What It’s Really Like To Get Jaw Surgery | The AEDITION (2024)

For many, orthodontic treatments that shift the teeth are enough to correct our bite. But, when orthodontia isn’t enough, corrective jaw surgery may be required. Formally known as orthognathic surgery, the procedure is used to correct pronounced underbites and overbites and improve facial symmetry. “Orthognathic surgery is necessary when the teeth and jaws do not align properly,” explains Douglas Monasebian, MD, DMD, a New York City-based board certified plastic and maxillofacial surgeon and assistant professor at the Mount Sinai School of Medicine. “Very often, when this surgery is performed, the facial features will also come more into harmony adding to a more aesthetic appearance.”

Here, we break down everything you need to know about the surgery and talk to patients about their experience.

What Does Jaw Surgery Involve?

Jaw surgery is often part of a larger treatment plan that includes fixed-bracket braces, wisdom teeth removal, and more to correct an underbite or overbite. Surgery tends to be part of that teeth alignment process. “Orthodontic treatment (braces) is performed both before and after the surgery,” Dr. Monasebian says. “The length of time in braces can be between one to two years, with the surgery occurring usually at the halfway point.”

Depending on the patient's needs, orthognathic surgery can be performed on the upper jaw (maxilla), the lower jaw (mandible), or both. “The surgeries may be performed together or separately,” he explains. “The decision for this is determined by both the surgeon and the orthodontist. The evaluation includes clinical photographs, x-rays, and dental models.”

The Anatomy of the Face & Jaw:

What It’s Really Like To Get Jaw Surgery | The AEDITION (1)

Needless to say, there are surgical and anatomic differences between upper (maxillary) and lower (mandibular) jaw surgery, but both procedures are, as Dr. Monasebian shares, “quite involved” (think: four to six hours of operating) and performed under general anesthesia in the hospital. Another similarity? “All incisions are placed inside the mouth, so, after the swelling resolves, there is no visible scarring on the face,” he says.

During the surgery, the surgeon will cut into the bone and realign the bone, teeth, and soft tissue into their correct position. The bone is fixed in place using a combination of metal plates and screws, which are usually permanent. The screws should fuse into your jaw bone over time. In some cases, bone may be collected from another part of your body (i.e. the hips or ribs) to aid in that fusion process or to alter the shape of the jaw bone. In this case, patients have a small incision where that bone tissue is collected.

Recovering From Jaw Surgery

Today, jaws are stabilized with small metal plates and screws, which means they do not have to be wired together for six weeks like they used to be. But recovery from jaw surgery still takes time, with patients generally needing to take several weeks off of work or school. While patients usually return home the day after surgery, it is recommended that they have a caretaker for the first couple of weeks. Pain, swelling, and discomfort are common — especially in the first seven to 10 days — and are treated with pain medication and antibiotics.

Patients receive specific post-operative instructions that encompass the first couple of months after surgery. They will vary depending on the provider and procedure, but your surgeon should provide specific information on what you can and can’t eat, oral hygiene, when to resume regular activity levels, and when to return to work or school.

“The surgical results are immediate in that the jaws are placed in their new and correct position at the time of surgery,” Dr. Monasebian says. “The final surgical result will become apparent when all the swelling resolves, which is mostly gone after several weeks.” The bones heal in approximately six weeks, at which point braces are applied. “There will be another year or more of braces to have the teeth align,” he adds.

Patient Perspective

Recovery from jaw surgery takes time, but knowing what to expect can make the process much more manageable. We asked two patients to share their experience healing from orthognathic surgery.

Noah, 27, Chicago

Noah had jaw surgery to correct an underbite and improve his side profile. He spoke to us about what it’s like to have the procedure and shared some of his tips to make recovery more comfortable.

The AEDITION: What was the first week after surgery like?

Noah: The first day after surgery, I was pretty out of it. My brother drove me home and made sure I was comfortable. My mom brushed my teeth for me and made sure I’d taken the medication and eaten as scheduled. The following two days were intense. It’s pretty unpleasant being in pain and not being able to open your mouth or breathe properly through your nose because of all the swelling, but it really was only like that for around four days at the most. Once I’d made it through that point, things got a little better each day.

The AEDITION: How did the recovery process compare to your expectations?

