A receding jaw can adversely affect your teeth and also health and can an outcome in obstructive sleep apnea, stomatognathic, and also TMJ dysfunction.

You are watching: Double jaw surgery before and after

Treatment time that surgery: 2 hours

Treatment time of distraction osteogenesis: 12 days, transforming a proprietary distracter daily.

A short course that orthodontic treatment before and after the procedure was needed.


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Case Description:

An imbalance that the jaws can considerably adversely affect the health of the teeth, jaws, and overall health. If left untreated, the damage is progressive, specifically as one ages and the organization become more susceptible to breakdown.

This patient determined to correct her jaw imbalance prior to the damage and deterioration progressed.

Treatment time that surgery: 3 hours

Orthodontic treatment: 6 months prior to surgery and 6 month after surgery because of her severe malocclusion (improper bite).


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Case Description:

Danielle complained of strain of the lips, jaw pain, and an uncomfortable bite. She dentist referred she in due to progressive gum recession and also clicking and also popping in she jaw.

Type that surgery: LeForte I, BSSO and Genioplasty

Duration of Surgery: 4 hours

Duration of orthodontic treatment: 11 months due to her malocclusion (improper bite), headaches and TMJ pain.

Following surgical procedure the stress, overload of her lips and also mentalis muscle resolved. She reported her bite felt balanced and comfortable. The clicking and also popping of the TMJ resolved and the micro-trauma that the malocclusion and also mechanical reason of her gum recession was eliminated.


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Danielle complained that despondency, depression, and feeling exhausted when she woke up in the morning after sleeping 7 hours. She felt a lack of energy and also by the end of the day felt more tired. She believed that it may be affecting she memory and work.

The imaging taken in ~ Jaw surgery LA Imaging facility shows a narrow airway before surgery (left image) and also a regular airway after surgical procedure (right image).

Following treatment all of her symptom resolved and also she report “a tremendous feeling of fine being, energy and also overall top quality of life and also happiness.”


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Danielle additionally complained the a “gummy smile” the she said bothered her and also made her feel “very me conscious” every time she smiled.

The maxillary impaction procedure and orthodontic treatment removed the “gummy smile” and revitalized a organic facial and muscle balance.

Treatment consisted of palliative modalities and careful location of the TMJ condyles into the physiologic centric place Rx by Dr. Jacobson, with finish resolution of she pain and also dysfunction.


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Case Description:

Stephanie complained of an uncomfortable underbite and also a laugh that bothered her. Her this were put on down but her mother intercepted and brought her to our Orthodontic center LA at an early enough age. As a result a jaw surgical procedure was 100% prevented.

All treatment was perfect by Dr. Jacobson utilizing a segmental an approach and interceptive orthopedics taught to that by his mentors Dr. Ricketts and also Dr. Tom Graber, after completing his specialty training in ~ UCLA. Because then Dr. Jacobson has arisen a collection of added effective techniques and also protocols, for children and young adult to intercept and also correct mild and also moderate skeletal and dental malocclusions, there is no the need to do jaw surgery.

Before orthodontic treatment (left image) and after orthodontic treatment (right image). No jaw surgical treatment was needed.

All children should be confirm by a plank certified orthodontist with extensive experience in cephalometrics and also growth and also development.

Most malocclusions (improper bites) have the right to be improved if intercepted early, preferably prior to the irreversible teeth erupt (come right into the mouth). Beforehand treatment can also significantly mitigate the total active treatment time and also enhance stability.

Most development of the jaws is finish by period 15 years in a young woman and also age 21 in a young man. ~ those ages, there are advanced orthodontic therapies that can be used to treat significant imbalances that the jaw and bite, but jaw surgery deserve to usually create a much far better result.


Case Description:

This patience complained of one asymmetry and also uncomfortable bite v pain in both TMJ’s. If the jaw is anatomically asymmetric and also disparate, jaw surgery have the right to restore balance and also symmetry.

Before surgical procedure (left image) reflecting the stress, overload of the lips and also muscles contributing to the TMJ pain and imbalance. After surgery (right image) mirroring the operation correction that the bones imbalance.

After surgery, bite adjustments and specially constructed TMJ splints have the right to be offered at night as retainers and also protectors for patients the habitually clench or grind their teeth at night.

Ancilliary dental and also restorative steps are best done after the surgical treatment is completed to refine the anatomy of any type of worn under teeth and also to improve as whole smile esthetics if patients want to boost the size, shape, color or contours of their teeth.


