리뷰

진료과목	Double-jaw surgery
Hi everyone, long time lurker here who recently got DJS and facial contouring at WHY Maxillofacial Surgery. Now to preface this review, I do have to say that I did get a discount for writing this but all my opinions are going to be candid. In fact, the clinic didn’t even give me a timeline to write this or request it to be written before the surgery. Anyhow, I’ll try to be as succinct as possible. Online consult I started by searching for an oral surgeon rather than a plastic surgeon because my main reason for doing this was due to TMJ issues. Both Gangnam Unni and Naver were extremely helpful in narrowing my choices down to 3; which then I started online chats via Whatsapp. All three were helpful, prompt, listened to my concerns and gave me preliminary quotes but told me that an in person consult would be needed to finalize a price. It didn’t feel like any of them were upselling and all the clinics were a million won or so different from one another. So I made an appointment with all 3 to make a decision when I arrived in Korea. Just note that I contacted and booked these appointments about 7 weeks out and they had 1 or 2 surgery slots open. And in order to lock in the surgery dates I placed a small deposit at 2 of them fully knowing that I probably would not be able to get the money back. In person My plan was to be in Korea for 3 weeks post surgery for recovery and post care but I also wanted to do other procedures so I ended up staying about 5 weeks. The consultation at WHY was pretty simple and streamlined. The typical CT scans, X-rays, photos, and a bite analysis were done before seeing the doctor. Compared to the other clinics I visited, WHY was smaller in size but still clean and modern. The doctor himself was very attentive in listening to my main reason for the surgery and touched the joints and reviewed the scans of the areas that I had the most pain in. Surprisingly, the other 2 clinics didn’t do so which didn’t sit well with me. Also, he was the first doctor to state that he couldn’t give me a guarantee that the surgery would fix my TMJ issues but that there was a high probability that it would help in some way. I knew going into this that jaw surgery would not absolutely fix my TMJ issues because I had multiple consultations with surgeons in the States before going to Korea who stated the same thing. Now to be frank, I didn’t know if I wanted to get facial contouring done at the same time as jaw surgery due to possible complications that might arise in getting multiple surgeries. However, I did have wide cheeks and a recessed chin that I wanted to get addressed in the future. And after speaking with the doctor, I had good confidence that it would be ok to get everything done all at once. Moreover, I wanted to get something done that was subtle and natural which is what he tends to prefer. I forgot to mention this but I did have a translator, Selene, at my appointments but I do speak and understand Korean a fair amount. Anyhow, I never felt that I needed assistance but it was reassuring to have her there. After the consultation, an assistant went over the exact procedures and the final price. Surgery Day On the day of the surgery, the doctor went over exactly what we were going to do which included: the precise movements of my jaw, the amount of cheekbone and jawline reduction for each side of my face, and the placement of my chin. We then went over a few photos that I provided as a reference multiple times so that we were on the same page. After everything was said and done, I changed into their hospital gown and was given a private room where I would stay for 2 nights/3 days post surgery. Finally, after one last rinse of the face and a check of my vitals, I was escorted to the surgery room. Sedation was typical, a poke to the arm and gas over the face and before you know it, you are groggily walking back to your bed for recovery. A few moments after the surgery was complete, the doctor walked in and said it was about 3 hours and that I bled a lot more than his other patients. This meant that I was pretty nauseous and dizzy the first day but it wasn’t too bad. I do appreciate that this clinic only performs one surgery a day because it gives the doctor time to check in on you throughout the day. Oh, and since you will be bedridden for ~2 days, a catheter is placed in for comfort. Also, all medications are given by the nurses every few hours or so via IV. Pain wise, I would say it was about a 2 out of 10 especially because your face will be numb due to the nerves being jostled around. It is the discomfort of being unable to breathe with your jaw swelling that is the most concerning. However, they do place a tube in one of your nostrils for you to breathe better. But, that gets removed after the first day. Immediately after surgery: Day 1 and 2 After your initial night at the clinic, your face will continue to swell, making it extremely difficult to breathe or eat. They do give you a nutritional drink but I found that I didn’t have an appetite so it was just water throughout the day. Also, a splint is placed in your mouth after the first day of surgery which makes it even more impossible to consume anything. Throughout the day, the nurses check in on you to give you your medications and fresh ice packs. They also recommend you to take brief walks around the clinic since you want some circulation in your legs and face. 1st week After your initial 2 days at the clinic, you are discharged and given a long list of prescriptions to take home. I believe it was only a 7 day supply but Selene did walk with me to the pharmacy to pick them up. She also was extremely kind in getting me a few boxes of nutritional drinks delivered to my hotel. After that you are pretty much on your own barring any questions you might have for the doctor/nurses via Whatsapp. Truthfully speaking, I didn’t leave the hotel much during this week since I didn’t have the energy to go out and walk. However, I was lucky enough to have a large living room area to pace back and forth (getting about 10k steps a day). This was done along with round the clock ice pack rotations, trying to swallow your drinks and taking your medications (which I gave up after 1 day and just crushed them to get them down). Even with all this, you will swell for about 5 days post surgery so don’t be too alarmed if you look like a Pufferfish. One thing to note though is to be super diligent in gargling your mouth with the prescribed mouthwash. You do not want an infection to complicate your recovery. At the end of the week I went back to the clinic for a check up and got my stitches removed from my sideburn area. 7 days post surgery: 2nd/3rd week Starting the 2nd week, I decided to walk outside and explore Seoul. I couldn’t walk more than 2 hours or so because I wasn’t eating as much and also it being only 1 week post surgery but I did try my