Noah: I’d done a whole lot of research beforehand, and the one thing that I hadn’t truly realized is that everyone’s recovery is different. It was similar to many of the experiences I had read about before the surgery, but it was not the same as any of them. I used a lot of the tips that I’d learned from other people, and they were absolutely valuable (definitely buy yourself a cat toothbrush, they’re smaller than regular toothbrushes and so much easier to use right after surgery!), but I do wish I hadn’t created such a fixed timeline in my mind from what I’d seen online. It’s difficult to cut yourself some slack and rest when you think that you should be able to do such and such a task by whichever day post-surgery it is.

The AEDITION: Are you pleased with the results of the procedure?

Noah: I am. During the first two weeks after surgery, I wondered if the results could possibly be worth all the pain and swelling, but they totally were. I was fortunate that surgery was pretty much the last step in my treatment plan after long years of braces and wisdom teeth being removed, so it’s been amazing to finally get to see my face in the shape my doctors had planned for me all along. The shift in my confidence has shocked me. Pre-COVID, I had found myself having a better social life than I’d ever had before because I’m so much more confident in how I look.

Jeanie, 30, Los Angeles

Jeanie chose to undergo jaw surgery to change the look of her side profile, which was affected by a severe underbite. She had the surgery two years ago after undergoing orthodontic treatment for a year beforehand.

The AEDITION: Do you have any tips on how to prepare for recovery from jaw surgery?

Jeanie: First and foremost, get yourself a good network of people to help look after you in the first week after the procedure and to just be there when needed for the weeks following that. I would also advise printing out your recovery ‘schedule’ (i.e. when you should be starting to eat soft foods, do more activity, etc.), so you and the people taking care of you know what’s what. Having a pill organizer with days of the week and times was very useful to help me to keep track of when I had taken my painkillers also.

The AEDITION: Did you buy anything to make recovery more comfortable?

Jeanie: I got this laptop desk that sat on my bed so I could watch Netflix without having to move, it was amazing (I may or may not still use it now!). I also got some nice new pillows and some cozy bedding, which I really appreciated — especially in those first few days. My surgeon also advised me that those squeezy sauce bottles are good to help you eat liquids, and they were useful too.

The AEDITION: What advice do you have for people considering jaw surgery?

Jeanie: Get a good schedule set up for your recovery. Having ‘scheduled rest’ helped me so much. I know for sure I would have felt so bad about just laying around letting my body heal itself if it hadn’t been part of my care plan. Beyond that, it helped me to make sure I was getting enough fluids, taking all the drugs I needed to, keep on track with my eating. All those things just felt easier with them being planned out, instead of having to think about them on a daily basis.

The Takeaway

Performed by an oral and maxillofacial surgeon (OMS) or plastic and reconstructive surgeon, orthognathic surgery can be a life-changing procedure to align the mouth, optimize facial proportion, and improve quality of life.

What It’s Really Like To Get Jaw Surgery | The AEDITION (2024)

FAQs

Is jaw surgery one of the most painful? ›

Jaw surgery is usually performed after the growth stops, which is around ages 14 to 16 years for females and 17 to 21 years for males. The surgery is performed under general anesthesia, so there is no pain during surgery. Patients usually experience pain after the anesthesia wears off, which can last for a few days.

Is jaw alignment surgery worth it? ›

Orthognathic surgery will stabilise the orthodontic treatment and reduce the risk of the teeth becoming crowded again, which is known as an orthodontic relapse. It also alleviates a redo of what can be a lengthy and costly orthodontic treatment.

What is it like getting jaw surgery? ›

The corrective jaw surgery can have adverse side effects like numbness, loss of hearing, extreme pain, and increased drooling. Moreover, corrective jaw surgery is ten times more expensive than non-surgical treatments for correcting malocclusions.

How painful is jaw surgery recovery? ›

It is not uncommon to experience some pain or pressure in or around your jaw joint areas after jaw surgery. This may feel somewhat like an earache. It is due to pressure in the jaw joint area due to the new position of your jaw. This will usually disappear within 2 to 3 weeks.

What is the number 1 painful surgery? ›

Share on Pinterest Surgeries involving the bones tend to cause more pain than other types. In general, research has found that orthopedic surgeries, or those involving bones, are the most painful.

