Review of ASO protrusion surgery and chin advancement, plus management of chin numbness

I had malocclusion, a Class 3 malocclusion where the lower jaw sticks out a little more than the upper jaw, facial left-right asymmetry, and jawbone problems too. I lived like that my whole life, and only in my late 40s did I decide that before I died I wanted to chew noodles like ramen with my front teeth, so when I had some free time I got protrusion surgery. This hospital includes the chin cost in the protrusion surgery fee, and the director is famous for not doing the surgery by measuring exactly in centimeters on CT and designing everything in advance, but instead going in first and then using aesthetic sense and tactile sense to make it as beautiful as possible. It really seems they are successfully doing it that way. I think this person is the most famous for protrusion surgery, and for that reason the cost also seems to be the highest. There was not much to discuss because there was no detailed design, and the malocclusion was corrected too. The left and right sides were off, the maxilla and mandible were both misaligned, but during the ASO surgery they amazingly corrected even the left-right asymmetry and fixed the jaw again. That said, the teeth themselves still do not meet properly, so I need orthodontic treatment at the dental clinic across from the hospital to align the bite, and the places where teeth were extracted also need to be filled in. Unless your malocclusion is as severe as mine, they say the extracted spaces can simply be filled and used as they are, so orthodontics is not needed. I am older and my recovery is weaker, so I think I suffered a lot more than people in this hospital's usual age group. Especially for about the first 10 days, my teeth hurt terribly, like when you have cavities, and my gums were sensitive, so I think I got through it using old narcotic painkillers I had instead of the hospital medicine. The pooled dark black blood came up in phlegm almost until the third week. Still, even though the director did not design it in detail while looking carefully at the CT, it somehow pushed the mouth in and made it fairly pretty. But because the director works based on that moment's subjective aesthetic sense, and the director has deep knowledge of art, with piano keys and all kinds of art pieces in the hospital, all of which were works the director personally drew, my requested points were hardly reflected at all, and there is a strong tendency to make things pretty intuitively during surgery, so you just have to trust them and leave it to them with the request to make it pretty. As for the sensory abnormality in the chin nerve, I am now moving into week 4 and the chin has almost no sensation, so the lower lip and chin muscles move on their own however they want or stiffen up and do not move, which makes my pronunciation sound like Choi Hong-man. The airflow is also strong. It feels like talking while wearing a mouth guard. Especially, I had filler put into my chin 10 years ago, and maybe it did not dissolve well or somehow clumped together, but I had a bit of a witch's chin symptom. After this surgery, the witch's chin, sagging, muscle clumping, and swelling all got worse together. So from the second week I went to a neighborhood Korean medicine clinic, and the clinic director is a Korean medicine doctor who specialized in ENT. (Can a Korean medicine college even have a specialty?) Anyway, they knew a lot about chin nerve sensory abnormalities, and with swelling medicine covered by actual medical insurance, plus electroacupuncture and other treatments, the nerve is starting to come back and the swelling is going down faster. Every time I get electroacupuncture and swelling management, I can feel it getting a bit better. Since it is covered by insurance, there is almost no burden. It is one stop from Shinsa Station and right next to the subway station, so I recommend it. I am only introducing an insurance-covered treatment, so this is neither brokerage nor advertising. To conclude, when doing ASO, the chin is almost essential. Compared with full double-jaw surgery, the bone-cutting area is narrower, so it seems the chin is essential there. Think carefully about what to do with the chin: reduce it, narrow it, or move it forward. Also think about how much to move it, and so on. Most people go having only studied ASO and then, when they are told the chin is included, end up saying just make it pretty like me and later regret it. Also, the younger you are, the faster your recovery, but the older you are like me, the more you should think about recovery time. You need to expect about twice as long as younger people. And because numbness in the chin and muscle stiffness make speech problems last a long time, if you work in a job that requires speaking, this can drag on for a long time. You need to think very carefully. You also have to consider nasal widening, cheek volume loss, and the face becoming horse-like because of the witch's chin from the chin tip. To cover all of that, you would have to go for double-jaw surgery, but that is a much bigger procedure, so if you want to end with ASO plus chin surgery, you need to think enough about how to design the chin to prevent a horse-like face. That said, the nasal widening and cheek-volume problem will probably get better gradually as time passes and some flesh comes back. Not 100%, but maybe about 70% will recover. (It takes 6 months.) And although people say time is the only cure for chin numbness nerve recovery and there is no real answer, just like the clinic where your mouth turns back seems to work well, I recommend the clinic near Jamwon Station on Line 3. Rather than just waiting for the nerve to come back while taking walks alone at home, it helps you reduce swelling and get nerve recovery about twice as fast, plus they give swelling medicine like Newvane, and because health insurance plus actual medical insurance both apply, the out-of-pocket cost is only a few thousand won. Everyone, think carefully and decide, and as someone once said, please make it clear that bone-cutting surgery is ultimately your own responsibility and cannot be reversed. People who do well are just lucky, and for unlucky people like us, even if we think and think several times more than others before deciding, things still often do not work out, so think even more. If you have questions, I will answer as sincerely as I can.