Monday, April 3, 2017

Month 4

Hey everyone, it's been a while! However, this monthly-only update is a good idea because not much has happened since my last post.

Let's see...

Pain
I haven't had any throbbing after eating in the last month, which is awesome. The only remaining slight pain is in my left joint when I open very wide, but it's not THAT painful. Otherwise, pain is gone! I might actually remove this section in my next update, as it's no longer necessary 😊.

Swelling
I think that at this point, the swelling is pretty much 95% gone. When I touch my face, I can feel bones right underneath, while before, I could feel a little cushion of swelling. I'm pretty happy with my face now! I'm finally used to it, to the point where old pictures now make me go, "hey, that's not me!" My profile is the thing I'm most happy about. To me, it's a huge difference (you can see an updated before and after here). I no longer feel self-conscious and ugly when people look at me from the side. I used to try to turn my head away from people when I could tell they were looking towards my profile. I still do it sometimes and then realize "hey, my profile is normal now, no need for that!" It feels great!



My smile is also MUCH improved, even if I still show a small amount of gum when laughing. My normal smile doesn't show much at all, which is better than what the surgeon had expected. The only issue I have with my appearance is the two lines on either side of my lips (I think it still counts as nasolabial folds/laugh lines, but it's only very visible at the corners of my mouth). I always had those, but I do feel like they are more apparent, maybe a little deeper. I'm wondering if the skin just needs to tighten back up after so much swelling, or if the movement of my jaw is what caused the deepening of those lines. I'm going to ask my surgeon, and probably go see a dermatologist at the 6-month mark or earlier. I wonder if I can just do some microdermabrasion or maybe a laser treatment. The lines seem kind of superficial to me, so if either of those treatments can take care of it, I'm all for it. I don't want to do any kind of injections or Botox or whatever though. I'll live with it if that's the only thing that can fix it.

A zoomed-in view of the lines at the corner of my mouth.
Also, my acne has FINALLY resolved. I still have some faint scars from the last outbreak, but they are starting to fade, and I had no new eruption since. I do still get a few pimples here and there, but they are no longer very deep and painful. I'm back to normal! It did help a lot with feeling pretty again. Acne was definitely a factor in my struggle to love my face, so I'd say that if you have acne after the surgery (which is very common), remember that this also plays a role in accepting your new appearance in general. Just give it some time.

I haven't decided on frames for a new pair of glasses. I've been pretty busy and kept putting it off. I really need to get on that soon!

Numbness
Nerve regeneration has definitely improved over the last month! I now get the "normal" feeling when I touch any of the numb area. The only difference is that I also still get the tingling on top of it. I get some weird pinching feelings every once in a while too, probably signs of the nerves waking up even more. Very happy and relieved about this! I knew it would take long, but I didn't think it would be THAT slow. I'm 4 months in, and I'm guessing it'll still take a few more months before everything is back to 100% normal.

Diet
I continue to eat almost everything I want, and it's amazing. There are some things that are still out of the question like bacon, bagels, chewy candies, etc. 
One of the delicious meals I can now eat. I wish I had more to show,
but I was too busy scarfing down food to take pictures.
Some of the stuff I don't even know will be a problem until it's in my mouth, and then I have to spit it out, but it's pretty rare. For example, I tried some seaweed salad, and I just could not for the life of me chew through it.
This, I could not chew through, no matter how hard I tried.

I'm also having some difficulty with very thin or stringy foods, like celery, asparagus, oranges, etc. I think part of the issue is that my bite is still uneven. Most of the teeth on the right are touching, but almost none of the teeth on the left touch. Even the ones that are touching are quite uneven in how much they touch, so anything very thin and stringy just doesn't get grounded, and it's a real pain. Plus, they get stuck in the braces and uugh. I still eat oranges and clementines because I love them, but I've given up on the rest until my bite is fixed.

Speaking of bite, I'm starting to feel like my jaw is uneven. It's like the right side of the bottom jaw is higher than the left, which might explain why the teeth touch on the right but not the left. When I look in the mirror, I feel like I can tell that it's a bit slanted, and when I open my mouth, my jaw also veers to the left for some reason. I don't know if the two problems are related, or if my jaw even IS slanted. It's possible that the teeth themselves are just not at the same height for other reasons. I know the orthodontist said the teeth will settle, so maybe it's all a normal part of recovery, but I'll definitely ask next time I see him, and I'll ask the surgeon. As far as my jaw veering to the left when I open, I wonder if it's because my left joint is tight or something like that. I'll have to ask.