Case Description:

Left image: prior to a genioplasty (chin surgery).

Right image: after genioplasty (chin surgery).

Notice the normalization the the lip strain on the upper and also lower lip after ~ orthodontics and also chin surgery. No top jaw or lower jaw surgical treatment was needed, only chin surgery.

A prosthetic chin implant generally performed through a plastic surgeon there is no maxillo-facial specialty training is NOT desired for this procedure. A genioplasty (chin surgery) have the right to be changed to to decrease the reduced facial height and the bone remodels.

A surgeon the is double board certified in Maxillo-facial and also Plastic surgical treatment is preferred due to the subtleties involved in the monitoring of the soft and hard tissues of the chin.

Before surgical procedure this patient complained of one uncomfortable bite v lip and also muscle strain. He had an obstacle closing his lips and complained of a mouth breath habit particularly while resting with dry mouth and also bad breath top top waking.

Dr. Jacobson supplied TAD’s (temporary anchorage devices) for 5 month in conjunction v orthodontic therapy to alleviate his severe open bite, no surgically. Climate the chin surgery was perfect to help restore face balance and also alleviate lip strain.

The chin surgery was completed in 1 hour under basic anesthesia. The surgery was performed at our Jaw surgical procedure LA on site AAAHC certified operating Room top top a Friday. That recovered at home over the week-end and also returned to visit us on Monday.

Typically the bruising and swelling native a genioplasty (chin surgery) procedure resolves in ~ one to 2 weeks and also no wiring of the jaws or elastics is needed.

Orthodontic treatment total time was 10 months to exactly his severe open bite. TAD’s to be only required for 5 that the 10 months.


Case Description:

This patient visited Jaw surgical treatment Los angles complaining of an uncomfortable bite and also an i can not qualify to close she lips. She want to also improve she facial esthetics and also profile. She dentist told her she showed proof of clenching or grind her teeth, likely at night and she reported mild soreness in the muscle of the face.

The treatment had orthodontic treatment in conjunction through orthognathic surgery to assist restore facial balance, and also harmony. Post-treatment, she reports a an extremely comfortable bite with no muscle tension. Her goals are to preserve a health bite and also teeth for life there is no the need for substantial future dentistry.

There is seldom any type of need come ‘wire the jaws shut’ complying with surgeries performed at Jaw surgery LA as result of the orthodontic and surgical protocols complied with for the past 20 years. All surgical incisions are made within the mouth so there are no exterior of visible scars.

It is possible to stop surgery on plenty of patients prior to they have actually completed your growth. Men frequently complete many of their development of the jaws and face by period 21. Woman frequently complete many of their facial and also jaw expansion by age 15.

All three children of this patient completed interceptive orthodontic at our Orthodontic facility LA and have not necessary jaw surgery.

There room many advantages to diagnosing and intercepting malocclusions early, even prior to the irreversible teeth erupt. Numerous times surgery have the right to be prevented, and also the all at once extend of therapy is frequently much much less with much better short and also long term stability. Attachments area


Case Description:

This patience is highly intelligent, decisive and discerning. He want to exactly his overbite to help protect his teeth from unnecessary damages from day come day chewing, biting and also eating.

The treatment consisting of a brief course the orthodontics because of his malocclusion, in conjunction v jaw surgical procedure at Jaw surgical treatment Los Angeles.

He is an extremely happy through the overall improvements. That reported that most human being he knew go not also realize that he had actually had any treatment or changes. He claimed that either human being are not observant or the transforms were subtle sufficient to walk unnoticed. That himself completely enjoys this confident change.


Case Description:

This patient was described Jaw surgery Los Angeles involved that her teeth were wearing under unnecessarily. She commented that she is generally a happy person, but was erroneously perceived together looking stern.

Her bite and also jaw to be uncomfortable and she was told that she snored when sleeping. Disparate jaw positions deserve to adversely affect one’s airway and cause unnecessary snoring. As well as being annoying, and also disruptive to high quality sleep, snoring deserve to prevent optimal oxygen intake and also saturation throughout sleeping. This will certainly in turn, regressively influence overall health and well-being.

Orthodontics in conjunction v jaw surgery deserve to resolve obstructive sleep apnea and also restore a more natural face balance in addition to a bite correction. Transforms can be lucrative in terms of basic health in enhancement to the wellness of the teeth, bite, TMJ’s and facial musculature.