What are the worst days of jaw surgery? ›

Swelling: You can expect swelling to be the worst in the first week after oral surgery. It's usually most noticeable from three to five days after surgery, then it gradually lessens. Bruising: Bruising often accompanies swelling, and it dissipates as the swelling subsides.

What is the failure rate of jaw surgery? ›

The rate of complications after orthognathic surgery is more than 40%; therefore, it is important that patients receive a detailed explanation on the complications related to orthognathic surgery before they decide to undergo the procedure5.

What is the best age for jawline surgery? ›

When do you perform jaw surgery? Often, the optimal time for jaw surgery is after the jaw stops growing, usually in the later teenage years—typically ages 17 to 21 for boys and ages 14 to 16 for girls.

How much weight do you lose after jaw surgery? ›

Following your surgery and throughout the post-operative recovery period, especially if your jaw is wired shut, you could lose as much as 10 percent of your body weight.

How many hours does a jaw surgery take? ›

If only an upper or lower jaw requires surgery, your surgery will typically last between 1.5 to 2 hours. If both upper and lower jaws need orthognathic surgery then the procedure will take between 3 and 4 hours to perform.

How long after jaw surgery do you look normal? ›

The swelling will occur mostly at the sides of the jaw in the area of surgery and will reduce significantly in 2 weeks. By 4 to 6 weeks postoperatively, the tissues will appear almost normal to you. The final definition is attained approximately 4 months following surgery.

Is jaw surgery Scary? ›

Jaw surgery may sound scary, but today it's actually a rather painless and un-invasive procedure.

How long is bed rest after jaw surgery? ›

For the first 3-4 days following surgery please limit your activity. It is important that you not confine yourself to bed.

Why does jaw surgery hurt so much? ›

However, the extensive bone and muscle manipulation and various movements during surgery may result in postoperative pain, especially in the TMJ. Positional changes of the mandible, maxilla, or both jaws during orthognathic surgery can affect the TMJ, masticatory musculature, and surrounding soft tissue [5, 6].

Why is day 3 after surgery the worst? ›

Swelling and Bruising.

Tissue injury, whether accidental or intentional (e.g. surgery), is followed by localized swelling. After surgery, swelling increases progressively, reaching its peak by the third day. It is generally worse when you first arise in the morning and decreases throughout the day.

What are the top 10 worst surgeries? ›

  • Overview. Many medical procedures involve a degree of discomfort and, in some cases, pain. ...
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  • Liposuction. ...
  • Bone marrow donation. ...
  • Dental implants. ...
  • Total hip replacement. ...
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  • Tips for recovery.

What is the most failed surgery? ›

Surgeries that have high failure rates: Hiatal hernia which is intended to fix the problem of the stomach protruding out of the diaphragm space into the esophageal area. Hip resurfacing utilizes a metal cup that fits over the ball of the femur.

What is the riskiest surgery in the world? ›

Health Care Business compiled a list of the riskiest types of procedures to experience as a patient -- the following are the top 5.
  • Craniectomy. ...
  • Surgical Ventricular Restoration. ...
  • Spinal Osteomyelitis Surgery. ...
  • Coronary Revascularization. ...
  • Bladder Cystectomy.
Mar 4, 2016

How bad does jaw surgery hurt? ›

You will be completely numb on the jaw that was operated on, so there is not a great amount of pain. However, the swelling starts up immediately and there is some jaw stiffness to be anticipated. There is some soreness from the breathing tube that the anesthetist places and this soreness will also subside with time.

How long is mouth shut after jaw surgery? ›

Depending on your type of injury or surgery the jaws can be wired shut for a period of 2-6 weeks.

Is it hard to sleep after jaw surgery? ›

After an oral procedure, you're likely to experience pain and swelling in your face and neck. Additionally, you may experience bruising and a sore throat, leading to disrupted sleep.

How hard is jaw surgery recovery? ›

Normal recovery time lasts just a couple of weeks for minor surgery. For more complicated surgery, the initial healing phase can last about six to eight weeks. Complete healing of the jaws can take between 9 and 12 months.

How major is jaw surgery? ›

Jaw surgery is a major surgery that can disrupt your life for several weeks and months. You owe it to yourself to understand how jaw surgery will affect your life. You also should understand what you can expect from your jaw surgery. Talk to your healthcare providers about your options and expectations.