Sorry about the tea-stained teeth, but this is what I mean
by "slanted lower jaw". This is mirrored, so the left side seems higher.
Also, I've been doing exercises to increase my jaw opening, but I'm stuck at three finger tips. I know three fingers is supposed to be normal, but I can tell I used to have a bigger opening. I'm having a hard time fitting sandwiches in my mouth and dealing with larger bites that need to be pushed around with the tongue (not enough space in my mouth sometimes). I'll ask my surgeon about that too. I've heard about using popsicle sticks to help; I'm wondering what he thinks of that method.

Fatigue
It's getting better I think! My iron levels are finally back in the normal range, but still low, so we're going to keep supplementing iron until my ferritin reaches at least 50 ng/ml. I don't remember if I've talked about it in a previous blog post, but I found a couple of research where they showed that non-anemic women (i.e. with normal hemoglobin levels) that have levels of ferritin below 50 ng/ml who were given iron supplements for 6 weeks saw an improvement in their fatigue. To give you an idea, the "normal" range for ferritin is 24 to 336 ng/ml. This is a HUGE range. I've read tons of posts where women said that increasing their ferritin to above 50 ng/ml helped them considerably. It's such a simple fix that I don't see why I wouldn't at least try to get to that number and see how I feel. I've already noticed an improvement: I no longer need to take 1-2 naps a day, and I feel a little less foggy. I don't know if this is just because of normal progression in my healing and better sleep, or the iron, but I'll continue taking the iron anyway.

An important note: Don't jump into iron supplementing without consulting a doctor, because there is such a thing as iron overload and it's very bad for you. Make sure that you do this under the care of your doctor and that you check your levels regularly while you're taking the supplements.

EDIT: Forgot to add... The gaps in the middle of my bottom jaw are almost all filled in! It's so weird how quickly it happened. I kind of thought this would take a year at least. I still have dents on the underside like I showed off here, but the actual gaps on the sides are almost gone.

These gaps.


So that's it for this month! Well, I guess I had lots of tell after all... πŸ˜‰

I'll see you guys at the 5-month mark!

Tuesday, March 14, 2017

Week 14

Like I anticipated, this week has been pretty much uneventful. This will actually be my last weekly post. From now on, I'll only post every month until the one-year mark.

Pain
No throbbing at all this week, even though I've been eating much harder food than usual! My left joint is still kind of stiff and sometimes hurt when I open my mouth, but other than that, no pain at all.

Swelling
No changes. I've been a lot more used to my new face, but annoyed at the acne and disappointed that the laugh lines didn't get any better with the surgery. Oh well. Like I said last time, we'll see if it improves. I really hope it does!





I'm also trying to find new frames for my glasses. I was due for a new prescription before my surgery, but I decided to postpone it in case my face changed a lot. Now I'm struggling with figuring out what looks good, since I'm still not 100% used to my face. I can't tell if glasses look good or bad, I'm just constantly thinking "Uuhhh I don't know about this but I can't explain why..." Is it because I still don't love my face yet? Or because the style doesn't fit anymore? Or because I'm just not used to this new style even though it fits me well? I don't know. I may need my friends/family's help for this!

Numbness
Still the same as last week, when I could tell that the nerve regeneration slowed down. Not much improvement, but I can still definitely "feel" something everywhere, even if it's not a normal feeling.

Diet
FREEDOM! I'm eating pretty much whatever I want except bagels and chips and stuff. I even ate cereal and the crunch didn't create any problems. Yesterday, I made a huge batch of roasted veggies. I'm so glad I can finally eat some healthy stuff! Root vegetables used to be too hard, even when roasted. But now that I'm cleared for most food, I'm all about it!

Bell peppers, carrots, potatoes, onions, beets and asparagus.

I also realized that orange season is at its peak, so I didn't miss it completely! YESS! I had an orange every day since my visit with the surgeon, and it has been glorious.



At first, I could only eat them cut up in small pieces like in the picture, because the skin is so thin that it's actually kind of hard to chew through it. My teeth don't really touch together all that well, which I think is why I'm having problems. But today I ate an orange the normal way and it was all fine! I feel like my chewing progress is exponential since I've been free to experiment. I didn't run into much problem to be honest. I'm so happy!

Fatigue
I did the iron blood test this morning, so I'll be getting the results later. Still fatigued, but I somehow feel like it's a bit better. I haven't had a chance to sleep more like I wanted to do last week. I really need to get serious about this if I want to eliminate "sleep debt" as a reason why I'm still tired. I'll keep you updated (although maybe none of you really care, maybe you're not getting this surgery for sleep apnea... πŸ˜…).