Case Description:

This patience flew in from north California, concerned about an underbite and also a lack of teeth showing throughout smiling. She likewise had clicking and also popping the the jaws, intermittent headaches, and also an uncomfortable bite v lip strain.

The treatment and also surgical convey of every malocclusions, particularly malocclusions of the skeletal type, is complex.

The course 3 kind malocclusion with an underbite is an especially complex. In a course 3 kind malocclusion, the convey of the skeleton disparity must encompass a an extremely careful analysis of the TMJ, airway, teeth, bite, soft tissues, and the level of skeletal, facial, and muscular imbalance.

There is no such thing as a simple skeletal imbalance and the protocols established at Jaw surgical treatment Los Angeles adhere to for all types of skeletal and also dental anomalies.

Optimal therapy does not constantly involve simply setup the reduced jaw earlier in a Skeletal course 3.

Paramount, is the pre-surgical stage of placing of the teeth, into a place that facilitates optimal jaw surgery placement.

Patients want to look and also feel good and desire a result that have the right to last a life-time.

Dentists and also orthodontists desire a bite the is a course one with the TMJ condyles focused into a physiologic centric place that is repeatable, an extremely comfortable and also mutually safeguarded with instant disclusion in protrusive role and every excursions.

ENT’s desire to ensure there is one exceptionally great airway through no blockage in the sleep or sinus congestion.

Speech pathologist and also myofunctional therapists desire to make specific the tongue has enough an are in the mouth for finest swallowing and also speech.

Sleep professionals want the jaws positioned in a way to permit the air to flow optimally, including at the back of the mouth (retro-glossal and retro-palatally), v no excess soft tissue or uvula laxity or organization excess the vibrates, resulting in snoring throughout sleeping.

Chiropractors, osteopaths, and physical therapists want to make certain the muscles of the face and also neck are relaxed and also not strained.

Everyone wants natural-looking smile. That is a many to effort for.

Patients like not to have actually braces (orthodontic appliances) on your teeth. If needed, they like them for as little time together possible.

Fortunately, digital modern technology and protocols developed at Jaw surgery LA enable us to significantly decrease the moment of the pre-surgical preparation and also the require for braces before and after surgery.

3-D imaging, intra-oral scanners and also proprietary software program also assist us enhance accuracy and also decrease as whole treatment times.

A an extensive pre-surgical digital protocol and resultant practice individualized jigs used during surgery additionally helps reduce the yes, really time the surgery. Shorter surgery times and also well-integrated post-surgical protocols can assist facilitate a much shorter and much easier recovery.

All surgeries space rehearsed digitally before the actual surgical procedure so patients and specialist have the right to collaborate visually to better understand and appreciate the options, alternatives, and limitations inherent.


Case Description:

Chief complaint: Jaw pain, headache, facial pain and also clicking that the TMJ v an overbite.

Procedure: Surgical activity of the reduced jaw forward (Bilateral Sagittal split Osteotomy) duration of Surgery: One hour Orthodontic treatment particular for jaw surgery: 8 weeks

A protocol emerged at Orthodontic center LA and Jaw surgical procedure Los Angeles to be followed.

One important part of this treatment was to develop the optimal position of the temporomandibular joint, particular for this patients’ structure and function.

Dentists, orthodontists, and also surgeons are taught and typically usage a TMJ position referred to as Centric relation (CR). Over there is much controversy regarding this place within the profession. CR is generally appropriate for many patients that are not in pain or carry out not have dysfunction.

This CR place was not offered for this patient due to her ‘slipped disc’ (meniscus displacement) and loose TMJ ligaments (joint laxity).


Case Description:

Chief complaint: i am an actor living in India and just acquired an offer to carry out a very large movie through Netflix and also I desire to exactly my overbite and create a more defined jaw.

I was referred to Jaw surgical treatment Los Angeles from one of the reputedly “best professionals world-wide” who stated that the Jaw surgical treatment Los Angeles specialists are the best for this type of jaw surgery and worth flying to Los Angeles for.

“I to be soooo happy with the results, was readily available a leading role by Netflix and also can’t say thanks to you enough”.

This patience was particular about what he describes as a “Brad Pitt” jaw and brought us many photographs of what the liked.

We spend a considerable amount that time through him and also his family, that flew to Los Angeles because that the consultations. We were maybe to accomplish the watch and definition he wanted.

