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Tuesday, 3 June 2014

1 month!

So it's been a month since my surgery and it's clichéd but time has flown by! I cannot emphasise enough to anyone considering double jaw surgery, do it! It has improved every aspect of my life. I have better self-esteem/general confidence, I breathe much more easily through both my nose and mouth - this has also improved my sense of smell & my jaw's new position puts less stress on my face and teeth (which used to grind.) I was lucky in that my bottom jaw suffered no nerve damage so I have full feeling in my chin/bottom lip/lower face. I have almost all feeling/sensation back in my nose, I can feel both sides of my face and only have a very small area of numbness in the upper left corner of my lips (which causes 0 problems as I hardly notice!). 

Currently I'm eating almost a normal diet; I'm trying to chew a little bit to make sure I exercise my jaw if not a little bit. I tend to cut all my chewy-ish meals into smaller, easier bites and if it aches at all I stop. This system seems to be working well as I was concerned about my weight loss/energy levels.

My advice immediately post-surgery
• Try to drink as much water/fruit juice as possible. Whilst milkshakes are fab and everything, too much of them will upset your digestive system and drinking as much as possible will lower your swelling.
• Sleep with one more pillow than usual; raising your head above your body is vital to make sure blood doesn't rush to your head and worsen swelling.
• I was sent home with only prescription paracetamol. If your painkillers are not sufficient, contact your NHS dentist. They will prescribe you something stronger and you avoid the mess that is A&E. (I had dyhydrocodeine which was enough.)
• Try to wean yourself naturally off of your painkillers after a week or so of recovery. Relying on them is unhealthy and your swelling will peak after 2/3 days and then improve anyway.
• Experiment with ice/heat packs every half an hour or so - it will lessen the pain externally too and is quite soothing.
• Know your limits the first couple of weeks after your op. Trust me, I wanted to go for walks and exploreeee and I had zero energy to do so. You lose a lot of blood during surgery and consequently it will take about a month- 6 weeks to get back to normal. I went to school 6 days after my op to do a Photography exam, but I was lucky in that I managed. (Naps were very common the first 2 weeks.)
• Invest in an irrigator to clean your teeth. When brushing (which you should as much as you can to avoid infection) using a hand held irrigator is super helfpul to remove debris from your meals. 
• I would buy a lot of comfy pyjamas to laze about in, you'll feel so much better.
• Showers are going to make you feel 100 times better.
• You may find that blood clots in your nose after surgery. It is so important that you don't blow your nose for at leaaast 2 weeks or so postop (and even then don't over do it in case you burst a blood vessel). It is possible to clean the clots out with cotton buds and warm water or saline spray to ease your breathing.
{this is my own personal advice and should be consolidated medically}

UPDATE PHOTOSSS
(My bottom lip still appears more prominent as my braces have been rubbing!)
 

Friday, 30 May 2014

3 weeks, almost 4!


Here's just a few update photographs and comparisons!
I've been continuing to eat what I can and soup of course! Luckily working in a café means I'm getting access to a lot of wonderful soup for lunches! So far the swelling has gone down significantly and I'm receiving a lot of positivity about my appearance! I can just about fit two fingers in between my jaw, unstrained - which I'm pleased with :-) Also, the new peach smoothies at McDonalds are amaaaazinggg!
Side profile recently! (A wee bit swollen due to sore cheeks from braces rubbing, also a bit tireddd)
Relaxed smile before, and after (I can't even remember it being like before but happy noww)

Bite before and after!



Friday, 23 May 2014

2 weeks! (Well just over!)


