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Double Jaw Surgery (Bimaxillary Osteotomy): Transforming Faces and Live, An In-depth Look

Navigating the world of corrective jaw procedures can be daunting, but understanding the power and promise of treatments like Double Jaw Surgery can change lives. Also known as Bimaxillary Osteotomy as a part of orthognathic surgery, this procedure isn’t just about refining one’s aesthetic; it’s about restoring balance, function, and confidence.

Recent statistics reveal that countless individuals worldwide have benefited from corrective jaw surgery, experiencing improvements not just in appearance but also in their overall well-being. With this guide, we’ll walk you through the essential aspects of Bimaxillary Osteotomy, shedding light on its advantages, the step-by-step procedure, the journey of recovery, and the potential risks involved.

Whether you’re someone considering this transformative orthognathic surgery or simply intrigued by the world of orthognathic solutions, this article promises to provide you with clear, valuable insights. Dive in to discover how Double Jaw Surgery could reshape lives, one face at a time.

What Is Double Jaw Surgery (Bimaxillary Osteotomy)?

Double Jaw Surgery, also known as Bimaxillary Osteotomy, is a surgical procedure conducted on both the upper and lower jaws to correct their alignment and size. This comprehensive procedure is typically pursued by patients with jaw discrepancies that cause functional or aesthetic challenges.

Types of Osteotomy

In the realm of jaw surgery, several osteotomy types are utilized depending on the specific needs of the patient. These include:

  • Le Fort I Osteotomy: This procedure targets the upper jaw (maxilla) and can move it upward, downward, forward, backward, or a combination of these directions.
  • Bilateral Sagittal Split Osteotomy (BSSO): Performed on the lower jaw (mandible), it allows the jaw to be moved forward or backward as a lower jaw surgery.
  • Genioplasty: This orthognathic surgery is designed to modify the chin’s shape and position for a more balanced facial appearance.
  • Bimaxillary Osteotomy: A combination of Le Fort I Osteotomy and BSSO, the Bimaxillary Osteotomy alters both the upper and lower jaws for a comprehensive correction.

What Does the Double Jaw Surgery Involve?

Double Jaw Surgery, formally known as Bimaxillary Osteotomy, is a multifaceted orthognathic surgical procedure that aims to correct irregularities in the upper and lower jaws. Here’s a detailed breakdown of the process:

  • Consultation and Pre-operative Planning: Before the actual surgery, comprehensive consultation sessions with a maxillofacial surgeon and an orthodontist are held. Advanced imaging techniques, like 3D CT scans, are used to evaluate the jaw’s structure, which aids in crafting a detailed surgical plan.
  • Pre-surgical Orthodontic Treatment: Patients usually undergo orthodontic treatment before surgery. This step helps align the upper teeth and lower teeth in the correct position in preparation for surgery and can range from a few months to a couple of years, depending on the individual’s needs.
  • Anesthesia: The surgery is performed under general anesthesia to ensure the patient is comfortable and doesn’t experience any pain during the procedure.
  • Surgical Access: An incision is made inside the mouth, minimizing visible external scars. This gives the maxillofacial surgeon access to the jaw bones.
  • Osteotomy: Precise jaw bone cuts (osteotomies) are made in the upper jaw (maxilla) and the lower jaw (mandible). This allows for the free movement and repositioning of these jaw segments.
  • Repositioning of the Jaws: The misaligned jaw segments are moved into their new, pre-planned positions. This step is crucial for addressing the facial asymmetry and achieving the desired facial aesthetics.
  • Fixation: Once the jaws are satisfactorily aligned, they are held in place using titanium plates and screws. These fixtures provide stability and aid in the healing process.
  • Additional Procedures: Depending on the patient’s requirements and the surgeon’s recommendations, additional procedures like genioplasty (chin reshaping) might be performed to enhance the overall facial harmony.
  • Wound Closure: The incisions inside the mouth are meticulously sutured, ensuring proper wound closure.
  • Recovery: After the surgery, patients are closely monitored in a recovery room. Once stable, they might be required to stay in the hospital for 2-4 days. Recovery involves adhering to a soft diet, taking prescribed medications, and attending regular follow-up appointments to monitor the healing process.
  • Post-surgical Orthodontic Treatment: After the surgical procedure, additional orthodontic treatment may be necessary to fine-tune the alignment of the teeth and ensure optimal bite function.

