Monday, 7 July 2014

Before .v. Day 23 and update

Day 23, yippee! So over three weeks now since my jaw surgery. What news this morrow with it brings? Well, I have moved back from my parents' house by the beach to my flat in London. It was a bit of a shock at first being back, but I've acclimatised now! It does seem, annoyingly, that the progress I had made on sleeping through the night has been undone unfortunately. I've gone back to my Days 3-10 habit of waking up at 4am! Curses! Still, I'm sure it'll settle back down. I've been seeing a friend or two (for icecreams and smoothies) and sorting out my room. I bought a dressing table / desk, with the dual functions of beautifying my new jaw with lashing of slap (US readers - that's what we in the UK call makeup!) and giving me a proper desk to start fulfilling my dreams of writing. I have high hopes of writing something of terrible, trashy chick-lit quality in the coming weeks :-) I got the table from the charity shop for £30! Get in! I'll post a pic when I've sorted it out, not that you asked :-) So what in jaw news?

My jaw has been spasming a bit recently, which I've interpreted as it realising, "Holy cow! I just got moved around! Where on earth is this new position?! I'm homesick!" Hopefully it'll man up soon because the spasms always take me off guard. It's more a shock than painful, although it does hurt a little! Makes me think I've broken off one of the plates, but I'm guessing that's extremely unlikely.

In numbness news (that's the best news, isn't it?!), there has been a little progress in feeling returning under my nose. This is the area that most annoys me that it's so numb - I can't feel the area between the nose and my lips, nor can I feel my top lip. At all. This is in comparison to less extreme numbness elsewhere on my face. I'm more growing impatient with it than worried. I just hope *some* feeling comes back to *most* of it, otherwise that long-awaited post-jaw-surgery kiss is going to be a bit of a let down :-) I'm staying positive. I keep doing squishy hamster faces to encourage blood flow, much to the amusement of my flatmates, and it'll just take time. It feels like the right side above my lip might be unfreezing....come on left side, you know you want to get in on the fun! What I find weird is when the numb areas itch...but when you scratch you can't feel it....does anyone else get this?! It's spooooooky! Phantom itching :-)

The only other news really is that I received an official letter which was copied to my doctor, with the details of the surgery. It's in medi-speak and I have utter respect for what must be a very complex and demanding job, but I do find it amusing that the procedures are described as "uneventful". Hehe. What events could there have been?! A picnic? A man dressed as a gorilla bursting in? I also like the idea that a 'problem' would be euphemistically disguised as an 'event'. E.g., "there was an event of bleeding, which was resolved". Hehe, In all fairness the letter is mainly way over my head, and I only make light of it because, well, you have to don't you :-) Here's to an 'uneventful' surgery for everyone! I'll post it as a separate post.

Day 23! Ooh who needs a haircut?! :-) I think I'm going to go (back to being) a bit darker when this is done. I fancy a fresh start :-) Let me know what you are most looking forward to! I wouldn't say my hair is by any means the thing I'm looking forward to the most...haha. Looking more like myself here. It's irritating that the photo does no justice to the numbness you're experiencing! Like that top lip - I can't feel that! Or that whole area between nose/lips. Nadda. As my friend says, slowly slowly catchey monkey :-)














Day 23 side profile: Much more aligned! I actually have a chin instead of a slope. Very pleased with that. It's funny to see how red/purple my ears are here - they're so flat now that I can't tell they look like this from the front! I'm really, really glad I had that done. It cost so little in relation to the jaw surgery and it's made me way more confident about them. I can't wait to get them pierced!












Day 23 open smile: Ooh, don't those braces just ruin our post-op fun? :-) On the plus side, I think they might have taken at least five years off my age! Haha. What do you think?! Maybe I shouldn't be in such a hurry to see them go :-) This photo shows well how my nose has become wider as a result of the upper jaw movement. Obviously it's still swollen so it's hard to tell how it will be in the end, but I'm quite happy with it! On a lot of people's blogs they say that having jaw surgery makes them feel like their nose is more proportionate within their face, and I can definitely relate to that. Still frustrating that I cannot yet reap the *real* benefits of this surgery yet - biting the heck out of flat things! Still, I don't actually crave those foods. I've sort of lost interest in them, temporarily, while I'm on my blended diet. For dinner today I had fresh pea and ham soup blended together with half a chicken breast, with some oat crackers mushed in.



Side-ish angle (above, left) I have a jawline!

This is a picture of me (below) before: resting face. Compare with Day 23 resting face just underneath! Unfortunately my hair is covering my ears in the pic below, but you can see the jaw very clearly.