best and it did seem to help with the swelling. This was also the time where I was allowed to eat soups and porridge. Oh, and I was also allowed to remove the splint whenever I was eating or drinking. Recovery was slow but everyday seemed to go by a lot faster. On day 17, I got the stitches in my mouth removed which again didn't hurt at all; probably because I was still swollen and numb. By the end of the 3rd week I was ready to fly home and just rest. 4th/5th week After a month post surgery, you kind of get used to being swollen. However, you do see it very slowly dissipating. At my last appointment with the doctor, he gave me some facial exercises to do which have helped with flexibility and getting back some sensation in my jaw area. I’d say recovery has been good but it is a lot of post care that you are responsible for. All in all, I’d say about 60% of my swelling is gone by week 5. Numbness has been slowly going away but it will take many more weeks for it to feel normal. Food wise, I am starting to eat a lot more solid foods like pasta, ground beef, chicken, and some fruits. Also, my TMJ pain has reduced significantly. I do have some pain at the joints when I chew (but that is probably due to prolonged degeneration) but no more constant pain that requires massaging or pain medications. So overall, I’d say getting DJS and contouring has been pretty uneventful which is exactly what you want! I do think that it was well worth doing it in Korea and at WHY because I got exactly what I wanted in terms of price and treatment. Now, do I wish that post care was a little better and attentive? Yes, but that seems to be the case at all clinics in Korea (same experience when I got double eyelid surgery a few weeks prior). But again for the cost and quality of the surgery, I can’t complain. 1 month post surgery: Random pieces of info: I am still wearing my compression band that was given after surgery. It seems to help with the swelling and possibly skin sagging. I try to wear it in the morning and evening. I noticed that my ears hurt a bit when I was flying home. Especially, when the plane was descending. So be prepared and don't worry too much. In fact it felt like my ears were underwater for the first month but it eventually returned to normal. You will be told to sleep upright for the first few weeks post surgery. I suggest you practice before the surgery if you are not comfortable doing so. I actually find it more comfortable now and it really does help with swelling. I did not have any issues with my bite before the surgery because I had braces done a long time ago. The doctor did state that I may need some sort of correction afterwards but I think it is too early to tell. I’m assuming he will tell me at my 6 month follow up appointment. Remember that any type of surgery is a risk and you should be the one to determine if it is worth the reward. Personally, if it wasn’t for my TMJ issues, I wouldn’t have enough gone through with it. Also, as a guy, aesthetics was not my main concern but rather treatment and functionality. TLDR: Wanted jaw surgery due to TMJ pain, had consultations at 3 clinics before choosing WHY b/c the doctor seemed to be the most knowledgeable of my issues, had surgery and no complications to speak of yet. 3 months Swelling was still a thing even at that point. Especially in the morning where you could press on your face and make small dents. However, it was slowly going away with daily walks. Speaking of exercise, at that point, I started to lift weights again since I felt it was safe enough to not mess with my recovery. One thing that I noticed was that whenever I was eating, my teeth would feel really crunchy. No pain but it was as if you were chewing on a granola bar. At this point I could sort of tell where my new profile/face would be even with the swelling. Since the bottom portion of my face was shrunk down, I noticed that I was starting to form a sort of puff near the edges of my mouth. It wasn't sagging or anything but something that was bound to happen since the doctor fixed my long lower face. I'll ask them for the clinical photos to better explain it. Other than this, there wasn't much change to my face or habits! Just slow and steady recovery. 6 months By this point I'd say that my swelling was at 15% to 20%. The swelling was most persistent near the upper mouth and nose region. I could eat anything that I wanted but would avoid really hard and chewy foods (ex. Baguette). TMJ pain was pretty much gone by this point and I started exercising my jaw and face muscles to increase facial symmetry. Before the surgery, the doctor mentioned that one side of my face was much more muscular and that surgery alone would not fix this. It has been hard but I do think that it has been helping. Speaking of which, I'm actually finishing this review in Korea after my 6 month follow-up. We took some photos, scans, and my TADs (screws in the gums) were removed. One worrying thing was that my gums healed over one of the screws. I asked them if I needed anesthesia but they said no. During the removal there really wasn't any pain; just a small pinch on the gums when he twisted it. At this time I also asked if I needed Invisalign but he didn't say it was necessary and that I could do it for cosmetic reasons. This is something that I plan to do at the 1 year mark. Other than that, there really wasn't much to discuss since I had no functional issues or concerns. Just a few more things that I noticed: -My whole lower face is slightly chubbier than before. Since my face was shrunk down, all tissue has more room to spread out. He did mention this before the surgery and that I could do some lifting laser treatments but it really isn't sagging but more fatty tissue? in the lower face. I'll need to talk to my plastic surgeon about treatment options. -One of the bigger concerns that I didn't think I would care about is the length of my upper lip. It has gotten quite long but again he definitely mentioned this. He said that my upper lip was long before the surgery and when he corrects my jaw, it will appear longer. Again, I'll ask my plastic surgeon about this. -One other thing that I personally didn't notice was that my chin was really long for my face. Before, it looked like I was always pouting/mad but now I look more normal. Also, I dont know why but before the surgery, I was always sticking my chin up but now I dont seem to do that. You can see both of these issues in the before and after. - Finally, my cheeks are a lot more contoured and it seems to give me definition when I take selfies now. All in all, I'm extremely happy that I did the surgery. My TMJ pain is non-existent and my jaw is definitely more symmetrical. All my cosmetic concerns were thoroughly explained so nothing was a surprise. The doctor was realistic in what I could expect post surgery and that is exactly what I got! B/A @ 6 months: 7 months:

진료과목

Double-jaw surgery

제목

Double Jaw Surgery and Facial Contouring at WHY Oral and Maxillofacial Surgery Why Oral and Maxillofacial Surgery

Hi everyone, long time lurker here who recently got DJS and facial contouring at WHY Maxillofacial Surgery. Now to preface this review, I do have to say that I did get a discount for writing this but all my opinions are going to be candid. In fact, the clinic didn’t even give me a timeline to write this or request it to be written before the surgery. Anyhow, I’ll try to be as succinct as possible.

Online consult

I started by searching for an oral surgeon rather than a plastic surgeon because my main reason for doing this was due to TMJ issues. Both Gangnam Unni and Naver were extremely helpful in narrowing my choices down to 3; which then I started online chats via Whatsapp. All three were helpful, prompt, listened to my concerns and gave me preliminary quotes but told me that an in person consult would be needed to finalize a price. It didn’t feel like any of them were upselling and all the clinics were a million won or so different from one another. So I made an appointment with all 3 to make a decision when I arrived in Korea. Just note that I contacted and booked these appointments about 7 weeks out and they had 1 or 2 surgery slots open. And in order to lock in the surgery dates I placed a small deposit at 2 of them fully knowing that I probably would not be able to get the money back.

In person

My plan was to be in Korea for 3 weeks post surgery for recovery and post care but I also wanted to do other procedures so I ended up staying about 5 weeks.

The consultation at WHY was pretty simple and streamlined. The typical CT scans, X-rays, photos, and a bite analysis were done before seeing the doctor. Compared to the other clinics I visited, WHY was smaller in size but still clean and modern. The doctor himself was very attentive in listening to my main reason for the surgery and touched the joints and reviewed the scans of the areas that I had the most pain in. Surprisingly, the other 2 clinics didn’t do so which didn’t sit well with me. Also, he was the first doctor to state that he couldn’t give me a guarantee that the surgery would fix my TMJ issues but that there was a high probability that it would help in some way. I knew going into this that jaw surgery would not absolutely fix my TMJ issues because I had multiple consultations with surgeons in the States before going to Korea who stated the same thing.

Now to be frank, I didn’t know if I wanted to get facial contouring done at the same time as jaw surgery due to possible complications that might arise in getting multiple surgeries. However, I did have wide cheeks and a recessed chin that I wanted to get addressed in the future. And after speaking with the doctor, I had good confidence that it would be ok to get everything done all at once. Moreover, I wanted to get something done that was subtle and natural which is what he tends to prefer.