I did get back into working out 5 days a week, doing 20 minutes of cardio. I haven't yet gone back to doing some weights and stretching though. This week will be the first full week of working out since the surgery. I was cleared a while ago to start exercising, but with the anemia, I thought I would give myself another break until my iron goes back up. But I couldn't wait any longer. I felt like a huge, lazy potato. Much better now!


Wednesday, March 8, 2017

Week 13

This week turned out so much better than last week!

The throbbing definitely decreased, and I didn't have to go back to a no-chew diet at all, which was a relief. I also had an appointment with my orthodontist. I was expecting them to reposition some of the brackets and get crazy elastics to wear 24/7, but the appointment ended up taking a whole 15 minutes. My orthodontist just cannot get over how perfect my bite already is. Apparently, my surgeon did an amazing job at aligning everything!

I'm still not touching much on the left side, but the orthodontist said that the teeth will settle for sure. Apparently, even without braces it would fix itself, it would just take longer. He did give me some weak elastics, but I only have to wear them at night! I was pretty happy about that. Then he took an X-ray to check the roots. There are a few roots we'll need to straighten, so the whole "repositioning brackets" hell appointment will be in a month, when I see him next. But then again, I survived double jaw surgery, so this should be nothing. I just hate being awake while people have their hands in my mouth and accidentally smear bitter glue all over my tongue. But who doesn't? Thankfully, I was spared that this week, so I just won't think about it until the next appointment.

My orthodontist said I should be out of braces in 4 to 5 months!

Next, I had an appointment with my surgeon, and everything went smoothly. Still zero issue with anything. We talked again about the pain I have on my right bottom jaw when I touch it, and he assured me once more that it was definitely a muscle knot. He gave me the go-ahead to stretch my jaw, and he thinks it will probably help the knot as well. He told me to use my index and thumb like a pair of scissors and push a little on my teeth at the front to stretch the muscles. I'm still only able to open two fingers wide, so I'm hoping this will help me progress back to three fingers.


(As you can see, I'm still struggling with acne, especially on my neck. It doesn't seem that bad on the picture because of poor lighting, but the skin on my face is... ugh. The texture is all bumpy and gross. I'm thinking of asking for a stronger concentration of tretinoin cream.)

I also asked my surgeon if there was still any risk of fracturing the bones or getting an infection at this point, and he said "not really." He said that when he told to me back off when it hurts, it was just to let the bones heal faster. There was no real danger of breaking them or anything, it was mainly for comfort and healthy bones. He thinks I'm probably going to deal with throbbing more than others because my bones are thinner than average, but not enough to cause real problems. I feel so relieved about that! I can finally stop being afraid of shattering my bones or getting complications!

Also, I am now free to eat whatever I want, except very chewy stuff (bagels, jerky, etc.) and very hard stuff (nuts, chips, etc.). I'M SO EXCITED! We celebrated by trying out a poke bar that opened in our neighborhood a few weeks ago. I've been dying to eat sushi for a while, so this hit the spot!



Before I get into the usual updates, go check out my Photos section. I added the 3-month post-op comparison pictures.

Pain
Like I said, the throbbing lessened quite a bit, but I still get it every once in a while if I chew a lot. That poke bowl was delicious, but my jaw definitely got tired! No pain per se, just that overexerted feeling you get in your muscles when you repeat the same exercise twenty times.

Also, I'm happy to report that the pain in my right joint when I open wide is almost all gone!

Swelling
Once again, not much difference this week.





By the way, I've always had those nasolabial folds, even pre-surgery. Some days are worse than others, like when I'm laughing a lot. I was really hoping the surgery would fix them, but I guess it didn't... Unless the skin just needs time? We'll see at the 6-month or 1-year mark.

Numbness
After improving rapidly for a few weeks, it slowed down again. I can "feel" my lips a lot more than before though, but I can't wait for that half-feeling, heaviness/stiffness to go away. Come on, nerves, you can do it! I believe in you!

Diet
I only got the go-ahead to eat whatever I want two days ago, so for most of the week, I was still restricted. I made a huge batch of mashed potatoes and carrots. It doesn't look appetizing, but it was delicious, especially paired with Greek yogurt ranch dressing. I was just happy to get more veggies in me (because of the carrots).


