By Dalia Colón -
There are things teens want, like more allowance. There are things teens need, like more sleep. Then things that fall in the middle.
For Samanta Weichhan, the thing is jaw surgery.

Samantha Weichhan's parents believe oral surgery will give her more confidence for a future career as a wedding planner. (Fresh Connect Solutions)
The 15-year-old’s lower jaw is a lot bigger than her upper jaw. (Think Jay Leno.) Her teeth don’t fit together, so she has trouble doing things a lot of us take for granted, like eating normally. Worse, Samantha’s protruding chin is the subject of whispers in the South Broward High School cafeteria.
Peter and Karen Weichhan had considered surgery to correct their daughter’s bite–and her confidence. They wanted Samantha to project when she speaks, to stop hiding her chin with her hair and yes, to enjoy the occasional chicken wing.
But their insurance company wouldn’t cover the surgery.
“I guess they think it’s more cosmetic,” said Samantha’s dad, Peter Weichhan.
In fact, lots of teens do get cosmetic surgery. Last year, American teens had 76,841 cosmetic procedures–up 3% from the previous year, according to the American Society of Plastic Surgeons. Among ages 13 to 19, the most common cosmetic surgeries were:
- Nose reshaping: 35,005
- Breast reduction in men: 13,530
- Ear surgery: 8,763
- Breast augmentation: 8,525
- Liposuction: 3,205
But for Samantha, orthognathic surgery–a.k.a. corrective jaw surgery–didn’t belong in this category, argued Dr. Jeffrey Blum.
“This is (in) no way a cosmetic procedure. This is a functional jaw deformity,” said Blum, a Miami Beach oral surgeon. “It’s kind of like if you have somebody that one leg is 4 inches shorter than the other leg, and they say to straighten it out is an aesthetic thing. No, it’s not an aesthetic thing. Yeah, you will look better if you’re standing straight on both legs, but point is, it’s a functional problem.”
Blum, along with South Florida orthodontist Dr. Margo Brilliant, will work pro bono to give Samantha get the jaw she’s always wanted. The teen will share her story Thursday on the daytime talkshow Dr. Drew’s Lifechangers.
“It will change my life because I feel I’d be more social with people,” Samantha said. “I wouldn’t be afraid to do things, and I wouldn’t second-guess about everything I do. I’d be more out there.”
Overgrown jaws are genetic; just look at the Austria’s Habsburg dynasty. Samantha’s brother and uncle have milder versions of her chin.
Last year, 1,070 teens had a chin augmentation procedure, down 8% from 2009.
- Pre-surgical orthodontics: Samantha will have her wisdom teeth removed and will wear braces for six to nine months.
- Outpatient surgery: Blum will cut the bone around Samantha’s jaw and move it into the proper position.
- Post-surgical orthodontics: Another round of braces will fine-tune Samantha’s bite.
The whole process will take about a year, at which time Samantha will return to the Dr. Drew show to reveal her new look.
Parents, would you let your teen get jaw surgery? Why or why not?
This reporter can be reached at daliacolon@wusf.org.
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Comments
This is the problem with insurance companies getting between doctors and their patients! If the teen can’t eat properly and the doctor recommends it, the insurance company should not block it! The insurance company is only being asked to pay a share. Certainly the parents have been paying their premiums for just such an occasion. Her self esteem is being shaped NOW — why should she come to define herself as anything less than she wants? I wouldn’t approve hair transplants or anything that didn’t have an impact on normal daily functions, but chewing is definitely a normal function which she should be able to enjoy.
Mermaid, you’re very passionate! Has an insurance company ever denied coverage you felt you needed?
We’re considering a similar procedure for our 18-year-old daughter. She had braces, partly to correct an open-bite, but it was a difficult process. Her teeth are now beautifully straight but the bite is still open. We have been researching all the pros and cons of orthognathic surgery, so this will be an interesting case to follow. Hurray for Drs. Blum and Brilliant.
Pamela, when I was younger my orthodontist recommended a similar surgery for me, but my parents decided against it. Instead I got braces, which partially fixed the problem. Best of luck in whatever you decide!
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My sister had jaw surgery, and she said she couldn’t feel it ’cause she was drugged out the entire time (by an anesthesiologist). Afterward, she was sore for a couple of weeks, but it did help her with her teeth. She got the surgery while having braces, and she had the braces on for a couple of more months, then they took them off.
April, did an insurance company pay for your sister’s surgery, or did she come out of pocket?
I am fourty years old and have had an ungrown top jaw. I had braces for over 10 years in an attempt to correct the problem. This jaw surgery was just becoming available when I was 21. I was scheduled to have the procedure but my parent’s insurance at the time would not cover it either. I have recently investigated it again. I have been told I will probably loose my teeth since they have been hitting together incorrectly for 1/2 my life. I have just started the process but the first surgeon I spoke with wanted to charge me ($750) to submit the case to the insurance. I am looking for a new surgeon, any ideas? I was also told i need to change my insurance policy from the HMO to the PPO for it to even be considered. The cost of the braces is also staggering, for basically a year’s worth of care over $5,000. Is there nothing else out there?
Gina, I’m sorry to hear about your trouble. I hope you connect with the right people soon.