I would ask that surgeon what his optimum outcome looks like, and if that does not meet with your expectations, I would directly ask him what could be changed to obtain the look/cosmetic result you are looking for. Direct questions are not inappropriate. You deserve to know where things are going, and what outcomes are being looked for. They may or may not meet your expectations. I do not know if your expectations are realistic or not. But when it comes to post treatment surgeries, there are usually many options, and we have had people have other reconstructive/plastic procedures done that corrected defects that were not willing to live with. LIp re-alignment, the dreaded turkey neck, and more have all been done by people that visited these boards. Obviously people who have had particle mandiblectomy's have many surgeries to get things back to normal. Usually most PS stay away from radiated patients unless they also have oncology experience. There is a higher failure rate in irradiated patients for procedures.