going to be much help on your questions, but I just wanted

> to let you know that we will be surgery buddies. I am also scheduled

> for Oct. 8. I also have small children (4 1/2 and 6 months).

> Several people on this board recommended " lin Goes to the

> Hospital " as a prep for the kids. I am not sure where they will be

> staying for the first few days post op. While I am in the hospital,

> my husband and in-laws will work out the arangements. Once I get out

> we are going to play it by ear. My in-laws are very supportive and

> my mother-in-law is semi-retired from her own business, so she can

> set her own hours. My husband is planning to take the first 1 1/2

> weeks off to take care of us all.

>

> Good luck and talk to you soon.

>

>

[Guest guest]

Thanks! Wow, I realized there was some opinion (art) involved, but

this really surprises me. I was thinking: do the math, line it all up

where it belongs, and you're done.

I've also been surprised at how much of this is settled immediately

beforehand. I know that your teeth change and all, but sheesh! *I*

need TIME to plan it all out in my head!

Maybe I shouldn't wait until 2 weeks prior to discuss this. But then

again, maybe he'll just say " Let's wait till we see the molds. " Maybe

I'll call him and see what he says.

Thanks for all your advice!

Eileen

> > Hi, everybody! It's been a long while since I posted, but my teeth

> are

> > pretty much straight and I've been scheduled for surgery on October

> > 8th. I'll be looking over the recent emails to remind myself of

> > everything I need to remember.

> >

> > I have an underbite, and will definitely be having my lower moved

> > back. It is a question whether I will have my upper moved forward

> > also. Here is my concern:

> >

> > In our last meeting, the surgeon said I was a " triple decker. "

> Meaning

> > I needed upper, lower, and genio. He told me my upper was flat: it

> > hadn't grown forward enough, and my lower had grown too much. He

> said

> > my upper lip needed support and moving the upper forward will take

> > care of that. I accepted this and looked forward to breathing better

> > and I began to look forward to how moving my upper forward might

> make

> > my midface look better (more convex instead of flat).

> >

> > A week ago, when I scheduled the surgery, the assistant told me I

> was

> > scheduled for lower only. I told her that he had recently told me I

> > was a " triple decker. " She said she'd check. Today, she told me

> > again: lower only. I will bring this up in my scheduled meeting 2

> > weeks before the surgery, but I am confused (why such a huge change

> in

> > plans) and a little disappointed: even though I know that recovery

> is

> > much more difficult with upper and that a double procedure will

> > increase risk of complications, I can't help but think that my upper

> > should be moved forward. After a big procedure and difficult

> recovery,

> > I want the best result possible, which should mean both jaws where

> > they *should* be.

> >

> > Also, he told me that he would " open my sinuses, " and I was thinking

> > that would help me breathe better. I can't breathe well through my

> > nose. That would be a big positive for me, since I think my problem

> > may have been exacerbated because I can't breathe well and sleep

> with

> > my mouth open.

> >

> > Also, the first surgeon that I interviewed said they only need to do

> > upper and genio. I'm not bashing my current surgeon, he's one of the

> > best in Baltimore, and I trust his opinion, but I'm confused and

> want

> > the best result.

> >

> > Does anybody have insight as to why he would decide not to do upper

> > even though it is completely flat? Has anybody experienced a big

> > change of plan like that? What should I say to express my thoughts

> to him?

> >

> > Thanks so much for your thoughts!!!

> >

> > Eileen Ptak

[Guest guest]

Thanks, Cammie. I will definitely get this straightened out with the

surgeon. Your post made me laugh, and I needed a laugh today! Maybe I

should go in with OUT written on my upper lip and BACK on my chin.

Eileen

> > Hi, everybody! It's been a long while since I posted, but my teeth

> are

> > pretty much straight and I've been scheduled for surgery on October

> > 8th. I'll be looking over the recent emails to remind myself of

> > everything I need to remember.

> >

> > I have an underbite, and will definitely be having my lower moved

> > back. It is a question whether I will have my upper moved forward

> > also. Here is my concern:

> >

> > In our last meeting, the surgeon said I was a " triple decker. "

> Meaning

> > I needed upper, lower, and genio. He told me my upper was flat: it

> > hadn't grown forward enough, and my lower had grown too much. He

> said

> > my upper lip needed support and moving the upper forward will take

> > care of that. I accepted this and looked forward to breathing better

> > and I began to look forward to how moving my upper forward might

> make

> > my midface look better (more convex instead of flat).

