Jaw Surgery, a look at the before and after - Case 4

Bite and Nasal Base Correction
11 Dec 2015

Corrective jaw surgery and bite correction profile view no smile
Corrective jaw surgery and bite correction three quaters view with smile
Corrective jaw surgery and bite correction front view with smile
Corrective jaw surgery and bite correction front view with no smile
Corrective jaw surgery and bite correction profile view CT-Scan Before
Corrective jaw surgery and bite correction profile view CT-Scan After
Orthodontist referred the jaw surgery. Patient with severe facial deformity, mandibular hypoplasia (small lower jaw) and maxillary vertical excess (long upper jaw). Also patients exibits facial assymetry in the nose, upper lip and chin. Occlusal plane of this patient is extremely steep and requires surgery for both jaws with conterclockwise rotation of occlusal plane (imaginary plane where the teeth meet in sagital plane-side view). Midline corrections will be build into virtual surgical planning. During the surgery nasal and lip reconstruction is important to establish upper face balance. Bilateral Sagital split osteotomy for mandibular advancement and genioplasty for chin progection. Bone grafting for mandibular angle reconstruction. Major airway advancement is achived with this bymaxillary advancement and facial skeleton rotation. This is the only permanent treatment for obstractive sleep apnea.

Surgical solution
Bite Correction
Nasal Base Correction, nose reconstruction
Mandibular advancement via bilateral sagital split osteotomy
Genioplasty advancement
Bone grafting for mandibular angle reconstruction

[comicstwisted]

id say the aesthetic change has a much much more profound impact on the quality of life than the health changes. the way she will be treated now will be day and night from before

[sunshineeiweiw]

Yes, you don't just do the Sergery, you change my life

[miscellaneouscell]

This is what I need. I thought I was the only one in the world with this. I don’t have money for this.

[TheCoolOwen]

What are the long-term results with this? What happens when you become elderly? I can’t find any information.

[menya]

Life yes! but the complications then? there are also great risks.. anything from damaged nerves etc.. facial paralysis. pain.. not all operations go well.

[TiffanyWestNyc]

Why do oral surgeons refuse this surgery ??

[sherlynfernandes]

Can't afford this surgery, but I suffer from sleep apnea, headaches, jaw pain. Will you "change" my life doc ?

[sreenathnair]

Sir, will the jaw be as strong as before after surgery

[andrewthiyam]

Dr.Alexander, I can see the results are great. But what are the chances of damaging major nerves and losing sensation? I mean, can it be avoided if the surgeon is very careful or is it more of just luck?

[qsqgjop]

I have asked for the surgery many times for a few reasons, one being im depressed with how i look and have for the last 10 years+, i also get severe migraines and severe jaw pain but nothing is done about it. I have an overjet, it really is affecting my life :(

[qbaseee]

Hello Dr. Antipov please I’m from West Africa. I will need us to talk, I have issues with my jaws too 😭. It bothers me alot. How could i get in touch?

[tabassumyaseen]

I need orthogantic surgery is this possible for me

[norubi]

Does it reduce the lenght of the philtrum and make the upper lip volumious?

[ashoks]

Hello the doctor suggested me an upper and lower jaw surgery .. my nose is pretty sharper at this moment. I'm afraid if my nose shape change to a piggy nose after both the jaws are adjusted. Can u please advise on this ? Thank you

[discoveryjuba]

dear doctor am 46 years old and i need jaw surgery lower teeth is it possible according my age?

[kaichiro]

Is there a free surgery? I think I need this but I am broke.

[gorengyan]

Hi doc I have a very similar case. How much was the cost of this surgery?

[parasjoshi]

Can advancemt of 3cm is possible plz reply for very smallandible

[suchitajain]

sir mera bhi exactly aisa hi side pose he to kya surgery hi krvana padegi aur koi dusra treatment nhi he aur nhi yo koi side effect to nhi honge surgery se plz sir reply kr dijiyega .... bhut jaruri he

[Hhjhfu]

0:36 wait a minute you were able to shorten her midface?