Orthognathic Surgery by Type
Facts & Myths about Orthognathic Surgery
At iWELL, we promise you high satisfaction by performing safe and accurate surgery
that improves the function of the jaw and brings forth cosmetic enhancements based on
our abundant expertise and experience in orthognathic surgery.
Orthognathic surgery of Each type
accompanied by malocclusion
The cases in which the patient has a jutting chin with protruding lower jawbone and teeth are classified as Class 2 malocclusion. In severe cases, chewing food properly can be difficult, and corrective treatment may first be obtained from a dentist. However, even after dental treatment, the prominent chin may appear long and pronounced. In some cases, a double chin may occur, and in order to address this issue, orthognathic surgery and facial contouring surgery (chin surgery) must be performed in conjunction.
considering the width of the face
Orthognathic surgery is carried out for correction purposes when the patient’s face is long and more than 3mm of the gums show when smiling. If the patient has a long face and philtrum but the gums are not significantly exposed or the patient has an excessively long lower jaw, long curved square jaw reduction surgery and chin surgery are performed simultaneously to create a more balanced appearance.
In case the midline of the face is crooked, osteotomy is performed on the upper and lower jaws and parts of the bones are removed and repositioned in order to restore symmetry to the face. If only the midline of the lower jaw is crooked, the chin is moved forward, backward, left or right as a way to refine the contours of the face. Facial asymmetry is often accompanied by a jutting chin, protruding mouth, receding chin, etc. Surgery for correcting facial asymmetry can address the issues of pronunciation, pain, discomfort during chewing, and strain on the neck and shoulders, and it can also help achieve functional improvement by realigning the midline of the face.
Protruding mouth & receding chin
#protrudingmouth + #recedingchin
A protruding mouth is characterized by protruding teeth and gums (alveolar bones), while the upper and lower jawbones are normal. There are more Asians with protruding mouths than Caucasians, and when adenoid hypertrophy is left untreated during the growth and development phase, the front teeth will move more forward, and the face shape will ultimately be changed. If the alveolar bones are protruding out or the lips should be moved backward by at least 4mm, protruding mouth surgery may be performed to restore balance to the face shape and help achieve a cosmetic improvement.
A person with a small or short chin or a chin that projects slightly backward will typically appear to have a protruding mouth and may not be able to close his/her mouth. In such cases, receding chin surgery may be performed to address the problem. If the chin is excessively short, osteotomy is performed on the chin, which is then moved forward and fixed in place. If the face is a bit long, surgery is carried out to create balance between the upper and lower jaws for an overall harmony of the face. If the patient has both a protruding mouth and a receding chin, three jaw surgery is recommended to achieve more natural-looking results.
Orthognathic Surgery Procedure
Orthognathic surgery is recommended to patients with long upper (maxillary) and/or lower (mandible) jaws,
malocclusion, an asymmetrical face, protruding mouth, etc.
Osteotomy is performed on the upper and lower jawbones.
The upper and lower jawbones are realigned.
The bones are fixed in place with pins.
This surgery, which is applicable to both jutting chins and receding chins,
involves performing osteotomy on the middle part of the chin to adjust the length of the chin or reposition the chin.
- Safety Control System
- Real Name Plastic Surgeon System
- Improvement of Cosmetic and Functional Issues
- Systematic Surgical Planning
- Response to Emergency Situations
Safety Control System
for Zero Accidents and Incidents
At iWELL Plastic Surgery, we not only have a full-time anesthesiologist but also a safe surgery system comprised of an interruptible power supply (UPS) enabling continued operation of the surgical equipment even during an unforeseeable power failure, automated external defibrillator (AED) in the event of an emergency, post-op real-time patient monitoring equipment, etc.
- Full-time anesthesiologist specializing in plastic surgery
- Accurate and thorough examination and testing for safe anesthesia
- Emergency equipment and AED
- UPS to prepare against power failures
- Cutting-edge anesthesia system
- Dantrolene for malignant hyperthermia
- Disinfection and sterilization system for safety
- Blood test equipment for thorough testing prior to surgery
Real Name Plastic Surgeon System
(Dedicated Plastic Surgeon from Consultation to Surgery)
The plastic surgeon assigned to you will provide you with consultation, perform the operation, and check the progress afterwards. Individually customized orthognathic surgery is performed based on a thorough plan formulated by the plastic surgeon, consideration of the functional issues and the cosmetic improvements desired by the patient.
- No substitute plastic surgeons
Simultaneous Cosmetic and Functional
Through Collaborative Care by Medical Specialists
At iWELL Plastic Surgery, plastic surgeons, orthodontists and anesthesiologists work together based on their exceptional expertise and the interdisciplinary treatment system in order to provide patients with highly satisfying results marked by functional and cosmetic improvements.
Based on Thorough Pre-Op Examination
Systematic Surgical Planning
In order to ensure safety and satisfying results, a wide range of exams and tests are performed including a blood test and tests for adult diseases, in addition to the ones requiring the use of state-of-the-art equipment including low-dose 3D-CT and X ray. A surgical plan is devised based on a comparative analysis of the actual facial contours of the patient and the ideal facial contours, based on the patient’s bone structure, dental model, etc
For Speedy Response to Emergency Situations
We Have Orphan Drugs Available
At iWELL, we are stocked with dantrolene and Bridion, which are typically found only at university hospitals and general hospitals. We have an emergency safety system to better prepare for emergency situations and ensure patient safety.
- Dantrolene The one and only treatment agent for malignant hyperthermia which can occur in patients under general anesthesia, albeit rarely
- Bridion A drug that helps maintain a safe anesthetized state and facilitates speedy recovery from anesthesia