Ask Bella: Numbness and nerve damage

Q: During my meeting with the surgeon last week, he warned me about the small possibility of damaging the nerves. I kind of knew the risks that exist with these types of surgeries, but as I sat there listening to him, I really had this overwhelming fear that I will lose feeling on some parts of my face. So then I started really to research more about it. Given that, I wanted to ask you the following questions:

1. Did you have huge concerns over nerve damage?
   
   A: I was concerned, but I did a lot of research, read people's stories on the Internet and talked to people who had the procedure done. I also looked into alternative health practices that would help with nerve repair, such as acupuncture, supplements, and homeopathic remedies. You can see my list of homeopathic/supplements that I took before and after surgery here. Also, all my posts that deal specifically with numbness can be found here.
   
   
   
2. What did your surgeon tell you about the risks involved and how likely it is that something will go "wrong"?
   
   A: My surgeon told me that there was a risk for permanent numbness in the chin/lower lip and that risk went up with age. So, at 32 years old, I had a 32 per cent chance of having permanent numbness. However, this guy had been doing this surgery for longer than I have been alive, so I had faith in his abilities to minimize damage and risk.
   
   
   
3. Did you hesitate about going through the surgery? If so, why did you decide to go ahead?
   
   A: No hesitation. Once I did all my research and felt comfortable with the surgery, I moved forward and never looked back. I did this surgery because I was having a lot of TMJ pain as a result of my overbite and knew that it would get worse if I didn't do something.
   
   
   
4. Do you regret having gone through the surgery because of nerve issues?
   
   A: No regrets. And no major nerve problems because of the surgery.
   
   
   
5. Has all the feeling gone back to your chin/jaw/lip areas?
   
   A: A year after surgery, I have almost full feeling in my lower lip and chin. It is more than 99 per cent there and improves everyday. I don't notice it unless I touch the area very, very lightly. If I use a regular touch, it feels like the rest of my face, and I can't tell the difference. The majority of the feeling in my chin/lip came back very quickly (within a month of surgery) and then slowed down, but improved on an ongoing basis. I have faith I'll have full feeling return, but even if I don't, I can live with the way it is - it's not weird at all.
   
   
   
6. Would you have done something differently?
   
   A: I would have taken iron supplements post-surgery. It was the only thing I didn't think about doing and I became anemic as a result. Of course, this isn't the case for everyone, but it was for me. I also would not have let my orthodontist take off my braces when he did - it was too soon and gaps opened up between my teeth and I had to have the braces put back on a few months later. Otherwise, no "what ifs". I was very prepared.
   
   
   
7. Knowing what you know now, will you do the surgery all over again?
   
   A: Absolutely. No regrets. I'm happy with the results, and I am looking forward to a pain-free life with a winning smile.

Of course, this is my situation and experience and everyone is different.

Thanks for your questions, and good luck!

*To ask Bella a question about her jaw surgery, email her at smilingbella at gmail dot com or leave a comment on this post. Go ahead: ask away!!

Medical claims

So, last year was quite the year for medical expenses for me. Fortunately, I do live in Canada, where my surgery and hospital stay were completely covered by our health care system.

But that doesn't mean that there weren't major costs associated with this surgery for me. The surgical splint was $500 and wasn't covered under any of my benefit plans. Also, I had my surgery in another city, which meant lots of travelling back and forth to see my surgeon. And then there was a lengthy recovery, which included extra insurance, medications, physiotherapy, massage therapy (including lymph drainage massage), acupuncture, naturopathy, homeopathy, orthodontics and dentistry.

I avoided totalling it all up until now. And the damage: more than $4,700.

Wow. That's a lot. And the above is just the amount my benefits didn't cover. If it were the full amount, it would be another few thousand for sure (not to mention the shortfall in my gross pay because of all the work I missed due to related illnesses over the past year.)

Then again, being able to chew like a normal person and replace frequent migraines with a winning smile?

Priceless.

And hey, at least I get a good tax return this year.

Ask Bella: Lymph drainage massage

Q: I was considering a lymph drainage massage, but my oral surgeon said, "I have no idea what that is, so I don't know if it's a good idea." But you did have one, and you said you noticed a difference, correct? Was it at all uncomfortable? And would you recommend it?

A: Lymph drainage is very gentle - like a butterfly touch - and it drains the swelling like crazy. I couldn't believe how effective it is, particularly because the guy "massaging" my face barely touched me. It made such a huge difference.

The only regret I had was that I should have gone the day after the surgery instead of waiting two weeks. I was very swollen and lopsided from the swelling, and after one session I noticed a huge difference. The homeopathic remedy Arnica is great for helping to reduce swelling, too, and you can find it at most health food stores.

It sounds like your surgeon is pretty traditional. Some doctors are strictly medicine/surgery, while others are more open to complementary medicine and alternatives.

Just so you know, all of the remedies and treatments I have used post-surgery are things that have been used by many other people who have gone through the same surgery - just check the online jaw surgery support groups found in my sidebar for examples of others who have done the same. (That being said, please consult with your surgeon or doctor before taking any supplements or natural remedies.)

*To ask Bella a question about her jaw surgery, email her at smilingbella at gmail dot com or leave a comment on this post. Go ahead: ask away!!

Ask Bella: Hot tips

Q: Knowing what you know now, would you still go through the surgery? Is there anything you would change?

A: No regrets. I'd do it all again. Only this time, I'd be taking the homeopathic remedies before the surgery as well as after to help get the swelling down faster, I would have gone to lymph drainage massage as soon as humanly possible after the surgery instead of waiting two weeks to help get the swelling down, and I would have moved my expectations about being perfectly healed from three months post-surgery up to six months post-surgery. Oh, and I definitely would have upped my iron intake during my recovery.

