Dr. Adrian M. Hsieh graduated from Taipei Medical University. He also received his Specialty Certificate in both Oral Maxillofacial Surgery and Facial Plastic and Reconstructive Surgery. His practice focuses solely on cosmetic surgery, facial reconstruction, treatment of obstructive sleep apnea and management of TMJ disorders.
Dr. Adrian M. Hsieh currently serves as president of Charm United Institute and clinical assistant professor in Taipei Medical University. He is not only a clinician but also a lecturer and an author nationally and internationally. His current published research is focused on application of virtual planning to facial aesthetic and reconstructive surgery.
Dr. Hsieh has years of extensive experiences in maxillofacial surgeries such as cranial-cervical tumor surgery, facial bone fracture reconstruction, parotid gland surgery, maxillofacial infection, cranio-mandibular surgery. In 2004, he chose to reserve his practice for specialized procedures such as the orthognathic surgery, aesthetic facial bone contouring surgery, and sleep surgery. He firmly believes that only through specialization in selected practice areas while aggressively participated in relevant international conventions and conferences with enthusiasm in academic sharing of knowledge and experiences that doctors improve and develop excellently in his/her chosen specialization for what result the patients are greatly benefited through receiving not only the right and appropriate treatments but also the most advanced procedures and techniques.
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Diet
In some cases, orthognathic surgery does not require the binding of upper and lower teeth. Therefore, you can open your mouth after the surgery. However, you are not allowed to chew or bite anything with your teeth within 6 – 8 weeks after the surgery, even if you can open your mouth. As the bone moving to the new position has not recovered, you can only consume half-liquid or soft food such as scrambled eggs, marsh potatoes, cakes, oatmeal, congee, chowder, ice-cream and yogurt, as long as the food does not require chewing to swallow. Food should be consumed in a small and frequent portion. Therefore, you may need to eat 5 – 6 meals in a day. On the other hand, surgeon may tie the upper and lower teeth together with stainless steel wires in more complicated orthognathic surgery. This procedure is to ensure the accurate reconstruction of the operated bone. If this is the case, you can only consume liquid food. After a period of time (usually 6 – 8 weeks depending on the situation), you can start eating soft food and later gradually switch to solid food. It is common to experience weight loss during this period of time.
Dietary suggestions
During your recovery period, it is normal to experience weight loss of 3-7 kg because the change to your appetite and dietary habit. But you do not have to worry, your weight will soon return to normal after your regain your appetite and dietary habit. As a matter of fact, many foods can be pureed to the extent that you can consume the food with straw or directly swallow the food. You can try to puree your favorite food with blender. The food may look different but it will taste the same.
Oral hygiene habits
Use small amount of toothpaste and soft toothbrush to clean your teeth. It is recommended for you to use mouth rinse at the same time because it is important to prevent wound infection.
Daily activities
Patients should have abundant rest during the first week post-surgery. After a week, you can return to most of the activities, but more strenuous exercise should only be started approximately two weeks after the surgery. However, some exercises which may hurt the face should be avoided including basketball, baseball and other exercises involving physical body contact.
Oral medications
Antibiotics – Generally it is taken for 5 days after the surgery Analgesic (pain reliever) – It is used only when needed, generally is prescribed for 2 – 3 days after the surgery Antiemetic (medications to prevent or control vomiting) – It is used during post-anesthesia (recovery from anesthesia) and frequently it will not be prescribed after the first night post-surgery.
Nausea/Vomitting
In some cases, patients may have intense reaction after the general anesthesia, please do not panic! We will use anti-vomiting medications to relief your symptoms. If you have nausea and vomiting, please face your head downward and allow the liquid to flow from your nose and mouth.
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All Written Contents and Pictures Created by Dr. Adrian M. Hsieh and Dr. Scott H. Jiang
Aesthetic Medicine Department Plastic Surgery DepartmentAesthetic Dentistry Department
Results of surgery vary among patients. Please consult your doctor.