Also, the bananas I had bought to make the Ensure replacement shakes went uneaten and turned brown, so I used them to make banana bread with chocolate chips. It was deliciously moist and soft! Best thing ever this week.



Fatigue
It actually feels a little better this week. I've taken steps to sleep longer, and let myself nap if need. I read an article about sleep debt from Stanford, and they recommend letting your body sleep as long as it needs for a couple of weeks. I can't exactly do that, but if I can manage a 2-hour nap every day for a few weeks, I'm hoping it'll help. I slept a total of 12 hours on Tuesday, and after the last nap, I actually felt refreshed, which has never happened before. I'm very hopeful! I still have to test my iron again. I've just been lazy about it... Gonna do it this week though.

I also wanted to mention that I asked for a referral to a speech therapist from the surgeon. I don't absolutely need it; my lisp is almost all gone, but I've always been horrible at enunciating, and I tend to speak way too fast, so I thought this would be a great way to fix it without having to pay out of pocket. We also put way too much money in our FSA, and we're looking for ways to spend it, so this could be one way if the insurance refuses to cover it. I wonder if I should wait until we remove my braces though...

The next few weeks should be pretty uneventful, since I won't have any appointments for at least a month and recovery is slowing down majorly. Hopefully I'll still find interesting bits to share!

Tuesday, February 28, 2017

Week 12

Three months! I can't believe I had the surgery THREE months ago. It feels like it's been ages, and once again, I'm so happy and relieved to be over with it. I'm definitely still healing and I'm still quite limited in what I can eat, but I've been over the worst of it for a while now.

Pain
Last week, I mentioned that my jaw was kind of throbbing at the end of the day after starting a more chew-intensive diet. I emailed my surgeon and he actually said that the throbbing meant that I needed to back off a bit and let my jaw heal. It was pretty frustrating, to be honest. For most of the week, I had to revert to a very soft, almost no-chew diet, and I did NOT want to go back. I know in the grand scheme of things, this is pretty much nothing and I'm just being whiny, but it's so hard to go back to drinking smoothies for a main meal after diving back into the world of chewing. I felt like I was taking five steps back. I've since started chewing again, but I'm being more careful and trying to eat softer foods most of the day, and allowing myself a "chew-intensive" meal once a day instead of 2-3 times a day. It seems to be working so far. I'm also thinking I might do one day a week where I don't chew, just to let the bones heal a bit more from all the pressure.

The biggest frustration is that I had finally started feeling like my jaw was pretty strong, after weeks of thinking it was made of glass and being afraid of breaking it. I'd started feeling more confident and less "weak" as a result. When my surgeon told me that I needed to back off to let it heal, it definitely shattered that image. But I know that in a few months, all of this will be behind me for good. All we need is to hang on and let time do its thing.

Other than that, I still have some pain in the right joint when I open my mouth wide, but nothing else. I'll ask the surgeon when I see him next week. Some of my teeth are actually starting to touch on the right, so maybe it'll fix the problem. I'm seeing my orthodontist this Friday. I'm expecting pain and elastics... But then we'll be one step closer to removing the damn braces, so yay!

Swelling
Not much change on that front. Still learning to like my face, but similar to last week, it's much better than before.






However, I'm still struggling with acne, which is adding another layer to the list of reasons why I don't love my face right now... I know for sure that it was caused by the surgery, or maybe the post-surgery diet, but definitely something related to the surgery. I've never had so many pimples that are that deep and that take so long to go away, except in my teens. And I'm actually using tretinoin, so... I can't imagine how bad it would be without. I've looked around the Internet a few months ago and it seems like a lot of people complain of acne after surgery, even unrelated to the face, like breast augmentation surgery. It seems like it takes a while to go away too, so I'm trying to be patient. Sometimes it looks like it's about to clear, but then I get a whole new batch of the little suckers. Sigh...

Numbness
Still improving slowly, but definitely improving! I don't have any patch that is completely numb anymore, so it's looking pretty promising! It took SO long to get to that point though. So for anyone out there worrying about the numbness: don't. It took almost 3 months before I started noticing big changes! I knew it would take a while for it to come back, but I was so worried because I'd seen most people on blogs mentioning the pins and needles after only 6 weeks. It definitely wasn't my case.