Q: Any random tips/recommendations for any part of the process?

A: Do your research. Read all you can, look into natural remedies, know exactly what you're getting into, and keep a positive attitude and a sense of humour and you'll breeze through it (as much as anyone can "breeze through" major surgery, that is.)

*To ask Bella a question about her jaw surgery, email her at smilingbella at gmail dot com or leave a comment on this post. Go ahead: ask away!!

Ask Bella: The basics

Q: What exactly was done in the surgical procedure? Was it upper or lower jaw? What was done?

A: My lower jaw was advanced 4 mm. I was in braces for two years and then had the surgery on Feb. 12. It was a bilateral sagittal split osteotomy (BSSO) where they bisect the bone, slide it forward on itself and then secure it with three screws on each side. The screws stay in my jaw forever and don't dissolve. I have my X-Rays posted on the site, before and after, as well as an animation of what the surgery involved and actual pictures of someone getting the jaw surgery (very gory, just so you know.)

Q: How far along in recovery would you say you felt "normal" again (little to no swelling or bruising, easier to eat/drink/talk, etc.)?

A: I did a lot of research about homeopathic and natural remedies before the surgery and I feel like those really helped me get the swelling and bruising down fast. My swelling and bruising was pretty much gone after two weeks. If you can get the swelling down quickly post-surgery, it's easier to talk and be understood as well as eat when your jaw is wired shut.

After I had my jaw unwired, I was unable to chew anything - just eat mushy foods, as my muscles were quite weak. At about the six week mark, I was eating most things without problem, though at the 4 month mark, there are still things I can't eat, like fresh veggies and other hard, chewy foods. My surgeon says it will be six months post-surgery before I can eat everything.

*To ask Bella a question about her jaw surgery, email her at smilingbella at gmail dot com or leave a comment on this post. Go ahead: ask away!!

Homeopathic healing

A lot of people have expressed amazement on how quickly my bruising and swelling went away. While I maintain that a positive attitude does make a difference when you're healing from major surgery, I certainly don't credit alone with my progress.

Before my surgery, I went to see my naturopathic doctor and she prescribed a number of homeopathic remedies and supplements.

Homeopathic remedies operate on the principle that like cures like. So, if something in great amounts causes a headache, then the theory is that a very, very, very small amount of the same thing will cure a headache. Homeopathic remedies dilute those substances to microscopic levels and then use them to treat that ailment.

There is a constant debate going on as to whether or not it really works. In my experience, it has. But everyone is different. The way I see it is there's no harm in trying. If it works, it works. If not, the remedies are relatively inexpensive (I paid $7 per vial, Canadian Dollars, for mine), so you're really not losing anything.

My arsenal of non-drug remedies.

This is what my naturopath recommended for me (please consult your doctor/surgeon/homeopathic practitioner before taking any supplements):

1. Arnica Montana, 200K pellets. One or two pellets at a time, taken away from food, as often as needed to reduce bruising and swelling.
2. Hypericum Perforatum, 200K pellets. One or two pellets at a time, taken away from food, as often as needed to reduce nerve pain.
3. Calendula, 200K pellets. One or two pellets at a time, taken away from food, as often as needed to heal wounds post-surgery.
4. Thiosinaminum, 6CH pellets. One or two pellets at a time, taken away from food, as often as needed to break down scar tissue.
5. Wobenzym N., enteric coated tablets. One tablet three times a day, taken away from food, to break down inflammation. (Note: Wobenzym contains Bromelain, a digestive enzyme made out of pineapple. I know of a lot of jaw surgery patients who just take Bromelain, which would have the same sort of result if you're unable to find Wobenzym.)
6. Traumeel, oral drops. This is a complex homeopathic with a variety of compounds in it. Five drops, three times daily, taken away from food, to reduce swelling, bruising and inflammation.
7. Vitamin B12. She didn't give me an amount on this, but said that it helped encourage nerve regrowth and reduce nerve pain. I found these great dissolving Vitamin B12 strips that I could put in my cheek while my jaw was wired shut and they would dissolve. Awesome!
8. Mediclear, protein and vitamin powder. One scoop in rice milk in the morning with breakfast. Provides protein essential for healing and liver support post-anesthesia.

If I had to do it again, there were some changes I would have made.

Firstly, I would have found as many of the homeopathic remedies in tinctures/oral drops to make them easier to take when I was wired shut. I used a method for taking the pellets called "pulsing" where you put a very tiny amount of water in a glass and dissolve the pellets in it before swallowing. It worked fine, but the usual method is to dissolve the pellets under your tongue. Drops would have been much more convenient.

Secondly, I would have started taking the Arnica and the Traumeel several days before surgery. You get a much better result that way. I took the Arnica just one day before, and I didn't start on the Traumeel until three weeks after the surgery. It turned out well for me, but it would have been even better to start earlier.

Otherwise, it's been going very well. I wasn't able to take the Wobenzym while I was wired shut, but I am taking it now. While I was wired, I focused more on taking the Arnica and Calendula as much as possible. Now that the swelling is mostly gone, I'm concentrating more on the Hypericum and the Thiosinaminum as well as making sure I'm taking my Mediclear every day. I added the Traumeel because I noticed there was just a tiny bit of swelling left that wasn't going down as much as I would have liked and I figured it would help.

The really nice thing about homeopathic medicine is that it is so diluted that it's impossible to take too much of it and it is not going to interact with any drugs, or so I'm told. It's kind of idiot-proof, which serves me quite well.