Jaw Surgery (Orthognathic Surgery)

In procedures intended for the jaw, first it is needed to determine whether the chin is big, recessed or slanted. During the planning of the jaw surgery, the possible normal appearance should be evaluated well. The face and jaw lengths, and whether the face and jaw are longer or shorter than normal, should be evaluated very well. The vertical line passing through the lips should pass through the gonion in men, while the gonion should be 2-3 mm behind this line in women.

How Should the Proportions Be in Jaw Surgery?

The facial region is divided into three regions on the horizontal plane: hairline and eyebrow; eyebrow and nasal tip; and nasal tip and gonion.

The distance between the nose and chin is divided into 3, as well: the distance between the nose and the upper lip should be 1/3, while the distance between the lower lip and the gonion should be 2/3 of the distance.

In addition, the angle between the chin and neck should be about 90 degrees. Another thing required to be determined is the relationship between the lower jaw and upper jaw, as well as the condition of contact between the teeth.

All efforts are for recover these proportions. Deciding what to do for this purpose is the most important parameter that will impact the result; and this is closely associated with the aesthetic vision of the plastic surgeon.

Does Jaw Surgery Leave a Scar?

Because surgical interventions in jaw surgery are usually performed from inside the mouth, they do not leave scar in the visible areas. Synthetic materials can be used for the augmentation of small jaws, and this operation can also be performed by using the patient's own tissues. For big and prominent chins, procedures intended for the bone can be necessary.

Silicone Implant in Chin Surgery (Genioplasty)

A great variety of chin implants are available; however, silicone implants are today the most commonly used ones. Apart from models intended for only chin, there are also models with wings extending towards the both sides of the jaw.

They can be placed on the chin usually under local anesthesia, but can also be placed under general anesthesia, depending on the extent of the operation.

An implant can be placed on the lower part of the chin from inside or outside the mouth, within 30 minutes on average. Implants placed from inside the mouth do not leave scar, and the swelling of the chin begins to subside, and the patient gets back to his/her normal life 3-4 days after surgery.

Lower jaw augmentation is usually combined with a minor intervention in the jowl area through liposuction; and by this way, dramatic results can be achieved within only 45 minutes.

Postoperative Period of Jaw Surgery

The operation can take 1 hour on average. After surgery, a slight swelling can develop in the jaw region but goes away within a few days. It is not a procedure that requires the patient to stay in the hospital after surgery. Since it is performed from inside the mouth, it leaves no scar. After surgery, the patient should get nourishment with liquid foods and gargle for a period of about 1 week.

The patient can do his/her daily life activities after 1 week. The face gain is new shape 3 weeks after surgery.  When the patient begins to notice this, he/she feels happier and more peaceful.


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