Resting face: my top lip is looking a little thinner, perhaps, than before, but it's hard to tell what's causing this because they definitely looked different when I had my front braces put on, pre-surgery. I say front, because I originally had lingual braces, and still do. Normally you wouldn't need front ones too, but my surgical plan became a little more involved in the run up to the big day, and Jaw God requested brackets on the front of every tooth. I didn't mind by that point because I knew I wasn't going to be looking my best for a while anyway, and honestly, I'd do anything to make the surgery easier/smoother! It's all about the end goal, in the most straight forward way possible. So (what a deviation from topic!) I think my top lip might settle a bit when a)it's not numb and stiff, and b) when the front braces come off, which is hopefully just before I go back to work in September (I'm a teacher). We all know those braces-off dates are big teases, so fingers crossed! I'm managing my expectations because I know my lovely orthodontist can't make any guarantees. Patience as ever!

Friday, 4 July 2014

Before and during recovery

So to keep me inspired and to see the difference so far, here are a few before and after pics. It's way too early to be assessing the outcome of the surgery - I'm still very swollen, it hasn't settled down yet, and it's not really a fair test before my before pics have make-up. But it's still nice to see :-) Sorry about the slightly misplaced pics - I am still finding BlogSpot a slightly wild beast to tame! :-)

Resting face before, and day 20:

You can see a big difference here with my jaw, with the inevitable swelling, and with my ears!!! See you later, sticky-out ears! :-) (This is not a side effect of jaw surgery - my surgeon offered to pin them at the same time for a very small additional fee) My mouth no longer hangs open. Still quite a bit of swelling to go! My hair looks a tad longer in the first pic and now I slightly regret cutting it myself with nail scissors the week before the op. Lols! Ah well, I'll give it a good while to grow while the swelling goes down :-)
 
 
Open bite before and day 20: 
You can really see how it's closed up! This is a combination of the overbite being corrected and the upper jaw being impacted so that the open bite closed. Yippee! I can't wait to bite things. 
 
                                             
                                                            
 

Recovery pictures! Day 4-14

So I've been terrible at day by day blogging....apologies! Must try harder :-) Its Day 20 and I'm feeling good! Still very numb from my lower eyelids down to my upper lip, but I'm sort of used to it now and keeping positive and having patience!

I have been keeping a paper diary of my progress, though, and been taking a picture every day. The diary was advised by my dietician and is mainly to record how much fluid / food I'm managing. This was particularly important at the beginning when I was on my syringe diet! Later on it was mainly really useful for keeping track of how much paracetamol I'd taken. They wouldn't let me take the strong pain meds until I ate solid food, but I don't feel like I've needed them (yet?!) anyway.

I'll put the photos and the key milestones from the diary below.

Day 4. Swelling has gone down slightly but bruising is creeping in! I felt sooo glad to be home. My room in the hospital was lovely and the nurses were really nice, but it was a shame I didn't see the dietician until the third day because that delayed figuring out how to drink and swallow, which I struggled with. She brought a much bigger syringe which was the key! I found it easier to stand up and try to drink it. Every swallow was an effort and it was all fairly dribbley, but it felt great to get something in. Ahhh the joys of home :-)










Day 5: Bruising is beeeeeautiful! Check out that gorgeous blossom. And yes, yes...that is indeed a patch of drool on my top. It's a sexy time! It didn't hurt though; that's the joy of extensive numbness. As I've said before, there's more a feeling of pressure and a bit like you have a really heavy mask on your face. The challenge in these few days was not being able to sleep through the night. I would wake up maybe three times, and waking up always felt quite horrible. My jaw was achey, my throat was dry, I had a jawish headache. I found the best thing to do was get up, have some water, take some paracetamol, put some ice packs on my face for about ten minutes, then try to get back to sleep. I even danced around the kitchen with my mum at 1am. Whatever cheers you up!!! According to my diary, this was the first say I managed to tentatively sip from a glass! Every day brings a small victory :-)




Day 6: Looking much better and far less emotional by this point. I was very positive for the most part on those first few days, but I'd have very weepy moments when it was just all a bit much. I was very much warned that this would happen though, so if you feel like absolute HELL in the first few days, try to bear with it. I was all doom and despair and pitiful tears at times. It was a pretty dark time, but just soak up the hugs, do what you can to make yourself comfortable and remember it WILL get better. Like a lot of people have said on their blogs, I found my visions of a comfy time on the sofa watching box sets and occasionally drinking a smoothie were faaaaar from reality in those first few days. But it is so much better now :-) I went on quite a few gentle walks. I really recommend getting out of the house if the weather is good. And having people tease you I found very helpful too :-) It's important not to take yourself too seriously during all this! Bruising was subsiding on Day 6. Still swollen / numb, although the outer and upper parts of my face were starting to unfreeze. I managed to eat some more 'normal' food - yoghurt, blended chicken soup, blended porridge, and blended baked beans with mash.