Diet
As I explained above, I had to revert to a no-chew diet for half the week, which was disconcerting, to say the least. I had to get a new stock of bananas and milk for the Ensure-replacement shakes I used to drink, and I ate a lot of ice cream to drown my sorrows. Definitely not a healthy week, once again. I just can't wait to be able to chew most foods so I can go back to a healthier diet. I miss eating raw fruits and veggies when I want to snack. The easiest foods to eat right now are not the best for you. I know I could make a fruit smoothie, but honestly, I just can't stand smoothies anymore. I want to BITE into things, and feel like I'm eating foods with SUBSTANCE. Ugh. Patience, I know. Keyword and all. Overall, it's not making my life a living hell or anything, it's just a small annoyance.

I didn't take any pics of food this week because of
the setback, so here's a pic of my tea mug as a
consolation prize!


I bought a bunch of potatoes and carrots and I'm going to make a huge batch of mashed potatoes. I've been eating the pre-made mashed potatoes from Safeway because I'm honestly quite lazy, but I'd love a little variation with carrots, and maybe cream cheese mixed in. I'm sure it'll taste much better too. I found some Greek yogurt ranch dressing the other day, and it paired so well with mashed potatoes! I'm looking forward to that.

Fatigue
Not much difference to report, but honestly, I haven't been sleeping a lot these days. I'm realizing that I'm almost afraid of returning to my healthy sleeping habits in case it doesn't fix the fatigue. It's like as long as I'm tired for a reason (my period, not sleeping enough, etc.), I have hope that the surgery DID fix the problem, but as soon as I get rid of these extra factors, that's it. I'll know for sure if it did or not, and I'm terrified of finding out that it didn't. I really need to stop being so childish though, and get into a good nightly routine. Go to bed earlier, get at least 8 hours of sleep every night, etc. I'm due to test the iron next week, too, so we'll see!

That's pretty much it for this week. I'll try to find some time this weekend to update the photo section with new pictures. I'm also thinking of creating a section called "What I didn't expect" and have a list of random stuff that surprised me during the recovery, or things that I hadn't read about anywhere else. Hopefully I'll find some down time soon; work has been pretty intense these days.

Monday, February 20, 2017

Week 11

Much like last week, this week has been fairly uneventful, surgery-wise. My husband had a fever for 5 days, so I spent the week taking care of him and working. Thankfully, I did not get his flu! I guess my flu vaccine worked better than his. Thank god. I was really worried about the consequences of coughing/having a sinus infection after jaw surgery and septoplasty. It would have been an experience to relay to you guys in case it happens to one of you, but I'm very thankful I won't be the one suffering through it for your benefit πŸ˜„.


Pain
Since I tried a bunch of new, more "chew-intensive" foods this week, my jaw has felt more tired and a bit throbby after eating, but no real pain. Just some muscle fatigue. My left joint has also been hurting when I open my mouth up to a certain width. I've had that before on the right, at the very beginning of my chewing adventures, and it went away, so I'm hoping it'll do the same this time. It doesn't feel like it's anywhere near the cuts; definitely in the joint, so I'm trying not to worry about it. I'll bring it up with my surgeon when I see him. It only hurts when I open my mouth fairly wide anyway.

Swelling
I actually feel like there was a difference this week. It seems like the swelling around my jawline has decreased further, and my face feels more tapered and feminine. It might also be that I'm getting used to it and no longer see a deformed version of what I really look like in reality. Still doing better on the whole "liking my face" thing! It's starting to grow on me, and I'm much happier 😊.



It looks like my teeth are misaligned, but
I was half-talking when I quickly snapped the pic.
Oops!



Numbness
After weeks and weeks of almost no change, the numbness is improving at a rapid pace! I can now definitely feel it when something touches the numb area. The other day, I felt this weird coldness and pressure on my chin and realized that it was from a small dab of peanut butter. I felt it! I was elated. It seemed to improve over the week, too! Now the whole area feels a lot less stiff, more and more "alive". I asked my husband to move the tip of a pencil across the numb patch and I could always tell where it was, even with a light brush. It's definitely not a normal feeling yet. It feels more like... Hmm. It's hard to describe, but honestly the best way I can explain it is that weird trail that you create when you press your finger on an LCD monitor. It does a ripple of color distortion that radiates outward from the point of pressure, and that's exactly how it feels when I touch the numb area. I feel a tingling sensation that is bigger than the pressure point, and it lingers a bit when I move it, like a trail. I can also feel it when my husband kisses me, which is nice!

Diet
I was a lot more adventurous this week, since I was given the go ahead to eat chicken. I ate chicken (obviously), and everything went super well, so I took it a step further and tried some Cinnabon. When my husband felt better, he had a craving for it, and I thought "why not, it counts as 'soft bread' doesn't it?" It was a bit difficult to chew, not because it was hard, but because it's so doughy. I had to roll it around my mouth a lot more than other foods, so my jaw got tired, but it never hurt.