> >

> > A week ago, when I scheduled the surgery, the assistant told me I

> was

> > scheduled for lower only. I told her that he had recently told me I

> > was a " triple decker. " She said she'd check. Today, she told me

> > again: lower only. I will bring this up in my scheduled meeting 2

> > weeks before the surgery, but I am confused (why such a huge change

> in

> > plans) and a little disappointed: even though I know that recovery

> is

> > much more difficult with upper and that a double procedure will

> > increase risk of complications, I can't help but think that my upper

> > should be moved forward. After a big procedure and difficult

> recovery,

> > I want the best result possible, which should mean both jaws where

> > they *should* be.

> >

> > Also, he told me that he would " open my sinuses, " and I was thinking

> > that would help me breathe better. I can't breathe well through my

> > nose. That would be a big positive for me, since I think my problem

> > may have been exacerbated because I can't breathe well and sleep

> with

> > my mouth open.

> >

> > Also, the first surgeon that I interviewed said they only need to do

> > upper and genio. I'm not bashing my current surgeon, he's one of the

> > best in Baltimore, and I trust his opinion, but I'm confused and

> want

> > the best result.

> >

> > Does anybody have insight as to why he would decide not to do upper

> > even though it is completely flat? Has anybody experienced a big

> > change of plan like that? What should I say to express my thoughts

> to him?

> >

> > Thanks so much for your thoughts!!!

> >

> > Eileen Ptak

[Guest guest]

Eileen and Cammie...

First off, Cammie, I cracked up laughing at your post! It reminded me of when

my husband had surgery in his " nether region " to try to correct infertility

issues. It was the first and only time he was under the knife and he needing

much begging and pleading to undergo it at all (men, here, can relate I'm

sure!!!) Anyway, one of the residents (a very funny man) DID come over with a

surgical marker, asked my husband to lift his hospital gown, and drew an arrow

pointing down to one of his " boys " so to speak. My husband was in shock and

appalled with his mouth wide open and the resident just smiled and said " just in

case - we do want to make sure we get the right one you know. " I thought my

husband was going to jump out of the pre-op chair and run the 10 miles home!

So yes, Eileen, I'd want to make extra sure that EVERYBODY nvolved knew exactly

what was being done and I would draw diagrams and arrows if need be!! When my

husband was recovered and able to laugh about all of it, he said he should have

put a sign down there that said " Leave the guy in the middle alone! "

Sharon

> > Hi, everybody! It's been a long while since I posted, but my teeth

> are

> > pretty much straight and I've been scheduled for surgery on October

> > 8th. I'll be looking over the recent emails to remind myself of

> > everything I need to remember.

> >

> > I have an underbite, and will definitely be having my lower moved

> > back. It is a question whether I will have my upper moved forward

> > also. Here is my concern:

> >

> > In our last meeting, the surgeon said I was a " triple decker. "

> Meaning

> > I needed upper, lower, and genio. He told me my upper was flat: it

> > hadn't grown forward enough, and my lower had grown too much. He

> said

> > my upper lip needed support and moving the upper forward will take

> > care of that. I accepted this and looked forward to breathing better

> > and I began to look forward to how moving my upper forward might

> make

> > my midface look better (more convex instead of flat).

> >

> > A week ago, when I scheduled the surgery, the assistant told me I

> was

> > scheduled for lower only. I told her that he had recently told me I

> > was a " triple decker. " She said she'd check. Today, she told me

> > again: lower only. I will bring this up in my scheduled meeting 2

> > weeks before the surgery, but I am confused (why such a huge change

> in

> > plans) and a little disappointed: even though I know that recovery

> is

> > much more difficult with upper and that a double procedure will

> > increase risk of complications, I can't help but think that my upper

> > should be moved forward. After a big procedure and difficult

> recovery,

> > I want the best result possible, which should mean both jaws where

> > they *should* be.

> >

> > Also, he told me that he would " open my sinuses, " and I was thinking

> > that would help me breathe better. I can't breathe well through my

> > nose. That would be a big positive for me, since I think my problem

> > may have been exacerbated because I can't breathe well and sleep

> with

> > my mouth open.