Day 7: Getting more expression back! Bruising is still going down. In overshare news, my tummy was back to normal by this day. I think the combination of anaesthetic, lack of fluids and then a liquid diet kind of messed me up for a few days, but I was feeling much better by now. This was the day I discovered the trick of tinned pasta! Fresh pasta is a little too gluey, but tinned hoops or ravioli work really well (blended!)











Day 8: Pretty similar really. The victory for today was that I managed to brush the biting surfaces of my teeth! I'd managed to get a baby toothbrush in there to do the front surfaces for the last few days, but couldn't open my mouth wide enough to do more than that, It felt so nice to brush more! A tip with the Corsodyl they give you: it does stain your teeth quite a lot but is necessary because it's antiseptic and helps heal the gums. I was advised by the dental hygienist to use CURASEPT instead, which does the same thing but without staining. Win! I had my favourite meal so far today - blended salmon, mash and cheese sauce. Decadent!







Day 9: The ability to smile is still increasing! The dietician called to check on me and said it sounded like all was going well. Another great meal, all blended together: mash, chicken, broccoli, chicken tonight sauce. Blending is all about adding liquids! Another smoothie tip: add a spoonful of jam before blending to make them extra yummy.













Day 10: Today I weighed myself for the first time since the op. I'm 5'10 and before the op I weighed 72 kilos. I deliberately ate quite a lot before the surgery! My weight on day 10 was 66.9, so that's a loss of about 5 kilos in 10 days. I think that's about expected. I'm trying to keep up the calories because I know that healing will happen faster if my body has energy! Today I had to go into London to see the orthodontist. This was great for two reasons: 1) he was really impressed with my bite and because I was numb, him putting a wire on didn't hurt, and 2) I got to have a caramel coffee frappacino at Victoria. Ohhhhhh heavenly frappacino.....liquid nectar of the gods! I was also given elastics to wear, which I was kind of pleased about because I was worried my bite might have been messed up because they had to remove the wafer a lot earlier than intended. The orthodontist said he had been concerned about this too, but it wasn't an issue in the end. Yay!

Day 11: Some big old bag bags had developed under my eyes at this point from the sleep deprivation! The bruising had gone down quite a bit. The orthodontist said I was still very swollen, and I think it's probably hard to tell this yourself because your face looks different anyway. You can certainly feel the swelling, and this is exaggerated by the numbness. I could feel more of my cheeks this day and the numbness was mainly concentrated in the centre of my face, around my nose. Still numb from my lower eyelids down to my upper lip.









Day 12: Wonky glasses! :-) I had my ears pinned back so I wasn't allowed to wear my glasses behind my ears like you normally would. I found a way of pinning my hair so they would stay in place! I actually think the glasses distract from the swelling :-) I did notice, which you can't see in this pic, that when I relax my face, my lip droops slightly on my left side. My left side is way more numb than my right side for some reason, and didn't bruise. I have no idea why this is! Today was exciting because I saw Jaw God for the first time since the hospital. He snipped off the stitches on my jaw line (these were tiny, and this didn't hurt), and he said it's all looking excellent. He said it's more common for the lower lip to experience permanent numbness than the upper lip, which is great because I can definitely feel the lower one! It's just going to be a patience game for the rest. I will see him again in three weeks. I got to have another frappacino!!!! Sweet bliss....


Day 13: There seemed to be more movement in my face on this day. My upper lip felt slightly less frozen. There seems to be three stages: 1) total frozen, hard feeling, like a mask, totally numb, 2) softer, feels more like your own flesh, still numb, 3) soft AND some feeling coming back. I definitely noticed some stage 2 and a little stage 3 action happening around my lip by this day!