Definitely not a healthy week, food-wise...

The next day, I was craving donuts, so we went to Krispy Kreme. It was my first donut since the surgery, and boy, was it delicious. I got an original glaze and a lemon-filled glaze. Eating them was much easier than the Cinnabon, and tastier, too.

Fresh off the press!

Finally, I ended the week with a pizza! On week 9, when I was given the go ahead to eat chicken and "soft bread," we had friends over and ordered a cheese pizza. I thought I would be fine, but the crust was a little burnt and too hard for me to eat, so I had to scrape the toppings with a fork and eat that without the crust. But two weeks later, after ramping up the chewiness of my food, I thought I'd be able to try again. And this time, I got my favorite veggie pizza with all the trimmings, thinking I could just remove what I couldn't eat.

The other half was my husband's pizza. Pepperoni is too hard to chew!

I was iffy on the artichokes, thinking they might be too tough, but everything was actually just fine! I ate two slices without any problem at all. My jaw was once again tired, but no pain. I'm pretty happy! I hope I'm not overdoing it, but at the same time, it seems like every jaw surgery blogger I've read was able to eat whatever they wanted after 2 months, and I'm almost at 3 months. I feel like maybe my surgeon is being a little TOO conservative? I'm still following his directions to the best of my understanding. I definitely didn't eat anything hard or sticky or anything. All the stuff I ate is technically "soft"; no raw veggies or fruits, no nuts, no tough meat, etc. I did try a bite of deli ham and it was too tough to chew, so I spat it out. I feel like I can tell what is OK and what isn't, and I don't try to chew through it anyway if it seems above my capabilities. I'll wait until my surgeon is confident that I can do it. I just feel like it's not very clear what the surgeon wants or doesn't want me to eat. The indications are kinda vague. "Soft food", "chicken", "soft bread", "pasta". Is that really it? Just chicken with pasta and bread? What about tomatoes? Is that soft, or is the skin considered tough? What about mushrooms? They're kind of spongy, is it still OK? Is a thin pizza crust considered too hard if I don't eat the top part? I don't really want to text him every time I'm about to eat to ask if it's OK, so I try to follow my gut, but I'm still scared sometimes that I'm doing it wrong. I try to tell myself that at 3 months, my jaw isn't so fragile anymore and I'm already being pretty cautious...

I'm just really eager to get back to normal, I guess, and not have to worry about what to eat.

Fatigue
I'm still tired, but this week is my period, and I'm usually much more fatigued during that time of the month, so I'm not going to count it. My face does seem less pale than a few weeks ago, so maybe the iron problem is getting better. I'm supposed to test it again next week, so we'll see.

I guess once again I found a ton of stuff to talk about, even though it was an "uneventful" week... πŸ˜…


Monday, February 13, 2017

Week 10

Welcome to week 10, where finally, not much has happened and it's alright!

This blog post will probably be much shorter than the other ones. Although I've been known to say this and lie, so don't quote me on that.

This week was pretty uneventful, as I didn't have any appointments with any doctors. Still chugging along on trying to get my iron up. Still fatigued, but hopeful! It was a quieter week at work, and my husband was gone for most of it on a business trip. Unfortunately, he came home yesterday night with the flu; body aches, high fever, headache. The whole nine yards 😷.

I'm obviously scared about catching the flu, but I don't want to let him suffer alone, so I've been taking care of him and cuddling him, but washing my hands very often and not touching my face. Unfortunately, he has a bad habit of coughing without covering, no matter how much I ask him to cover, so I've definitely been exposed to the virus multiple times by now. We both had a flu shot (at the same time), so it looks like it wasn't good enough to save him, but he seems a bit better today. Hopefully it will at least shorten the duration/severity of the illness.

I keep wondering if it's possible to infect the healing bones if you get some sort of respiratory illness. The upper jaw cut looks like it's pretty much at the bottom of my sinuses, so it has me a bit worried. Then again, I'm 10 weeks post-op, so it shouldn't be that bad, right? I guess only time will tell.

Pain
I've had a few "zings" of pain here and there near the cuts on both my upper and lower jaws. They only last a quarter of a second, more like an acute pinch and they're gone. I'm thinking it's just the bones healing, kinda like when you have a scrape and it itches randomly under the scab while the skin reforms. There's no new swelling, redness or anything, so I'm confident it's not an infection. And the pain is so short-lived that I'm not worried for now.