The surgery duration was 90 minutes, performed at our onsite AAAHC OR under general anesthesia top top a Friday. The patient spend one night at a close to overnight restore center and returned for followup checkups on the complying with Monday. He described his full recovery together “surprisingly easy and fast” contrasted to what he had actually seen ~ above the internet.


Case Description:

Chief complaint: “I am insecure and also self conscious around my weak chin and also tried to “get over it” however am struggling.

Surgical procedure: Wedge proceeding genioplasty.

Duration the surgery: 1 hour (No external scarring, since all incisions space inside the mouth in the vestibule below the lower lip).

Orthodontic therapy needed: None specifically for a genioplasty. Plenty of times tooth activity is planned to ensure a course I or an optimal bite and best placement of the teeth, for finest functional and facial results.

A Genioplasty is not an implant.

Most plastic surgeons sell patients chin implants yet a chin implant deserve to resorb into the bone end time. Chin implants available by Plastic Surgeons have tendency to look favor an ‘add on’ and not natural, specifically when the reduced jaw and chin show up recessive choose in the images above.

Specialists at Jaw surgery Los Angles room board certified in Plastic surgery but additionally board certified in Maxillofacial Surgery. The genioplasty procedure is carefully planned utilizing 3-D imaging the the hard and also soft tissues to help ensure the optimal location of the chin.

The confront is so delicate and small changes have the right to make a very huge difference.

Proprietary software and hardware allows surgeons to arrangement changes in size, shape, contour, position and symmetry. Chins can be canted, protrusive, recessive, too long vertically, too short or asymmetric.

There is a the majority of subtlety come chin surgery and it is finest planned and performed by an experienced surgeon with double board certification and training in both Maxillofacial and also Plastic Surgery.


Case Description:

Chief complaint: “I had braces and also lately my confront is an altering and sagging a little and it renders me watch tired and also old, but I am not tired and also I feel young. Ns was referred to your Orthodontic center by for this reason many human being that are really happy through their results and also Dr. Jacobson recommends that I carry out jaw surgical procedure for the finest results for my condition”.

Surgery duration: 90 minute under general anesthesia.

This patient said that she kept cold packs on and also off she jaw, intermittently because that the very first 24 hrs after surgery. She stated she slept through her head slightly elevated for two nights adhering to surgery. She report very tiny swelling and a rapid recovery with very small discomfort, also though she quit taking pain medication days after she surgery.

All patients will experience swelling, specifically the job after the surgery yet protocols and also recommendations emerged at Jaw surgical treatment Los Angeles help significantly accelerate recovery.


Case Description:

“So many civilization I recognize that are really happy through their orthodontic treatment had actually their braces and also Invisalign done at Orthodontic center LA in Pacific Palisades”.

“I was described Jaw surgery Los Angeles by Dr. Jacobson at Orthodontic facility LA, who claimed my chief complain of a longer looking face and a contempt weak chin cannot be corrected by orthodontics alone yet that combined with jaw surgery, I can get the an outcome I to be looking for”.

“I did no really desire to readjust the way I looked, just boost my weak chin and also be able come close my mouth better”.

“I love the results”.

“Friends that have actually not checked out me because that a while, say i look strong and healthy, like I have been functioning out. They have actually no idea that I had jaw surgery. Ns tell them and also they say ns look fantastic, but that they would never have been able come tell”.

“It is subtle but I love the change. When you check out the before and also after, the is an amazing result, even much better than what I can have imagined.”

Duration of surgery: 3 hours under general anesthesia


Case Description:

Chief complaint: “I’ve always had an uncomfortable bite and jaw. I was an extremely self-conscious farming up. I felt i looked ‘goofy’. Currently my teeth room wearing, my gums space receding and also my face is changing. The seems like this is slowly obtaining worse.”

Surgical procedure: Distraction osteogenesis that the mandible in conjunction v orthodontics.

Distraction, using curvy-linear distractors design by Dr. Schendel, Professor Emeritus and also founder that Jaw surgery Los Angeles, enables directional distraction and optimal regulate in the forward, side to side and also up and also down direction. Dr. Schendel recruited Dr. David Dorfman DDS MD to succeed him as Chief of surgical procedure at Jaw surgical procedure Los Angeles.

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Carefully controlled, distraction deserve to enhance the vertical facial height as well as the overbite. Distraction additionally correct asymmetry. Proceeding a lower jaw that is severely recessive v conventional jaw surgical procedure is inadequate to fully correct significant jaw deformities. Distraction surgery allows a much better result in this cases.