I usually had a slightly protruding mouth, so when I looked from the side I felt like I had a puffy impression, which bothered me every year. At first I looked things up a bit and went to consultations with ASO in mind. Some hospitals said ASO would be possible, but most said it was not protrusion of the mouth, but that the entire mandible was protruding, and that ASO would not improve it; instead, the mandible itself needed to be rotated with two-jaw surgery. They also said that because my current condition did require two-jaw surgery, the protrusion was not severe and the effect might not be large even if I had surgery, but I decided to go ahead because I thought I would keep worrying about my impression every year anyway. My criteria for choosing a hospital were whether they properly explained my current condition, whether they had cases similar to mine, whether they clearly explained what was possible and impossible, and whether they could do it on the date I wanted since I am currently employed. I excluded places that only said nice things. From the first day of surgery through the hospitalization period, it was extremely hard. On the day of surgery, I was dizzy, had difficulty breathing, and had to keep my head elevated, so I barely slept. Breathing was especially difficult, but the staff on duty checked my condition frequently and regularly flushed the tubes and suctioned my nose, so I was able to get through it safely. After discharge, breathing became a little more stable, so I could go on light walks and manage reasonably well. The uncomfortable parts were mainly eating and taking medicine, and because the swelling was severe, I focused on walking and warm compresses. Fortunately, my bite was aligned well, and I returned to work from the third week. What was uncomfortable at work was that my speech was a bit slurred and eating was difficult and slow. At one month, I had the screws removed and started facial muscle exercises, and from the sixth week I began mouth-opening practice, so now I can open my mouth to about 3.5 fingers. So far there have been no functional problems, so I think the surgery went well. When I looked at other people's review photos, most seemed to have most of the major swelling go down and start looking natural around one month, so I had some expectations at the one-month mark, but in my case the swelling has not gone down well, so I am still struggling. So whether the surgical result was satisfying will need a bit more time to assess, and the most uncomfortable thing right now is that I do not have much strength on one side of my lip, so when I brush my teeth and rinse my mouth, water splashes out like a water gun. They say this needs to be followed for about 6 months. As for sensory changes, until the one-month mark there were many areas with almost no sensation, but now there are almost no areas without sensation, and it is gradually coming back. Also, my facial muscles feel a bit stiff, so my expressions are somewhat unnatural. For those of you who are thinking about surgery while working, I think you should carefully consider the recovery period. And if you have decided on surgery, doing it sooner while you are still younger will help recovery.
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