Two-jaw surgery
No-Tie Double Jaw Surgery
No-Tie Jaw Surgery is an advanced orthognathic procedure that corrects jaw misalignment without wiring the mouth shut during recovery. This technique allows patients to breathe, speak, and eat more comfortably immediately after surgery, significantly shortening the recovery experience.
Who it suits
- Individuals with protruding jaws (underbite), facial asymmetry, or long face syndrome.
- Patients who feel anxious about having their mouth wired shut (intermaxillary fixation).
- Those who want a faster return to daily life and easier nutritional intake during recovery.
Technique highlights
- No Intermaxillary Fixation: Eliminates the need to tie the upper and lower jaws together with wires or bands.
- Improved Airway Safety: Reduces the risk of respiratory obstruction and allows for easier breathing immediately after surgery.
- 3D-CT Precision: Uses advanced imaging to locate facial nerves accurately and plan bone movement without guesswork.
- Pre-orthodontic Optional: In many cases, the surgery can be performed before starting orthodontic treatment (braces).
Surgical steps
- Comprehensive 3D-CT scanning and dental impressions are taken to analyze the bone structure and nerve pathways.
- Under general anesthesia, the surgeon performs osteotomy to separate and reposition the upper and lower jaws.
- The jaws are precisely aligned and secured internally using specialized plates without needing external ties between teeth.
- The surgical incisions inside the mouth are closed with dissolvable or removable sutures.
Recovery & aftercare
- Hospitalization: 2 days for monitoring.
- Stitch Removal: Usually occurs 10–14 days after the procedure.
- Initial Recovery: Most patients return to basic daily activities within 2 weeks.
- Diet: Start with a liquid diet, gradually moving to soft foods as recommended by the surgeon.
Risks & things to consider
- General surgical risks include bleeding, infection, and inflammation varying by individual.
- Potential nerve damage or numbness in the jaw area may occur.
- Post-operative orthodontics (braces) are usually still required to fine-tune dental alignment.
Frequently asked questions
How is No-Tie surgery different from traditional jaw surgery?
Traditional double jaw surgery uses wires or rubber bands to fix the jaws shut during initial healing. No-Tie surgery eliminates this, allowing immediate jaw movement.
Can I talk and breathe easily right after surgery?
Yes, because the jaws are not tied shut, patients can breathe more easily through the mouth and speak immediately after the procedure.
What can I eat after the procedure?
While liquid and soft diets are necessary initially, the ability to open the mouth makes nutritional intake much easier than traditional methods.
Cases in this area
Before & After gallery
Case photos show individual results. Outcomes vary with anatomy and aftercare.
Other procedures in this area
- Double Jaw Surgery (Orthognathic Surgery)
- Surgery-First Jaw Correction (Pre-Orthodontic Surgery)
- Dissolvable Pin Jaw Surgery (Invisible Osteosynthesis)
- Anterior Segment Osteotomy (Protruding Mouth Surgery)
- Protruding Mouth Surgery (No Braces Option)
- Jaw Surgery for Protruding Mouth Correction
- Triple Jaw Surgery for Protruding Mouth and Receding Chin
- Lower Jaw Surgery (Mandibular Osteotomy)
Adapted from ID Hospital official material · View source page