Double jaw surgery, also known as bi-maxillary osteotomy, is a life-changing procedure that realigns the upper and lower jaws to improve facial appearance, oral health, and function. Performed by highly trained surgeons like craniofacial surgeon Dr. Deschamps-Braly, this advanced surgical technique can address everything from chronic jaw pain and jaw misalignment to obstructive sleep apnea and temporomandibular joint (TMJ) disorders.
What Is Double Jaw Surgery?
Double jaw surgery corrects irregularities in both the upper jaw (maxilla) and lower jaw (mandible), bringing them into proper alignment. The procedure typically includes a maxillary osteotomy (to reposition the upper jaw) and a mandibular osteotomy (to adjust the lower jaw). It may also involve chin surgery to enhance symmetry of the chin bone and front teeth alignment; the goal is to restore healthy jaw function, improve breathing, and enhance facial harmony.
Who Needs Double Jaw Surgery?
Patients who require both upper jaw surgery and lower jaw surgery often suffer from issues that cannot be corrected with braces alone. This type of corrective jaw surgery is often recommended for individuals with:
- Jaw misalignment (e.g., open bite, protruding jaw, or underbite)
- Difficulty chewing or speaking
- Obstructive sleep apnea
- Chronic jaw joint pain or TMJ disorders
- Facial asymmetry or trauma
- Incomplete results from previous orthodontic treatment
Benefits of Double Jaw Surgery
Double jaw surgery provides long-term stability and relief for patients dealing with complex conditions. Beyond cosmetic improvements, the procedure can also offer significant functional benefits:
- Reduced jaw joint pain and improved jaw function
- Easier breathing during sleep, helping to manage sleep apnea
- Enhanced bite and improved chewing
- Better balance between facial bones and teeth
- Relief from chronic jaw pain or strain
What to Expect During the Surgical Process
After a comprehensive consultation, the surgery itself is performed under general anesthesia, usually lasting several hours. Dr. Deschamps-Braly will make incisions inside the mouth to reposition the jawbone, and titanium plates and screws hold the jaws in their new positions. This avoids visible scarring and ensures a more natural result.
Recovery Timeline and Healing
The recovery period varies, but most patients return to normal activities within about six weeks; you’ll start with a soft diet, use ice packs for swelling, and keep your mouth clean with recommended rinses. It’s critical to follow your surgeon’s post-op instructions closely, attend all follow-up appointments, and maintain good oral hygiene to avoid complications. While healing takes several weeks, full recovery time may extend over several months.
Life After Surgery and Long-Term Outcomes
Patients often experience dramatic improvements in breathing, bite function, and facial symmetry. Conditions like sleep apnea and jaw pain typically improve or resolve. With support from a coordinated healthcare team, you’ll achieve lasting results and improved quality of life.
Choosing the Right Surgeon
Deschamps-Braly Clinic and the team in San Francisco are known for their expertise in complex jaw surgery and their commitment to customized treatment plans that treat each patient as one unit. We evaluate everything from the teeth, jaw, and chin to the facial structure holistically. If you’re experiencing symptoms such as difficulty chewing, speaking, or chronic pain, schedule a personalized consultation with Dr. Deschamps-Braly.
Dr. Deschamps-Braly is a board-certified plastic and craniofacial surgeon specializing in facial plastic surgery, orthognathic (jaw) surgery, and craniofacial surgery for adults and children. He is also one of the world’s foremost leaders and innovators in facial gender confirmation surgery.