> >

> > Also, the first surgeon that I interviewed said they only need to do

> > upper and genio. I'm not bashing my current surgeon, he's one of the

> > best in Baltimore, and I trust his opinion, but I'm confused and

> want

> > the best result.

> >

> > Does anybody have insight as to why he would decide not to do upper

> > even though it is completely flat? Has anybody experienced a big

> > change of plan like that? What should I say to express my thoughts

> to him?

> >

> > Thanks so much for your thoughts!!!

> >

> > Eileen Ptak

[Guest guest]

Dear Eileen,

I would definitely know what my surgeon was planning on doing before

I had the surgery. The models may have made some things change, it

has happened before, I think.

By the way, I am from the Baltimore Area, who is your doc?

Best of Luck,

> Hi, everybody! It's been a long while since I posted, but my teeth

are

> pretty much straight and I've been scheduled for surgery on October

> 8th. I'll be looking over the recent emails to remind myself of

> everything I need to remember.

>

> I have an underbite, and will definitely be having my lower moved

> back. It is a question whether I will have my upper moved forward

> also. Here is my concern:

>

> In our last meeting, the surgeon said I was a " triple decker. "

Meaning

> I needed upper, lower, and genio. He told me my upper was flat: it

> hadn't grown forward enough, and my lower had grown too much. He

said

> my upper lip needed support and moving the upper forward will take

> care of that. I accepted this and looked forward to breathing

better

> and I began to look forward to how moving my upper forward might

make

> my midface look better (more convex instead of flat).

>

> A week ago, when I scheduled the surgery, the assistant told me I

was

> scheduled for lower only. I told her that he had recently told me I

> was a " triple decker. " She said she'd check. Today, she told me

> again: lower only. I will bring this up in my scheduled meeting 2

> weeks before the surgery, but I am confused (why such a huge

change in

> plans) and a little disappointed: even though I know that recovery

is

> much more difficult with upper and that a double procedure will

> increase risk of complications, I can't help but think that my

upper

> should be moved forward. After a big procedure and difficult

recovery,

> I want the best result possible, which should mean both jaws where

> they *should* be.

>

> Also, he told me that he would " open my sinuses, " and I was

thinking

> that would help me breathe better. I can't breathe well through my

> nose. That would be a big positive for me, since I think my problem

> may have been exacerbated because I can't breathe well and sleep

with

> my mouth open.

>

> Also, the first surgeon that I interviewed said they only need to

do

> upper and genio. I'm not bashing my current surgeon, he's one of

the

> best in Baltimore, and I trust his opinion, but I'm confused and

want

> the best result.

>

> Does anybody have insight as to why he would decide not to do upper

> even though it is completely flat? Has anybody experienced a big

> change of plan like that? What should I say to express my thoughts

to him?

>

> Thanks so much for your thoughts!!!

>

> Eileen Ptak

[Guest guest]

Dear Eileen,

I know what you mean about not being sure about which surgery will

you have. My OS works with an ortho, not my regular one, but one

that he partners with to do his surgeries. It seems like each time I

go to an appt at their office, things keep changing from just the

lower, to the upper and lower, and again back to just the lower. My

surgery is scheduled for the end of this month, and I am still

waiting for approval from my ins. My ins approved for the hospital

stay but not yet for the surgery. I go back to the office for

another appt this coming thurs for surgical ties and a face-bow

transfer (I guess it's some kind of measurements they take). I have

been in braces for 3 1/2 yrs waiting for this surgery to be

complete. I just hope they finally pick the way to go after this

appt with their measurements. Take care and good luck with your

surgery. Lyn

> > Hi, everybody! It's been a long while since I posted, but my

teeth

> are

> > pretty much straight and I've been scheduled for surgery on

October

> > 8th. I'll be looking over the recent emails to remind myself of

> > everything I need to remember.

> >

> > I have an underbite, and will definitely be having my lower moved

> > back. It is a question whether I will have my upper moved forward

> > also. Here is my concern:

> >

> > In our last meeting, the surgeon said I was a " triple decker. "

> Meaning

> > I needed upper, lower, and genio. He told me my upper was flat: it

> > hadn't grown forward enough, and my lower had grown too much. He

> said

> > my upper lip needed support and moving the upper forward will take

> > care of that. I accepted this and looked forward to breathing

> better

> > and I began to look forward to how moving my upper forward might

> make

> > my midface look better (more convex instead of flat).

