Jaw Surgery Before & After Photos


Jaw Surgery Before & After Case 1

Hemifacial/craniofacial microsomia includes a wide spectrum of severity and conditions, with many names including Goldenhar syndrome and oculo-auriculo-verterbral spectrum.
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Some children are born with a slightly smaller lower jaw or ear. Other children may have severe asymmetry affecting multiple areas including the eye, ear, cheek, upper and lower jaw, and nerve function. Other organ systems may also be affected, including the heart, kidneys, spine, and arms/hands, and need to be evaluated as well.
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As each and every child is unique, their treatment plan must also be tailored to their needs. The goals are always to offer the best chance at a happy and healthy life, while minimizing the number of surgeries and the risks involved.
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For this gentleman, the occlusion of his teeth was severely slanted, with TMJ pain and popping.
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To correct this, we performed upper and lower jaw surgery with TMJ replacement at the same time. We waited to do this until he reached skeletal maturity and had a long enough break from contact sports to heal.
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After the first few months of recovery, his jaw is free of popping and pain, and his symmetry is improved. Further procedures like fat grafting may be offered to further fine tune any asymmetry if desired.
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As you can see, we love our patients, especially ones we have cared for since they were little!

Jaw Surgery Before & After Case 2

Orthognathic surgery (aka “jaw surgery”) involves the repositioning of the upper and/or lower jaw to correct a number of problems.

Commonly we perform this surgery for our patients with a history of a cleft. Growth of the upper jaw may not keep up with the lower jaw. The teeth then do not line up, and normal chewing is affected.

We also perform this surgery for patients with sleep apnea, or other imbalances of the jaws including overbites, underbites, open bites, and cants (like with hemifacial microsomia).

Jaw Surgery Before & After Case 3

This handsome young man has a history of a unilateral cleft lip and palate.

He is seen here 7 months after jaw surgery (maxillary advancement, mandibular setback, and chin advancement), and 1 month after rhinoplasty.

His occlusion (or how his teeth fit together) is now centered and leveled, with the teeth now able to chew optimally. This will help with TMJ and dental health long-term.

The bony work also helped to balance his facial profile, giving his upper lip and chin more support.

The rhinoplasty improved his breathing by straightening the septum and supporting his nasal passages, like having a Breathe-Right strip on the inside of his nose.

His lip scar will also continue to improve after a re-repair and re-orientation of the muscle of his lip.

Jaw Surgery Before & After Case 4

Here is a sneak peek with one of our all-star patients with a history of a more rare facial cleft.

She has had multiple surgeries with another team, and came to our team for her jaw surgery to correct her malocclusion.

As with many of our cleft and craniofacial patients, her upper jaw did not grow as much as the lower jaw. The two jaws also did not line up well.

This can result in difficulty eating normally, facial imbalance, dental disease, and jaw pain.

For her, we performed 3D planning to design the movements and final implants to give more stability and predictability with her surgery.

She is seen here at 2 months, with more updates to come!