Swelling
Not much change I think?




Although I'm noticing the "dents" where the surgeon made the cut a lot more. I guess it used to be more swollen there so they were hidden. It's supposed to fill up in a few months.




It's also been the first week where I haven't had one moment of "hating" my face. I'm very happy about this! I'm still not at the "loving my face" stage yet, but I'm just happy I'm no longer looking at myself in the mirror and thinking I look manly. Big improvement! I'm also a lot less self-conscious about people looking at my profile. Pre-surgery, I used to be embarrassed when I'd cross a road in front of a bunch of cars. I always figured they have nothing to look at but me, so they're probably sitting there, studying my profile. I'm sure they weren't, but I still felt uncomfortable about it. Now when the feeling creeps in, I remember that my profile looks pretty normal now, and I walk straighter and more confidently. It feels SO great!

Numbness
Getting better every week, but like I said before, extremely slowly. I can follow an object moving on the surface of the numb area, and I get lots of "zings" around the lip. Good signs!

Diet
Still haven't had a chance to eat chicken yet, mostly because I've been super lazy while my husband was gone. I mostly ate noodles, rice, mac & cheese. Stuff that's easy to make or zap in the microwave. I have no desire to cook when it's only for me. Tonight, I'll be making my chicken lemon soup to help with my husband's flu, and I'm planning on keeping the chicken pieces fairly big instead of shredding them to pieces like I've been doing since the surgery. I'm also eating untoasted white, soft bread with peanut butter and strawberry preserve in the morning. So delicious! Oh, and we ordered some dessert crΓͺpes from Crepevine this afternoon. My husband was craving it. Whatever he's willing to eat right now, I'll get for him! He needs energy 😟. And well... it wasn't exactly a punishment for me either...

Got this pic from Yelp because I ate mine so fast,
I didn't have a chance to snap a picture.
I couldn't eat the edges though. They were too crispy.

Fatigue
Same, but once again, I had a couple of really bad nights (totally unrelated to the surgery), especially last night. I slept maybe 2 hours because I was worried about my husband's high fever, and he kept tossing and turning, poor guy. Another night, I went to bed at 10 pm and woke up at 1 am, unable to go back to sleep. That was weird. I can't help but think it's a good sign, as I would usually be able to fall asleep in a wink for 10-12 hours if I wanted to. Maybe it's a sign that I'm more rested, but the fatigue is caused by my iron problem? I feel like I've said something similar last week or the week before. I'm probably just rambling; what else is new? πŸ˜…

Tuesday, February 7, 2017

Week 9

Alright guys, here's an update on week 9! Lots of stuff happened, but there are tons of more positive news than last week, so hopefully I won't bum you out this time... Hah!

This week was my first orthodontist appointment, and it went swimmingly. The orthodontist was very impressed with the surgeon's work, especially in regards to my bite. Apparently, he hit a home run, because my bite is almost perfect. Teeth aren't touching at all on the left side, but he said the teeth will settle over time, and the rest will be easy to fix. Everything else is in the right spot, so yay! I'm excited to see how long this will take. Before the surgery, he said we will probably remove the braces 4-6 months after the surgery, so I'm hoping we'll be closer to the 4-month mark (I'm assuming it's actually 4-6 months after we resume the orthodontic treatment though).

He removed the surgery wire with the million hooks, and it felt AMAZING. I can now close my mouth without shredding my lips, and it just feels like I have less metal in my mouth, which is nice. It's also easier to brush my teeth now, and less food gets stuck everywhere. He replaced it with a very simple wire and told me to come back in a month. I think he just wants to let my teeth do whatever they want, and then see what needs to be tweaked. I'm happy about that, because it means no more bands at all, not even at night! I emailed my surgeon asking if he still wanted me to wear some, but he said "nope", so I'm FREE!





Then, I met with my doctor for a follow-up on my iron problem. He actually agreed that the low iron, even without a full-blown anemia (my hemoglobin is borderline normal), could cause fatigue, so he told me to keep taking the iron supplements and we'll re-test in 6 weeks. That's about how long it'll take minimum to see a difference, maybe more. Still crossing my fingers that this is the origin of my fatigue. My fingers are getting tired from so much crossing...