Day 14: The end of my first two weeks! I remember in hospital my friend Hara, who had this op last year, showed me her day 14 pic. I was after that just always thinking 'come on day 14!!!!!'. She looked nearly normal and much more comfortable. I guess she still must have felt swollen and numb though. I definitely feel infinitely more comfortable than in those first dark days. It's all positive now! I tried wearing makeup today for the first time, as you can see in this pic - just a little. To be honest I didn't like it - it felt so weird putting makeup on skin I couldn't feel! I didn't think it looked right with the swelling either. I thought I'd just continue to go makeup free until I felt most of the swelling had gone down and I could feel the skin more. I'm still makeup free on day 20 :-)










Monday, 30 June 2014

Days 1-3

So! The first night in hospital was in recovery, then the first full day after the surgery was quite tough. I'd seen so many photos of swollen post-op people, but the pressure in my face was a bit of a shock! The best advice I can give is to have a sense of humour, don't take yourself too seriously, and remember it's temporary. And don't get frustrated if it's really hard to drink. Keep trying and be patient with yourself! I found it really hard to swallow, so on Day 1 I didn't do so well. However, people tried to keep me cheerful. Here is a photo my parents sent me with their sympathy! :-) Haha.




Here are some photos from those first puffy few days. Excuse the bloody nose! It was really stuffed up and it took me a while to get the guts to do something about it; I was afraid it was cause some serious bleeding! (It didn't, in the end :-) )





My overbite/open bite in action!

So this is one of those photos that I really hate because my front teeth are coming out of my lips and my chin looks really recessed. It was a happy day - my friend Sara's wedding - but in this photo I felt ridiculous between my two beautiful fellow bridesmaids! Self-conscious central :-) This was Summer 2012.














 This picture shows my profile. I had had my braces on for a little while at this point - I think this was December 2013. My mouth does not naturally sit closed because of the mismatch between my jaws, and I have very little jawline.
















This photo is me on the day I met Jaw God in September 2012! My friends didn't think this picture looked like me, but that's because I would never, ever smile like this if I could help it! I always avoid smiling with my mouth open. You can see the over-jet of my front teeth here, and the kind of pushed-back distortion of my lower face and chin because of the overbite.

Predictive drawings 2012

So I'm very late uploading these - I'm kind of blogging in reverse! Here are the predictive drawings that Jaw God did for me initially. He did some 3D planning with plaster models much closer to the surgery, but it was so lovely to have these back in 2012 when I was at the start of this journey! They are dated my birthday, October 15th, which is kind of cool too. I hope that by that same date 2014 I will be pretty much sorted, bar some lingual braces on the backs of my teeth! That will be my 30th :-)

Annoyingly, I can't seem to get these the right way around, even though the original files are! Sorry! I'll try again later, or if anyone knows how that'd be great! :-)
 So in the photo above you can see the weaker tracing of where my jaw is now, and the stronger line of where it will be moved to.

This one above should be the finished result!


Sunday, 29 June 2014

While you were sleeping...


Day 0 continued

 

So when I woke up I was strangely really bossy. "What time is it? Take this tube out! Get my friends! Call my mum! My arm hurts!" This must, unfortunately, be what I am like on drugs. The tube I was referring to was not the main intubation tube but a mini one that they insisted was helping me breathe, but I insisted harder that they take it out. My jaw didn't hurt at all, but my arm really hurt, I guess from some kind of drip, or the position it had been resting in for about 6 hours. My friends came soon, and I continued to boss them around, ordering them to put my glasses on, which they were understandably reluctant to do because of the bandages around my head from the pinnaplasty on my ears. I'm not sure what to make of this sudden assertiveness....some of my friends would argue that I'm a right bossy cow on a regular day, whereas others would be surprised because usually I'm a massive pushover and don't like upsetting people by demanding too much. Well, I guess we know which personality wins when uninhibited anyway!

 

I spent the night in the recovery ward, which wasn't particularly pleasant, but I loved it because I felt really well looked after. There were two other patients in there who were quite noisy. I'm sure they were distressed/drugged up/ in pain, but I did feel a bit miffed I couldn't get in on all the wailing with my jaws banded together. It was a tough night - my back really hurt and I felt really nauseous when they gave me some kind of drug through my drip, which resulted in me throwing up over myself. I'm sorry to say this was mainly blood! So when the nurse arrived to take me back to my room in the morning, I looked like an extra from a Saw movie. I spent the night sucking blood out of my mouth with the magic suction wand, and chatting to a few people on facebook with my phone, which I am eternally grateful to my friends for bringing down for me. It wasn't a fun night, but it wasn't painful. Jaw surgery really isn't. I felt achey and weird and sick at points, but that's pretty normal having been under for six hours or so. Here is a picture from that first night:


Me in the recovery ward! A little startled. The swelling has not kicked in yet...The bandages are not related to the jaw surgery - they're because I had my ears pinned back at the same time.