Two-jaw surgery

Triple Jaw Surgery for Protruding Mouth and Receding Chin

Triple Jaw Surgery is a specialized procedure that combines protruded mouth surgery (ASO) with two-jaw surgery to correct severe protrusion and a receding chin simultaneously. It involves repositioning the gum bones and both the upper and lower jaws to achieve a balanced facial profile and functional bite.

Who it suits

  • Patients with severe protruding mouth (bi-maxillary protrusion).
  • Patients with a severely receding chin (microgenia) combined with protrusion.
  • Cases where standard jaw surgery cannot achieve a balanced profile.

Technique highlights

  • Combination Therapy: Integrates Anterior Segmental Osteotomy (ASO) with standard orthognathic surgery.
  • Simultaneous Correction: Addresses dental protrusion and jaw position imbalance in one procedure.
  • 3D Analysis: Utilizes precise mapping to determine the exact movement of gum bone and jaw structure.

Surgical steps

  • Pre-surgical Planning: Comprehensive 3D imaging and dental analysis to map bone movement.
  • General Anesthesia: The procedure is performed while the patient is fully unconscious.
  • Anterior Segmental Osteotomy (ASO): Small premolars are removed to create space, and the gum bone is moved backward to correct protrusion.
  • Double Jaw Surgery (Two-Jaw): The upper and lower jaws are repositioned to correct the chin profile and bite alignment.
  • Fixation: The bones are secured in their new positions using specialized medical plates or screws.

Recovery & aftercare

  • Hospital stay: 1 day for initial monitoring under medical supervision.
  • Stitch removal: Typically occurs around 2 weeks post-surgery.
  • First 2 weeks: Major swelling subsides; patients should consume a soft or liquid diet.
  • 1 month: Patients can usually return to most daily activities and work.

Risks & things to consider

  • Risks include potential nerve damage, bleeding, infection, and reactions to general anesthesia.
  • Bone healing depends on individual health factors and strict adherence to post-operative instructions.
  • Post-operative orthodontic treatment is usually required to ensure a stable and functional bite.

Frequently asked questions

Is orthodontic treatment necessary after surgery?

Yes, in most cases, orthodontic treatment (braces) is required after the surgery to align the teeth into their new, correct positions.

How long is the recovery period before returning to daily life?

General activities can usually be resumed within 2 to 4 weeks, but complete bone healing and final results take several months.

How does this differ from standard double jaw surgery?

This procedure is specifically for complex cases where standard jaw surgery or protruded mouth surgery alone cannot provide a balanced profile.

Cases in this area

Before & After gallery
Triple Jaw Surgery for Protruding Mouth and Receding Chin — ID Hospital before & after

Case photos show individual results. Outcomes vary with anatomy and aftercare.

Other procedures in this area

Adapted from ID Hospital official material · View source page