Dent in My Day

My dentist isn't involved in this whole jaw surgery ordeal, even though her office also does braces. A friend of mine had recommended her ortho and oral surgeon to me, so that's who I went with. When I told my dentist about my plans to undergo jaw surgery, about a year and half ago, she said - "Oh I noticed your bite is off, but I didn't want to say anything 'cause it'd require surgery. The only surgeon I know that's really good lives in Texas. I don't know any oral surgeons here so I can't recommend anyone to my patients." She took some "before" pictures of my face - front view, profile, and smile - so that she could compare and see the difference when I'm done. If the results were good, she said, she'd recommend Dr. Li to her other patients who might need similar surgery.

Fastforward 18 months. I had my dental exam this afternoon. Saw my dentist for the first time since the surgery. I congratulated her on her new baby girl, flashed a smile, and said - "So, are you gonna recommend Dr. Li?"

"Oh....", she paused, "honestly, I think you'd have better results if you went to that surgeon in Texas. He would've made it perfect. Right now you still show some gum when you smile big." (See a photo here)

"Oh, that. Dr. Li had told me that he couldn't make the gum disappear completely when I smile. If he had shortened my upper jaw even further, it'd widen my nose too much. Plus, when your lips are relaxed, the bottom of your upper front teeth is suppposed to peek out just a little. If he had cut out more gumline, my front teeth would've completely disappeared behind the upper lip and I'd end up looking like an old lady. It's all about striking the right facial balance, right?"

"Still, the surgeon in Texas would have made it just perfect. Dr. Walford, I think, is his name. He doesn't do anything by the book and he's brilliant. He would've rotated both of your jaws and made them perfect."

"But Dr. Li did operate on both of my jaws. Besides, I don't mind showing a little gum when I smile big. What IS perfection anyway? It's different from person to person."

"How much did you pay for your operation? Dr. Walford in Texas charges $70,000."

"My surgeon quoted $33,600."

"Ah. Dr. Walford would've made it perfect. He's really famous and well-known, and he's expensive."

"Well," I sought ways to fight back without being rude, "I'm not gonna fly to Texas, and I'm not paying anyone $70,000 for this. By the way, Dr. Li is world-renowned, too. He's top-notch."

She started to say something else, but quick, I beat her to it: "Hey, you don't have to recommend him and you don't have to like the results," I kept a smile on my face, even though, yes, of course I was annoyed. "After all, I'm the one that has to live with it, and I really like it." Then I turned and winked at her assistant, who looked completely mortified.

I'd like to think I have an open mind and can take different opinions. But, I suspect it's insensitive of her to say that I should've gone to some surgeon in Texas when all has been said and done. Obviously there's nothing I can do now, even if the Texan were better than Dr. Li - which I highly doubt.

Bottom line: I'm happy with the results. I can chew properly now and cut noodles with my front teeth. Plus, in my opinion, my face looks more proportionate. Who cares what she thinks, right?

But it still made a dent in my day.

Yan Min Said....

Yan Min said...
"Hi Kristen, I have an underbite and I'm thinking of getting the surgery done this summer, but my parents are quite worried and to be honest, I'm quite scared myself. I only have about 3 months off before I head back to school. Do you think that'll be enough time to heal? I haven't gotten a chance to consult a surgeon yet because I'm now studying abroad. Will I still look weird 3 months post-op? I'm scared... :( "

Hey there - do you have braces on right now? Usually this type of surgery, as I understand it, is performed in conjunction with braces. Your orthodonitist and your surgeon should explain the entire treatment plan to you before they start anything. I'm not sure what your situation is - but you might want to consult with your surgeon to fully understand what to expect.

I'm almost 3 months post op (11 weeks now). I don't think I look weird. And believe me, I was really, really swollen after the surgery. Therefore, I think your chances of looking normal before heading back to school are pretty good!

Dr. Kasey Li

Brandy left two comments today, first asking if my surgeon's name is Dr. Kasey Li, then telling me how famous of a surgeon he is. He does hundreds of jaw surgeries annually, and is apparently considered one of the best oral maxiofacial surgeons in the "world". Whoa. My friend Isabelle had recommended him (she was one of his patients, too), so I knew he was good, but I didn't appreciate how well-known he is.

My experience with Dr. Li has been a great one. He is thorough, patient, and approachable. His office staff are equally efficient and impressive. I have no reservations in recommending him. He has his own practice in Palo Alto, California, and performs his surgeries at Stanford Hospital. You can get more information by visiting his website at http://www.drkaseyli.com/.

He has been collaborating with Dr. Stacey Quo, my orthodontist, for years. I'm not nearly as impressed with her staff (little disconnects here and there), but they do an adequate job.