I forgot to mention this but I did have a translator, Selene, at my appointments but I do speak and understand Korean a fair amount. Anyhow, I never felt that I needed assistance but it was reassuring to have her there.
After the consultation, an assistant went over the exact procedures and the final price.

Surgery Day

On the day of the surgery, the doctor went over exactly what we were going to do which included: the precise movements of my jaw, the amount of cheekbone and jawline reduction for each side of my face, and the placement of my chin. We then went over a few photos that I provided as a reference multiple times so that we were on the same page. After everything was said and done, I changed into their hospital gown and was given a private room where I would stay for 2 nights/3 days post surgery. Finally, after one last rinse of the face and a check of my vitals, I was escorted to the surgery room. Sedation was typical, a poke to the arm and gas over the face and before you know it, you are groggily walking back to your bed for recovery. A few moments after the surgery was complete, the doctor walked in and said it was about 3 hours and that I bled a lot more than his other patients. This meant that I was pretty nauseous and dizzy the first day but it wasn’t too bad.

I do appreciate that this clinic only performs one surgery a day because it gives the doctor time to check in on you throughout the day. Oh, and since you will be bedridden for ~2 days, a catheter is placed in for comfort. Also, all medications are given by the nurses every few hours or so via IV.

Pain wise, I would say it was about a 2 out of 10 especially because your face will be numb due to the nerves being jostled around. It is the discomfort of being unable to breathe with your jaw swelling that is the most concerning. However, they do place a tube in one of your nostrils for you to breathe better. But, that gets removed after the first day.
Immediately after surgery:

Day 1 and 2

After your initial night at the clinic, your face will continue to swell, making it extremely difficult to breathe or eat. They do give you a nutritional drink but I found that I didn’t have an appetite so it was just water throughout the day. Also, a splint is placed in your mouth after the first day of surgery which makes it even more impossible to consume anything. Throughout the day, the nurses check in on you to give you your medications and fresh ice packs. They also recommend you to take brief walks around the clinic since you want some circulation in your legs and face.

1st week

After your initial 2 days at the clinic, you are discharged and given a long list of prescriptions to take home. I believe it was only a 7 day supply but Selene did walk with me to the pharmacy to pick them up. She also was extremely kind in getting me a few boxes of nutritional drinks delivered to my hotel. After that you are pretty much on your own barring any questions you might have for the doctor/nurses via Whatsapp. Truthfully speaking, I didn’t leave the hotel much during this week since I didn’t have the energy to go out and walk. However, I was lucky enough to have a large living room area to pace back and forth (getting about 10k steps a day). This was done along with round the clock ice pack rotations, trying to swallow your drinks and taking your medications (which I gave up after 1 day and just crushed them to get them down). Even with all this, you will swell for about 5 days post surgery so don’t be too alarmed if you look like a Pufferfish. One thing to note though is to be super diligent in gargling your mouth with the prescribed mouthwash. You do not want an infection to complicate your recovery.

At the end of the week I went back to the clinic for a check up and got my stitches removed from my sideburn area.

7 days post surgery:

2nd/3rd week

Starting the 2nd week, I decided to walk outside and explore Seoul. I couldn’t walk more than 2 hours or so because I wasn’t eating as much and also it being only 1 week post surgery but I did try my best and it did seem to help with the swelling. This was also the time where I was allowed to eat soups and porridge. Oh, and I was also allowed to remove the splint whenever I was eating or drinking. Recovery was slow but everyday seemed to go by a lot faster. On day 17, I got the stitches in my mouth removed which again didn't hurt at all; probably because I was still swollen and numb. By the end of the 3rd week I was ready to fly home and just rest.

4th/5th week

After a month post surgery, you kind of get used to being swollen. However, you do see it very slowly dissipating. At my last appointment with the doctor, he gave me some facial exercises to do which have helped with flexibility and getting back some sensation in my jaw area. I’d say recovery has been good but it is a lot of post care that you are responsible for. All in all, I’d say about 60% of my swelling is gone by week 5. Numbness has been slowly going away but it will take many more weeks for it to feel normal. Food wise, I am starting to eat a lot more solid foods like pasta, ground beef, chicken, and some fruits. Also, my TMJ pain has reduced significantly. I do have some pain at the joints when I chew (but that is probably due to prolonged degeneration) but no more constant pain that requires massaging or pain medications.