Finally, I met the surgeon this morning. He was very happy with everything, once again. He looked at the inside of my mouth very quickly, and told me, as always, that it was healing very well. He said the only thing left to do is wait to see if the fatigue will go away. I mentioned the low iron, and he almost looked as relieved as I was when I saw the blood test results. He said "oh yeah, for sure this can cause fatigue, and it will take a few months to fix, too." So he told me not to worry too much, just eat better, take the supplement, and take it easy until my iron stores build themselves up. He looked a lot more convinced that this might be the problem than my GP, but I don't know who to trust. I tend to want to trust the surgeon because he probably deals with low iron constantly, given the fact that his job is to cut people's face apart and bleed them out πŸ˜‰.

He also "cleared" me to eat harder stuff, but he said "you can try chicken and soft bread", and I was like "THAT'S IT?" I didn't say that but... Yeah. It doesn't seem like it really opened up my choices that much, hah! He said I could start ramping up, but it'll probably take another couple of months before I can eat things like hamburgers, sandwiches, etc. I figured he means biting into a huge chunk of food, so I'll just start chewing things that are a little more chewy, yet not hard, as long as I cut them in small pieces before. So chicken, thin-crust pizza, tomatoes, mushrooms, fries, cooked potatoes, thin sandwiches with deli meat, etc. I'm still staying away from raw veggies and fruits. I really need to start making smoothies again though. I'm getting very little fruits and veggies in my diet right now...

I'm seeing my surgeon again in one month.

Now before I go into the list of weekly updates, I thought I'd direct you to my brand new Photos section. I uploaded a bunch of before and after pictures, as well as the swelling evolution. Right now, the pictures are up to week 8, and I'll update every month until I reach 1 year. Looking at them, not much has changed after all. I see a huge difference in my smile, and I'm very happy about it. Maybe my face shape didn't change much, but that's OK. A lot of the problems I had did get better, and I'm convinced I just need more time to learn to love my face.

Honestly, this week has been an easier on that front. I think the process has already started, so that's good. I got a message from a sweet member of the archwired.com forum who told me that he had the same issues with his friends not noticing any change, and how he disliked his face at first. He said after 12 weeks he started to like his new look, but still had doubts every once in a while, until the one-year mark. Words of encouragement for all of us! It was so nice of him to reach out 😊. The thing is, no matter how much you read about other people struggling with this, no matter how much you tell yourself that you'll be patient and you won't judge your face until it's all healed, it's so hard not to. I knew all of this going in, but I still struggle. It's nice to have a time frame, even though it'll be different for everyone. Now I know I should reserve my judgment until at the very least 12 weeks, and maybe more. So if you are struggling with similar thoughts right now, hang in there. It happens to SO MANY of us. And if you've read my entire blog, you'll know just how much of a roller coaster this surgery is on an emotional level. It's normal. It's hard to be patient, but it'll get better.

On to the updates!

Pain
Still no pain!

Swelling
When I press around my upper cheeks and on either side of my nose, it definitely feels swollen. There are still some pockets of puff around the middle of my cheeks (the "hamster" areas, as I call them). I'm excited to see what it will look like when it's all gone!

Numbness
Still improving noticeably! It feels weird whenever I touch any parts of the numb areas. I can feel hot and cold now, and I can absolutely tell if there's something touching because of the weird sensation it creates, as if my nerves get overstimulated (and this lingers even when whatever was touching is removed). Very happy about this! The only thing I can't feel is when I have a bit of water/food there, and when the touch is very very light. Still no painful shocks or anything like that. I mean, I get little electrical "zings" every once in a while, but it's not terribly annoying or painful. It honestly just makes me happy because it means the nerves are waking up.

Diet
Starting today, I'm hoping to incorporate more stuff. I kicked things off with a cheese pizza tonight. Sadly, the restaurant sort of burnt the underside of the crust a bit. Usually, it has a pretty soft, thin New York-style crust, but not this time (unlucky, yeah, but oh well, not a big deal). I just scraped the top and ate it, and I was a very very happy camper. I've been dreaming of pizza for a while. I also ate a bunch of white cheddar Cheez-It. I just let them melt in my mouth until they are soft enough to chew. It kind of helped with the chips craving!

Oh, and LOOK AT WHAT I ATE ON SUNDAY!



We went out to a restaurant for the first time since my surgery. I had amazing French toast stuffed with cream cheese and doused with maple syrup. It was heavenly. Everything was soft enough to eat without a problem, but I left the outer crust just in case, and didn't eat the strawberries. The bacon you see in the background was for my husband, of course, although I wish I could have bitten into one of these babies. Soon...

Fatigue
Same. Once again, see top of this post for more info.