Preoperative symptoms:
I have undergone orthognathic surgery in another hospital, but I am still dissatisfied with the appearance (face distortion and midface depression combined with protruding mandible)
Surgery plan:
3D customized orthognathic surgery
The success of orthognathic surgery depends on many factors, including a comprehensive diagnosis beforehand, the development of a suitable treatment plan and the surgeon's surgical skills. Although orthognathic surgery is very common and a mature and effective method for treating dental and jaw abnormalities, there are still a small number of patients who are not satisfied with the results of their surgery. Before performing secondary orthognathic surgery, the surgeon needs to fully understand the reasons why the patient is dissatisfied with the results of the previous surgery. Today’s case has undergone orthognathic surgery on both jaws at another hospital, but was dissatisfied with the skewed face shape after treatment. We observed that after the first orthognathic surgery, his midface was still sunken with a protruding mandible, and his face was asymmetrical. The patient had already undergone orthognathic surgery and orthodontic treatment once and was unwilling to undergo orthodontic treatment again.
Therefore, our treatment plans must take into account the bite that will not receive subsequent orthodontic treatment. We performed clockwise rotational orthognathic surgery on him. The middle face can get more support and appear fuller, and at the same time, the lower jaw can be retracted through rotation. We can see from the photos that his smile has become harmonious, his jaw and chin have become softer, and from the front, the asymmetry has been improved, improving the overall facial proportions. He was pleased with the cosmetic results of the surgery and was pleased that his bite was functioning well and that he did not have to undergo another orthodontic treatment.
Comparison of photos before and after surgery
| Before | Aafter |
The effectiveness of surgery varies from person to person and needs to be evaluated by a professional physician
| Before | Aafter |
The effectiveness of surgery varies from person to person and needs to be evaluated by a professional physician
| Before | Aafter |
The effectiveness of surgery varies from person to person and needs to be evaluated by a professional physician
| Before | Aafter |
The effectiveness of surgery varies from person to person and needs to be evaluated by a professional physician
| Before | Aafter |
The effectiveness of surgery varies from person to person and needs to be evaluated by a professional physician
| Before | Aafter |
The effectiveness of surgery varies from person to person and needs to be evaluated by a professional physician
| Before | Aafter |
The effectiveness of surgery varies from person to person and needs to be evaluated by a professional physician
| Before | Aafter |
The effectiveness of surgery varies from person to person and needs to be evaluated by a professional physician
| Before | Aafter |
The effectiveness of surgery varies from person to person and needs to be evaluated by a professional physician
| Before | Aafter |
The effectiveness of surgery varies from person to person and needs to be evaluated by a professional physician
| Before | Aafter |
The effectiveness of surgery varies from person to person and needs to be evaluated by a professional physician
| Before | Aafter |
The effectiveness of surgery varies from person to person and needs to be evaluated by a professional physician
The nosebleeds gradually stopped in the second week, and my jaw began to feel gradually, and then I started to feel very sore and numb. As for my daily routine, I also started walking around my home for exercise. In terms of diet, I rarely drink Ansu and Chicken Essence. Start eating soft food, pudding, yogurt, porridge, wontons, noodles, etc. The first three days after the operation are the most difficult, because the nose is often bloody and I have to breathe through my mouth, resulting in poor sleep quality. In terms of diet, you should take in a large amount of liquid food, more than 2000ML a day, such as chicken essence, ansu, milk, etc. Pay special attention to drinking plenty of water, otherwise you will easily develop a fever. Overall, it is not as scary as imagined. I highly recommend this surgery to anyone who needs it.
The effectiveness of surgery varies from person to person and needs to be evaluated by a professional physician
