Jaw reduction with orthognathic surgery to refine the face

The jaw defines the aesthetics of the lower third of the face, so it is a very important part in the integration of the beauty of the face and its harmonization. A wider jaw at the level of the mandibular angles causes the face to be more square and, therefore, to look more manly. Conversely, less prominent jaw angles will give an oval shape, which feminizes the face.

On the other hand, there may also be dimensional problems in the sagittal (profile) direction, where the mandible may be advanced (prognathism) or retruded (retrognathia). These types of defects are corrected by orthognathic surgery, where the jaw is placed in the correct position, thus changing the patient’s profile and improving its esthetics and function.

Can protruding or protruding jaw be prevented?

A protruding jaw can be prevented during childhood with orthopedic methods and orthodontics, but it is not always effective. If after adolescence the jaw growth has been abnormal and/or asymmetrical the only correct solution is to perform jaw surgery. For this reason it is necessary to visit a pediatric dentist or orthodontist from an early age (2-3 years) to diagnose and prevent these future defects. It is at this age when the milk dentition can begin to condition the correct growth of the jaws, so it is best to diagnose it early.

What are the options for treating a protruding jaw?

A protruding jaw is treated by orthognathic surgery. This intervention consists of performing a study of the facial bones and determine what would be the most harmonious and functional form where they should be. After a 3D study, the specialist in Oral and Maxillofacial Surgery designs the surgery, where a controlled fracture of the same jaw is performed and repositioned in the correct place, fixing it with mini-plates and screws, thus giving an optimal harmony and function. This type of surgery involves a post-operative period of about 7-10 days and the patient can return to normal daily life, although he/she cannot perform activities with impact or risk (sports with physical contact), due to the risk of suffering a blow to the operated area.

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When this type of surgery is planned, it is always associated with previous orthodontic treatment to position the teeth so that they fit in the future position where the jaw will be placed. Thus, the treatment plan would be summarized as follows:

  1. Case study by the maxillofacial surgeon and the orthodontist
  2. Start of orthodontic treatment (6-12 months)
  3. Orthognathic surgery by maxillofacial surgeon
  4. Follow-up with orthodontics for another 6 months.

The final result will be an aesthetic and at the same time functional change, so this surgery has a double benefit for the patient and an investment for his future, because the teeth and muscles will work symmetrically, reducing the risk of contractures and dental problems.