It's been just over two weeks since the op, and time has flown by!
Currently eating a diet of mainly soups, soft pasta/rice/potato dishes, brioche/soft bread and juice. Last week we realised I'd lost half a stone in the space of about 6 days, so I've been trying to ensure I maintain a steady (inevitable) weight loss that doesn't get too silly when I have days I don't feel like eating. I've managed to wean myself down to only occasionally taking paracetamol which seems to be working well! Last week I managed to go out with my school's art department for a curry to celebrate our final exams and managed to eat some rice and sauce (which was beautifulll.) I've generally attempted to slowly build in more walking, and interacting that I would do on a normal weekly basis. I had my second orthodontic and first maxillofacial post-op yesterday and they are impressed with how well my swelling has gone down and how well I'm generally doing! I'm continuing to wear elastics at my front hooks to align my front teeth more but this isn't a major thing and shouldn't take long! I have another check up for this on June 5th! I would have liked to update more but it's almost exam season so revision is mental at the moment, I will be recovering more after June 18th! 
Here is a comparison of before surgery, and 2 weeks after!

Elastics when I got them about a weeek ago!


Monday, 12 May 2014

Day 6!

I'm almost off my painkillers which I'm feeling fab about!
Went to school today for my first day of my photography exam, felt so lovely to see everyone and the swelling has gone down a fair bit, it's mainly old (green) bruises that remain.
I think my appetite is slowly returning, I'm managing to eat but very small portions still.
I had a glass of cranberry and a vanilla yoghurt for breakfast, I managed to get through half a tuna sweetcorn pasta pot from co op over break and lunch! It was quite hard to chew sweetcorn but I managed the pasta/tuna pretty well! I also had a chocolate milkshake that cheered me up as I couldn't eat biscuits like everyone else :-) 
Starting to feel better/more positive now my life is starting to seem a little bit more "normal." Although I think 5 hours of being up and about was enough because I almost crasheddd when I got into my bed! (Oooh also had a mocha earlier which was beautiful :-) )
Swelling update! (Bruises are more prominent than this but I was having a happy vain moment!)

Sunday, 11 May 2014

Progress!

Currently I'm very happy with how it's all going!
It's.... Day 5, more or less! (I'm no good with countdowns) and swelling is much less prominent/uncomfortable. I've been alternating ice packs and heat to allow it to go down, on top of taking my painkillers and anti-sickness tablets - which are helpful to get to sleep, but not in the middle of the day! But sleeping has gotten easier, and I now sleep through the whole night no problem! :-) I've also been managing to do all personal aspects of my life on my own: showers, brushing my teeth, eating and combing my hair!
Showers: I would recommend having at least one a day, not just for hygiene purposes but it warms your face up, and makes you feel much more fresh and awake! Try not to over do the length of them - personally I have A LOT of curly hair, so this morning I sat down in my shower in order to comb it fully. (Baths I would say are nicer in order to relax and go to sleep.)
Brushing teeth: I'm currently using a chlorahexadine mouthwash that the hospital prescribed me, but it can be bought from most supermarkets (corsadyl.) I'm also using a baby teeth tooth brush, as it is much smaller than regular ones. Again, this not only prevents infections, but will help you to recover quicker by keeping your mouth clean and help reduce swelling!
I'm about to attempt to go out wit my Mum for some fresh air as I hateeee being stuck indoors, hopefully it'll give me an appetite as well! 
This morning I've had a small vanilla yoghurt, some water, and some orange juice.
Here is a two day comparison in swelling!