> >

> > A week ago, when I scheduled the surgery, the assistant told me I

> was

> > scheduled for lower only. I told her that he had recently told me

I

> > was a " triple decker. " She said she'd check. Today, she told me

> > again: lower only. I will bring this up in my scheduled meeting 2

> > weeks before the surgery, but I am confused (why such a huge

> change in

> > plans) and a little disappointed: even though I know that

recovery

> is

> > much more difficult with upper and that a double procedure will

> > increase risk of complications, I can't help but think that my

> upper

> > should be moved forward. After a big procedure and difficult

> recovery,

> > I want the best result possible, which should mean both jaws where

> > they *should* be.

> >

> > Also, he told me that he would " open my sinuses, " and I was

> thinking

> > that would help me breathe better. I can't breathe well through my

> > nose. That would be a big positive for me, since I think my

problem

> > may have been exacerbated because I can't breathe well and sleep

> with

> > my mouth open.

> >

> > Also, the first surgeon that I interviewed said they only need to

> do

> > upper and genio. I'm not bashing my current surgeon, he's one of

> the

> > best in Baltimore, and I trust his opinion, but I'm confused and

> want

> > the best result.

> >

> > Does anybody have insight as to why he would decide not to do

upper

> > even though it is completely flat? Has anybody experienced a big

> > change of plan like that? What should I say to express my

thoughts

> to him?

> >

> > Thanks so much for your thoughts!!!

> >

> > Eileen Ptak

[Guest guest]

Hi, Lyn. I'm way behind on posts and trying to catch up!

I guess by now, you are about to have your surgery. (I'm still reading

posts from the beginning of Sept). Do you know what you're having

done now?

I hope everything is moving along for you (insurance, surgery plans, etc)!

Take care,

Eileen

> > > Hi, everybody! It's been a long while since I posted, but my

> teeth

> > are

> > > pretty much straight and I've been scheduled for surgery on

> October

> > > 8th. I'll be looking over the recent emails to remind myself of

> > > everything I need to remember.

> > >

> > > I have an underbite, and will definitely be having my lower moved

> > > back. It is a question whether I will have my upper moved forward

> > > also. Here is my concern:

> > >

> > > In our last meeting, the surgeon said I was a " triple decker. "

> > Meaning

> > > I needed upper, lower, and genio. He told me my upper was flat: it

> > > hadn't grown forward enough, and my lower had grown too much. He

> > said

> > > my upper lip needed support and moving the upper forward will take

> > > care of that. I accepted this and looked forward to breathing

> > better

> > > and I began to look forward to how moving my upper forward might

> > make

> > > my midface look better (more convex instead of flat).

> > >

> > > A week ago, when I scheduled the surgery, the assistant told me I

> > was

> > > scheduled for lower only. I told her that he had recently told me

> I

> > > was a " triple decker. " She said she'd check. Today, she told me

> > > again: lower only. I will bring this up in my scheduled meeting 2

> > > weeks before the surgery, but I am confused (why such a huge

> > change in

> > > plans) and a little disappointed: even though I know that

> recovery

> > is

> > > much more difficult with upper and that a double procedure will

> > > increase risk of complications, I can't help but think that my

> > upper

> > > should be moved forward. After a big procedure and difficult

> > recovery,

> > > I want the best result possible, which should mean both jaws where

> > > they *should* be.

> > >

> > > Also, he told me that he would " open my sinuses, " and I was

> > thinking

> > > that would help me breathe better. I can't breathe well through my

> > > nose. That would be a big positive for me, since I think my

> problem

> > > may have been exacerbated because I can't breathe well and sleep

> > with

> > > my mouth open.

> > >

> > > Also, the first surgeon that I interviewed said they only need to

> > do

> > > upper and genio. I'm not bashing my current surgeon, he's one of

> > the

> > > best in Baltimore, and I trust his opinion, but I'm confused and

> > want

> > > the best result.

> > >

> > > Does anybody have insight as to why he would decide not to do

> upper

> > > even though it is completely flat? Has anybody experienced a big

> > > change of plan like that? What should I say to express my

> thoughts

> > to him?

> > >

> > > Thanks so much for your thoughts!!!

> > >

> > > Eileen Ptak