Two-jaw surgery
Revision Jaw Surgery (Corrective Orthognathic Surgery)
Revision jaw surgery is a complex procedure designed to correct unsatisfactory results or functional complications from a previous orthognathic surgery. It involves re-aligning the jaw bones and teeth to restore facial balance and proper chewing function.
Who it suits
- Patients with persistent facial asymmetry or protrusion after a previous jaw surgery.
- Individuals who received the wrong diagnosis, such as getting contouring surgery instead of necessary jaw surgery.
- Cases where excessive bone removal caused a sunken mid-face or functional bite issues.
Technique highlights
- Multidisciplinary collaboration between plastic surgeons, oral surgeons, and orthodontists.
- Customized surgical planning using 3D-CT to navigate altered bone structures and nerve locations.
- Focus on functional restoration alongside aesthetic improvement.
Surgical steps
- Comprehensive pre-operative diagnostics using 3D imaging to evaluate previous surgical marks and current bone density.
- Administration of general anesthesia and careful removal of previous fixation pins if necessary.
- Re-segmenting the jaw bones to the correct anatomical position to improve both appearance and bite.
- Rigid internal fixation using new biocompatible plates and screws, ensuring stability in limited bone space.
Recovery & aftercare
- Hospitalization: Typically requires a 2-night stay for monitoring.
- Stitch Removal: Done approximately 2 weeks post-surgery.
- Daily Activities: Most patients return to light activities within 2 to 4 weeks.
Risks & things to consider
- Revision surgery carries higher risks of nerve damage due to altered anatomy.
- Bone density or volume may be insufficient for stable fixation if significant bone was removed previously.
- Increased risk of scarring and slower healing in previously operated tissues.
Frequently asked questions
How long should I wait after my first surgery before getting a revision?
It is generally recommended to wait at least 6 months to 1 year until the initial surgery has fully healed and the bone has stabilized.
Do I need braces again for revision jaw surgery?
Orthodontics are often required to align the bite correctly, especially if the previous surgery resulted in dental misalignment.
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)
- No-Tie Double Jaw 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
Adapted from ID Hospital official material · View source page