Friday, 9 May 2014

It happened! Day 4


I went in to hospital on Tuesday morning (6th May) at 7am for my surgery. I met with my anaesthesiologist and my surgeon/registrar. Everything was fairly lovely and I was just asked a lot of the same medical questions before walking to theatre at about 8:30am. I don't remember much of being put under, until I woke up at 2pm. The surgery had gone really well, I woke up without any elastics or splint and feeling pretty positive. I had my parents, my boyfriend and his friend visit me that afternoon; and my doctors seem to think I have been recovering amazingly well. As per the normal routine, I had to stay overnight. I had two drains/tubes on either side of my neck to drain the blood from my mouth. These were fine, except being a bit of a pain when it came to going to the loo. Which news flash, I didn't realise how much I'd need to go that first night with the amount of IV fluids they pump into you. The first night I would say is the worst in terms of nausea. This surgery is quite invasive and as a consequence you swallow quite a lot of blood, which naturally the body wants out of your system. I had to call nurses to throw up 7 times that first night, and got very little sleep. The second morning my surgeon and the maxillofacial team came round to see how I was doing and decided I had to stay another night :-( At this point I was very upset because I just wanted to go home/a change of scenery. I was on 2 paracetamol, an anti inflammatory, antibiotics, and occasionally anti-sickness tablets/oral morphine when paracetamol didn't cut it. When I finally got to go home Thursday morning I was very relieved. I still felt a lot of pain, my drains had been taken out which was a bit uncomfortable and my swelling had pretty much peaked. The good news is that during surgery, my nerves in my lower jaw were completely hidden and so I have all the feeling in my lower lip/chin! Which usually isn't the case! However I have little feeling/sensation especially in the right side of my face. Since coming home I have been very sore, I have mainly been using ice packs to numb my pain and the meds they gave me. Although I ate quite a lot the first few days in hospital, my appetite has pretty much diminished now. This only concerns me because I don't want to lose weight, and it may upset my tummy. Yesterday I didn't want breakfast in the hospital, at home I had a small bowl of baked beans, some jelly/icecream at lunch, and a small bowl of mushroom risotto at dinner. When I say small portions, I mean SMALL. I've been using a tea spoon to eat and cups that toddlers tend to use. I don't have much suction yet, but my doctors are impressed I've already been managing a soft diet. Also, frozen smoothie pops are AMAZING. I'm hoping I get an appetite again later because currently my stomach is quite sore. 

Pain: 7/10
Discomfort: 8/10
Swelling: 9/10

Thursday, 10 April 2014

And it gets worseee

Received a letter this morning detailing that my surgical admission has been cancelled.
They have had to prioritize another surgery, which is absolutely valid. However, naturally I am very upset.
I'm hoping to hear from a consultant about rearranging for next week sometime, but it is most likely going to be 6th May. Trying to stay positive.

Wednesday, 9 April 2014

So, massive catch up!

Hello all!
I've been very busy over the last year with coursework, work and A-Levels in general! So I haven't had much (any) time to keep a regular update on how my course of treatment has gone.
In summary:

  • I have been having an orthodontic appointment at hospital every 2 months or so. This has become a fairly regular part of my routine and I consider it quite normal. However, it can be difficult explaining this normality in my life, to others who don't understand the commitment and trouble it can be.
  • I have had hooks on my wires that allow me to attach small elastics to pull my jaw slightly more forward (lower jaw.) This started as alllll the time and was a MASSIVE inconvenience. It has progressively decreased to only wearing them during sleeping hours, which is much more manageable. I used to have to carry around little elastic bands everywhere and explain to people what I was doing... yeah.
  • I have had a few clinic appointments where basically my surgeon meets with my orthodontist and I to discuss how to carry on.
  • This is how I came to recent events. My last appointment I had my impressions/moulds done to prepare how the surgery will take place.
  • I also know that my surgery should be taking place next Tuesday (15th April.) 
  • I am super, super excited; but quite anxious. It's been a long time coming and I'm just so excited to see the results and start recovery towards a happier, healthier jaw!

Thursday, 7 February 2013

Vlog Braces Update!!

Hello everyone!
Sorry it's been a while I've been doing a lot of Photography coursework recently.
And frankly the first few days of my braces I was a mess and couldn't control my mouth at all!
It's gotten better though. I still have some pain in my jaw because of the increased pressure on my mouth and I find it quite difficult/scary to chew some foods. Scary because it feels like my brackets are going to be pushed off! However I'm feeling pretty positive about it :-) A fair few people haven't made a big deal of them or just said they suit me, or it hasn't phased them at all! Which is brilliant 'cause I didn't want it to overly get in the way of my normal life. I'm getting metal rings on my teeth next month to create gaps at the back (I'm assuming so my jaw/teeth can be moved in the right direction/place). But... yeah... everything's going great for now :-)

Saturday, 2 February 2013

Day 3 in braces!