While the above steps provide a general outline of the Double Jaw Surgery process, it’s essential to note that the exact details can vary based on individual cases and the surgeon’s specific approach.

Benefits of Double Jaw Surgery

The jaw problem usually causes visible problems in facial asymmetry and therefore facial aesthetics. As an operation in which jaw asymmetry can be corrected, Bimaxillary Osteotomy eliminates facial asymmetry caused by jaw problems.

Double jaw surgery offers a host of benefits that significantly enhance the patient’s quality of life. These include:

  • Correct Jaw Misalignment: It efficiently resolves open bite problems like underbites, overbites, and crossbites, leading to improved facial asymmetry as a corrective jaw surgery. 
  • Correct Jaw Size: The procedure adjusts the size of the jaws to achieve proportional facial appearance.
  • Balance Facial Features: By aligning the jaws properly, the surgery creates a balanced and appealing facial profile.
  • Improve Jaw Function: It rectifies chewing, swallowing, and speech issues caused by jaw malformation.
  • Relieve Facial Pain: It provides relief from facial pain and discomfort often associated with jaw disorders.
  • Improve Obstructive Sleep Apnea: By expanding the airway dimensions, the surgery can significantly improve symptoms of obstructive sleep apnea.

Who are good candidates for a Bimaxillary Osteotomy?

Those with significant skeletal discrepancies, a malocclusion not correctable with orthodontics alone, or suffering from obstructive sleep apnea due to jaw structure, could be ideal candidates for Bimaxillary Osteotomy. 

A comprehensive consultation with a maxillofacial surgeon is vital to determine the need for any orthognathic surgery.

Double Jaw Surgery Procedure

The double jaw surgery process begins with pre-surgical orthodontics to align the teeth in each jaw. This step can take 12-18 months. The surgery itself involves precise cuts (osteotomies) in the jaw bones. The maxillofacial surgeon then repositions the jaws and secures them with tiny plates and screws. 

Post-surgery, the patient may require additional orthodontic treatment for final teeth adjustments and optimal bite function.

What Can I Expect After the Operation?

Following the operation, patients will likely experience swelling and discomfort, which is manageable with prescribed pain medications. The hospital stay could range from 2-4 days, depending on the patient’s recovery speed. Regular follow-ups are needed to monitor the healing process and progress.

Possible Risks and Complications

Like any surgery, Bimaxillary Osteotomy comes with potential risks and complications, which include:

  • Bleeding: Minimal bleeding is expected post-surgery, but excessive bleeding can be a concern.
  • Infection: Though rare, infections can occur and are treatable with antibiotics.
  • Nerve Damage: Temporary or, in rare cases, permanent numbness or tingling in the lower lip, tongue, or chin can occur.
  • Relapse: The possibility of the jaw reverting to its original position exists, though it’s quite rare with modern surgical techniques.

Double Jaw Surgery Before and After

Patients often experience a dramatic transformation in their facial aesthetics and functionality after double jaw surgery. Post-operative photographs exhibit remarkable improvements in facial harmony, jaw alignment, and overall appearance.

Double Jaw Surgery Cost

The cost of double jaw surgery varies depending on the complexity of the case, the surgeon’s expertise, and geographical location. Typically, it’s covered by health insurance if it’s deemed medically necessary.

What does a Double Jaw Surgery Cost in Turkey?

Turkey, renowned for its high-quality healthcare at affordable prices, has become a popular destination for medical tourism. The cost of double jaw surgery in Turkey is generally more affordable than in many western countries without compromising the quality of care.

Double Jaw Surgery Recovery Timeline

Recovery period of double jaw surgery is a process. The initial healing phase lasts about 6 weeks, during which the patient’s diet will be restricted to liquids and soft foods. Complete healing and return to normal function can take anywhere from 3 to 12 months.

