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Double jaw surgery or just bottom? Orthognathic surgery (photo)

irock21488Nov 20, 2015
http://www.realself.com/question/toronto-long-face-syndrome Here is my previous post with pictures of me I have an underbite and it makes my face seem extremely long. I have consulted with a few doctors. They are planning on moving my bottom jaw only back 10mm on the left side and 3mm on the right side. I've had braces for 5 years so all my teeth should be aligned after the surgery. I've noticed in the x ray of my skull my whole mouth is extremely protruded. What surgery do I need?

Answers (3)

From board-certified doctors and trusted medical professionals
Dr. David P. Mueller, DDS
Board Certified Oral & Maxillofacial Surgeon
Answered on Nov 23, 2015
Answer
Dr. Sunil P. Sinha, DDS
Board Certified Oral & Maxillofacial Surgeon
Answered on Nov 22, 2015
Answer
Dr. Majid Jamali, DMD
Board Certified Oral & Maxillofacial Surgeon
Answered on Nov 22, 2015
Answer

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David P. Mueller, DDS

It appears that your mandible is definitely longer on one side, causing an asymmetry. I am not sure if there are any TMJ problems other than popping (like pain and episodes of locking). Now, as part of the full informed consent process prior to initiation of orhtodontia, you should have been...

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David P. Mueller, DDS

 I think that your best option would be orthodonticswith bicuspid extractions as well as a chin reduction  Genioplasty.   This will take care of the bimaxillary protrusion as well as the strong chin   With a reduction genioplasty, your lower jaw will be softened...

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David P. Mueller, DDS

 My advice to you is to wait 6 to 12 months prior to making any decisions about reversing the surgery.   Yes, the surgery can be reversed. However, the last 15 to 20% of swelling can take several months more to finally resolve.  Dr. David Mueller, DDS, FABOMS

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Sunil P. Sinha, DDS

This is a great question. In general it depends on how well the plates hold the bones together. In my practice we will usually place rubber band and try to plan for the plates and screws to be placed in strong bone. 

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Tracy Li Cheung, DDS, MS

Based on your photo, the surgical movements I would recommend would be a 60-70% maxillary advancement and a 30-40% mandibular set back. I think the main issue is midface deficiency, so by bringing the upper jaw forward, your cheeks should look more full. The lower jaw is somewhat forward, but...

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Gerald Wittenberg, MSc, DMD (retired)

The images are not ideal; but if you want a strong defined jawline extending from the angle/ear area to the chin, it can be done with a genioplasty combined with  jawline augmentation implants placed intraorally. Consult a surgeon who does that type of work

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