I've had a fairly busy day today, I went shopping with a good friend for a nice catchup and my jaw wasn't as bad as yesterday! Although I've swapped to ibruprofen instead of paracetamol to manage the pain. I have work tomorrow so hopefully it won't be too much trouble as my consultant says if it's still painful to go back in. The pharmacist got me a (magic!!) gel called oragel (extra strength) that I put on my upper and lower gums to occasionally numb the aching for a while . I'm also finding the wax they provide you with massively helpful however it's often tricky to know where your mouth is being skewered! Also quite a few people I saw today didn't even notice the new metally teeth I've aqquired - success! :-)

Pain: 5/10
Inconvenience: 6/10


Friday, 1 February 2013

Day 2 in braces:

So I slept very well but woke up in a fair amount of pain. The pressure of the brackets realigning my teeth has caused alot of strain and my jaw is fairly achey. I've been on paracetamol up until 2pm and swapped to some stronger meds. But unfortunately they're making me quite drowsy/sick so I've been having on and off naps. I went to school as normal but lunch was a real challenge. I made a soft bread sandwich with paté and I just couldn't manage biting it. A satsuma was okay and a soft cookie in pieces. Drinking water is making me feel a bit better. But if the pain continues tomorrow Mum has said we'll get some kind of numbing cream or gel as it's hard to cope at times. I forgot how much the first week hurts :-( I've had some rice and chicken for tea and that was okay but I'm more worried about feeling faint because I don't bother eating if it's painful! Hopefully things will get better soon...

Pain: 6/10
Inconvenience: 7/10



Thursday, 31 January 2013

😁 Braces time!

So my appointment went very well! My consultant explained the process and my next couple of appointments (in March.) Today I got put on my brackets and wires (6's... whatever that means!) and, for once, I got to choose a colour! The 9 year old in me is finally happy! I chose a kind of light blue/purple :-) My next appointment on the 7th of March I'm getting metal rings on my back teeth to create gaps and get the process going! And the week after I think we're sorting elastics. No one understands how happy I am that this had started! I've been pretty sore for most of today and taking paracetamol where possible from the pressure. I had pasta for lunch which was okay but a little tricky. I'm going to attempt to eat noodles in a while so fingers crossed haha! I've also started adjusting to filling meals so no need to have snacks and mainly a water based drinking diet. And I've bought some magazines to accomodate the time where I just feel a little too sore/tired to do anything. It sounds really dramatic but I just feel very drained... I haven't made a video today as it's been a fairly non-stop one and I'll try make one tomorrow!





Brace day!

My appointment has been brought forward from 11:15 to 10:30 so I will be going in earlier in a bit! I've taken two paracetamol in case I have a bit of an ache later on. I'm not entirely sure if the brackets they put on will allow me to have colours but I hope they do as I've never been able to have coloured appliances! It's silly haha but it'd make the whole process a bit nicer :-) I will update about how it goes and what gets done later!

Wednesday, 30 January 2013

So it begins!


So this is my first post in hopefully what will be a long string of them. Over the last few months I have made the difficult decision to go through with jaw surgery to correct my underbite. It is an issue that I find a daily struggle, but goes unnoticed by most people around me. I point it out and they're usually taken aback as they don't notice it at all. It has been picked out by immature children in past years but I've always been self-conscious of it on my own. I wanted to make a blog/vlog so I could record the progress of my treatment and look back on it all with something as a comparison. My video pretty much outlines my whole past treatments in orthodontics up until about a four/five months ago when we stopped with my clear retainer as it would be unnecessary if I decided to get braces. Which I have! Tomorrow's the big day and it's strange that I'm nervous because I've had them before! But this will be the first time I've had metal on both jaws. I'm fairly excited as this is something I've always wanted and it'd be lovely to look at my profile and not want to cry because I just feel so distorted.I'm going to make an update about braces as the months go on up until my Bi-maxillary osteotomy (double jaw surgery) next year.