To Support a Speedy Recovery, It’s Best to:

  • Maintain good oral hygiene.
  • Follow a balanced diet and stay hydrated.
  • Refrain from strenuous activities.
  • Attend all follow-up appointments.

Is There Any Treatments Can Be Done in Conjunction With Double Jaw Surgery?

In some cases, patients may choose to have additional procedures such as rhinoplasty (nose job) or genioplasty (chin reshaping) alongside double jaw surgery for an overall facial transformation.

In conclusion

Double Jaw Surgery or Bimaxillary Osteotomy is a transformative procedure that has significantly enhanced the quality of life for many individuals. It offers a comprehensive solution to various jaw discrepancies, from improving functional issues such as chewing and breathing to enhancing the overall facial aesthetics.

However, like any other surgical procedure, it has potential risks and requires a comprehensive understanding and preparation for a smooth recovery. With professional guidance and thorough post-operative care, the journey towards a balanced and functional jaw structure can be a rewarding one.

This extensive guide aims to provide you with a detailed understanding of this remarkable procedure, from the technicalities of the operation to the recovery process. We hope it has been informative and beneficial to you. 

Should you consider undergoing this procedure, it is always crucial to consult with a highly skilled and experienced maxillofacial surgeon who can provide you with personalized advice and guide you through this life-changing journey. 

Stay informed and take one step at a time towards a better you!

Frequently Asked Questions

Can Double Jaw Surgery Improve My Facial Aesthetics?

Absolutely. By aligning the jaws and bringing balance to the facial features, double jaw surgery can significantly enhance facial aesthetics.

Can I Eat Normally After Surgery?

Initially, your diet will be limited to liquids and soft foods, gradually returning to a normal diet over several weeks as healing progresses.

How Long Will I Be in Hospital?

You will likely stay in the hospital for 2-4 days following surgery, depending on your recovery rate.

Do I Need to Take Any Time off Work?

Yes, it is recommended to take 2-4 weeks off from work or school to allow for initial recovery.

How Long After a Bimaxillary Osteotomy Do You Wear Elastics?

Elastics are typically worn for 6-8 weeks post-surgery, but it may vary based on the surgeon’s instructions and the patient’s progress.

How to Care for Someone After a Bimaxillary Osteotomy?

Post-operative care includes helping with medication, preparing suitable meals, aiding with oral hygiene, and offering emotional support.

Is Drooling After a Bimaxillary Osteotomy Normal?

Yes, temporary drooling can occur due to numbness or swelling. It usually subsides as healing progresses.

Is Double Jaw Surgery Done Under General Anesthesia?

Yes, to ensure patient comfort and safety, the surgery is performed under general anesthesia.

Is Double Jaw Surgery Painful?

Post-operative discomfort is to be expected, but it can be effectively managed with prescribed pain medications.

How Long Is the Double Jaw Surgery Operation?

The duration of the surgery can vary from 3-5 hours, depending on the complexity of the case.

Are There Any Scars From Double Jaw Surgery?

The surgery is performed from inside the mouth, so there are no visible external scars.

At What Age Can Patients Have Double Jaw Surgery?

The surgery is usually performed after growth stops, around age 16 for females and 18 for males.

Can Double Jaw Surgery Cause Nerve Damage That Affects Speech, Eating, Kissing, Talking, and Facial expression?

While temporary numbness or altered sensation may occur post-surgery, permanent nerve damage is extremely rare with modern techniques. Any initial changes in speech, eating, or facial expression generally improve with time and rehabilitation.

What is the satisfaction rate of double jaw surgery?

The satisfaction rate for double jaw surgery (bimaxillary osteotomy) is quite high, often exceeding 90%. 

This can vary depending on the study, surgical technique, and specific patient population. It’s important to note that satisfaction is subjective and depends on individual patient expectations, the severity of their pre-operative condition, and their post-operative results. 

High satisfaction rates are generally associated with improved function, decreased pain, and enhanced aesthetic appearance.

Always discuss your specific goals and expectations with your surgeon (contact our doctors) to ensure the best possible outcome.

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