Does your jaw become weaker after jaw surgery? ›

As the bones have usually healed in full, taking out the plates out does not make the jaw weaker.

Is 25 too late for jaw surgery? ›

The best candidates for orthognathic surgery are typically people between the ages of 18 to 45 who are dealing with one or more of these problems. (The procedure is seldom performed on children under age 18 because the jaw has not stopped growing.

How much does jawline surgery cost? ›

Preliminary consultations, the surgeon's fee, the facility charge, and materials, as well as follow-up treatment, are all included in the approximate $20,000-$40,000 cost of corrective jaw surgery.

Does jaw surgery last a lifetime? ›

Making a commitment to correct these conditions through surgery, and possibly orthodontic treatment, is an investment toward a life free from chronic jaw pain and dental issues. While treatment may take several years to complete, the results will last a lifetime.

Will I look better after jaw surgery? ›

Since the jaw is the primary foundation for your facial muscles, jaw surgery can improve the appearance of your face. For instance, moving the jaw backward or forward can change the contour, placement, and shape of your chin, nose, teeth, lips, mouth, and face. Jaw surgery can improve a gummy smile.

How long do you stay in hospital after jaw surgery? ›

Your jaw surgery may be on either your upper or lower jaw (single jaw osteotomy), or both jaws (bimaxillary osteotomy). You are likely to be in hospital for 2 – 4 days, depending on your progress and how quickly you recover from the operation.

How long is liquid diet after jaw surgery? ›

You will need to eat a soft diet which needs very little chewing for at least six weeks after the surgery. This diet sheet goes through meal ideas for a liquid, purée, blended and soft diet.

Can you talk after jaw surgery? ›

After Jawbone Surgery

Therefore, after your surgery, try to avoid strenuous activities. Bending, driving, or lifting may dislodge the clot and cause you to bleed. So, gradually progress the intensity of your movement, limiting how you talk, eat and drink for the first day after your oral surgery.

Will I be asleep during jaw surgery? ›

A patient will be asleep during the surgery itself. There are usually no scars present on the outside of the face because the surgery is performed entirely on the inside of the mouth. Wires, screws and metal plates are all used to secure the jaw into the proper alignment.

Do you sleep during jaw surgery? ›

Oral surgery is invasive and takes long. Therefore, you might need to be asleep during the dental procedure. Your specialist will provide general anesthesia to prevent pain and offer comfort. When put under general anesthesia, you will be unconscious and won't remember anything after the oral surgery.

Will my voice sound different after jaw surgery? ›

As you start to reconstruct your jaw and move things around, it can cause some vocal changes. You may experience speech and voice adjustments as these can be the effects of functional surgery. The difference in jaw positioning or shape can have an effect on voice frequencies.

How do they wire your mouth shut after jaw surgery? ›

Your doctor will wire your jaw together to stabilize the mouth and prevent the jaw joint from moving following surgery. Your doctor will attach bars to your upper and lower gums in the front and back of your mouth. These will hold the wires or elastics in place to keep your jaw shut.

Does jaw surgery fix your smile? ›

Maxillofacial surgery can help you regain your lost self-esteem by bestowing you with a beautiful smile. Not only does this surgery helps in relieving you from jaw pain, realigning your jaws to improve chewing capability, correcting the quality of speech, but also improving the overall facial experience.

Is it hard to breathe after jaw surgery? ›

Your nasal passages will also be swollen resulting in congestion and difficulty breathing through your nose. Over-the-counter decongestants, expectorants and nasal sprays will help. A steam humidifier placed next to you at all times will also make you feel better.

Do they put a catheter in during jaw surgery? ›

Multiple IV lines will be inserted along with a suction to help minimize nausea and a catheter to help measure your fluid balance during surgery. Lastly, a breathing tube will be inserted to protect you during the procedure.

Can you brush your teeth after jaw surgery? ›

You may begin brushing your teeth the day after your surgery. Initially, you may want to avoid toothpaste, and simply use a toothbrush and warm water. Brush after each meal, and stay on the teeth and surrounding gums and avoid the incision sites.

What pain killer for jaw surgery? ›

IBUPROFEN (MOTRIN AND ADVIL) AND ACETAMINOPHEN (TYLENOL):

These medications are the most commonly used medications for management of pain or discomfort after oral surgery procedures. These will help not only to minimize pain but also aid in reducing potential swelling.