So overall, I’d say getting DJS and contouring has been pretty uneventful which is exactly what you want! I do think that it was well worth doing it in Korea and at WHY because I got exactly what I wanted in terms of price and treatment. Now, do I wish that post care was a little better and attentive? Yes, but that seems to be the case at all clinics in Korea (same experience when I got double eyelid surgery a few weeks prior). But again for the cost and quality of the surgery, I can’t complain.
1 month post surgery:

Random pieces of info:

I am still wearing my compression band that was given after surgery. It seems to help with the swelling and possibly skin sagging. I try to wear it in the morning and evening.
I noticed that my ears hurt a bit when I was flying home. Especially, when the plane was descending. So be prepared and don't worry too much. In fact it felt like my ears were underwater for the first month but it eventually returned to normal.
You will be told to sleep upright for the first few weeks post surgery. I suggest you practice before the surgery if you are not comfortable doing so. I actually find it more comfortable now and it really does help with swelling.
I did not have any issues with my bite before the surgery because I had braces done a long time ago. The doctor did state that I may need some sort of correction afterwards but I think it is too early to tell. I’m assuming he will tell me at my 6 month follow up appointment.
Remember that any type of surgery is a risk and you should be the one to determine if it is worth the reward. Personally, if it wasn’t for my TMJ issues, I wouldn’t have enough gone through with it. Also, as a guy, aesthetics was not my main concern but rather treatment and functionality.

TLDR: Wanted jaw surgery due to TMJ pain, had consultations at 3 clinics before choosing WHY b/c the doctor seemed to be the most knowledgeable of my issues, had surgery and no complications to speak of yet.

3 months
Swelling was still a thing even at that point. Especially in the morning where you could press on your face and make small dents. However, it was slowly going away with daily walks. Speaking of exercise, at that point, I started to lift weights again since I felt it was safe enough to not mess with my recovery. One thing that I noticed was that whenever I was eating, my teeth would feel really crunchy. No pain but it was as if you were chewing on a granola bar.

At this point I could sort of tell where my new profile/face would be even with the swelling. Since the bottom portion of my face was shrunk down, I noticed that I was starting to form a sort of puff near the edges of my mouth. It wasn't sagging or anything but something that was bound to happen since the doctor fixed my long lower face. I'll ask them for the clinical photos to better explain it. Other than this, there wasn't much change to my face or habits! Just slow and steady recovery.

6 months
By this point I'd say that my swelling was at 15% to 20%. The swelling was most persistent near the upper mouth and nose region. I could eat anything that I wanted but would avoid really hard and chewy foods (ex. Baguette). TMJ pain was pretty much gone by this point and I started exercising my jaw and face muscles to increase facial symmetry. Before the surgery, the doctor mentioned that one side of my face was much more muscular and that surgery alone would not fix this. It has been hard but I do think that it has been helping.

Speaking of which, I'm actually finishing this review in Korea after my 6 month follow-up. We took some photos, scans, and my TADs (screws in the gums) were removed. One worrying thing was that my gums healed over one of the screws. I asked them if I needed anesthesia but they said no. During the removal there really wasn't any pain; just a small pinch on the gums when he twisted it. At this time I also asked if I needed Invisalign but he didn't say it was necessary and that I could do it for cosmetic reasons. This is something that I plan to do at the 1 year mark. Other than that, there really wasn't much to discuss since I had no functional issues or concerns.

Just a few more things that I noticed:
-My whole lower face is slightly chubbier than before. Since my face was shrunk down, all tissue has more room to spread out. He did mention this before the surgery and that I could do some lifting laser treatments but it really isn't sagging but more fatty tissue? in the lower face. I'll need to talk to my plastic surgeon about treatment options.
-One of the bigger concerns that I didn't think I would care about is the length of my upper lip. It has gotten quite long but again he definitely mentioned this. He said that my upper lip was long before the surgery and when he corrects my jaw, it will appear longer. Again, I'll ask my plastic surgeon about this.
-One other thing that I personally didn't notice was that my chin was really long for my face. Before, it looked like I was always pouting/mad but now I look more normal. Also, I dont know why but before the surgery, I was always sticking my chin up but now I dont seem to do that. You can see both of these issues in the before and after.
- Finally, my cheeks are a lot more contoured and it seems to give me definition when I take selfies now.

All in all, I'm extremely happy that I did the surgery. My TMJ pain is non-existent and my jaw is definitely more symmetrical. All my cosmetic concerns were thoroughly explained so nothing was a surprise. The doctor was realistic in what I could expect post surgery and that is exactly what I got!

B/A @ 6 months:

7 months:

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