Will I look worse after jaw surgery? ›

2- After some days or weeks since your surgery: “I don't look like me!” as swelling subsides and the results of the surgery are more and more visible, you might start feeling like your face is not your own; that's completely normal after a major surgery such as orthognathic surgery, but keep in mind that it's only you ...

What not to do after jaw surgery? ›

Do not blow your nose for 2 weeks. Do not rinse or spit for 24 hours after surgery. Try to keep your tongue away from the surgical area as to not disturb the sites and blood clots. Bruising is normal after jaw surgery and will usually last for 2-3 weeks.

What day is hardest after surgery? ›

Pain and swelling: Incision pain and swelling are often worst on day 2 and 3 after surgery. The pain should slowly get better during the next 1 to 2 weeks. Mild itching is common as the incision heals. Redness: Mild redness along the incision is common.

What day are you most sore after surgery? ›

Post-operative pain may be acute the first 1 or 2 days after surgery as approximately 30% of patients will experience severe pain in the first 24 hours after even a minor surgery.

Should I sleep all day after surgery? ›

Is sleep after surgery important? The importance of rest after surgery is stressed by doctors because your body is going to do a lot of healing while sleeping. After all, your body does the majority of its healing while you're asleep. It's important that you're able to take a nap whenever you need to.

Is jaw surgery major? ›

Jaw surgery is a major surgery that can disrupt your life for several weeks and months. You owe it to yourself to understand how jaw surgery will affect your life. You also should understand what you can expect from your jaw surgery.

How much weight will I lose after jaw surgery? ›

Following your surgery and throughout the post-operative recovery period, especially if your jaw is wired shut, you could lose as much as 10 percent of your body weight.

What is the average age for jaw surgery? ›

Often, the optimal time for jaw surgery is after the jaw stops growing, usually in the later teenage years—typically ages 17 to 21 for boys and ages 14 to 16 for girls.

What age should you get jaw surgery? ›

The best candidates for orthognathic surgery are typically people between the ages of 18 to 45 who are dealing with one or more of these problems. (The procedure is seldom performed on children under age 18 because the jaw has not stopped growing.

What is the most stable jaw surgery? ›

The most stable orthognathic procedure is superior repositioning of the maxilla, closely followed by mandibular advancement in patients in whom anterior facial height is maintained or increased. (If facial height is decreased by upward rotation of the chin, stability is compromised).

What happens if jaw surgery goes wrong? ›

Possible long-term complications of orthognathic surgery include: TMJ disorders. Permanent nerve damage, resulting in loss of sensation in areas that may include the chin, nose, lips, cheeks or tongue. Poor cosmetic outcome.

What is the chance of relapse after jaw surgery? ›

Jaw Surgeries Can Relapse As Well

This is a testament to the power of the tongue and the other oral and facial muscles. A systematic review conducted in 2010 found that up to 60 percent of patients who have had orthognathic surgery can experience relapse over the long-term.

How do you sleep after jaw surgery? ›

Sleep with your head elevated on two pillows or in a comfortable recliner chair for the first week following surgery. Numbness in the lower jaw and chin will occur after a lower jaw fracture or surgery and in the upper jaw and along the nose and lip following an upper jaw fracture or surgery.

How long does it take to talk after jaw surgery? ›

Your jaws will be wired together approximately six to eight weeks. This is the time it takes for the bones to heal in a good, strong union. During the time your jaws are wired together, you will find eating, talking and other daily activities somewhat difficult.

What is the fastest way to recover from jaw surgery? ›

5 Tips to Speed Your Recovery After Jaw Surgery
  1. Make Your Meals Drinkable. Following jaw surgery, you should be able to enjoy your meals, just in a modified way. ...
  2. We Will Advise You of Solid Food. ...
  3. Maintain Pain Control. ...
  4. Maintain Moist Lips. ...
  5. Allow Yourself the Needed Time for Recovery.
Dec 21, 2022

Why is jaw surgery not painful? ›

You are under general anaesthetic during the procedure, so no pain is felt. After the surgery, you will be given painkillers to help make the recovery stage as easy as possible. If you follow the correct recovery steps, you will recover in as little discomfort as possible.

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