Severe facial asymmetry

Severe facial asymmetry

Open bite with facial asymmetry
Orthognathic surgery combined with a mandibular angle implant to balance facial contours

Case description

Orthognathic surgeryChin reshaping surgeryMandibular angle implant

 Preoperative symptoms:

The patient's maxillary bone is shifted to the right and the left side is more prominent; the mandibular bone is overdeveloped, causing almost only the upper and lower molars to contact on the occlusal surface, showing a severe open bite.。 


Surgery plan:

3D customized orthognathic surgery

Chin plastic surgery

Through 3D computed tomography (CT SCAN), the patient’s upper and lower jaw structures and pre-operative occlusion status were known.Dr. HsiehIt can accurately adjust the patient's upper and lower jaw to a suitable position during the operation, greatly shortening the operation time and shortening the subsequent recovery period. During surgeryCenter the patient's maxilla to the left and rotate it horizontally and counterclockwise to improve frontal deviation., adjust the relative position of the upper and lower jaw bones and combine with chin plastic surgery. The orthodontist will proceed with the subsequent occlusal adjustment and improve his appearance and chewing function through orthognathic surgery and orthodontic treatment plans.


Bite comparison before and after surgery

Before  Aafter

 

 The effectiveness of surgery varies from person to person and needs to be evaluated by a professional physician


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


 Preoperative symptoms:

The mandible was deflected again due to a car accident

 


Surgery plan:

Secondary 3D customized orthognathic surgery adjustment

Mandible angle implant surgery


Comparison of photos before and after the second 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


 

 

Why would you want to have surgery? 

Since I was little, I couldn't bite my front teeth when I opened my mouth, so I had to use my back teeth to eat. And I feel that the appearance is not good-looking and my mouth is always open. So I consulted Dr. Li Guanghua of Taichung Orthodontics Department, and he recommended me to Dr. Hsieh for orthognathic surgery. Because orthodontics alone cannot improve my open bite problem.

 

Postoperative recovery period

I drank juice for seven days after the operation. Don’t worry about it. If you don’t drink enough, you will easily feel hungry and lose your physical strength. Seven days after weighing, you can start eating soft food. I always eat risotto or cut the food into small pieces and try to chew it slowly.

 

Postoperative improvement

My teeth have improved the most after the surgery. I feel my self-confidence and interpersonal relationships have improved. When facing people, I feel more confident talking to them and dare to smile.


 

CTL before and after comparison 1
CTL before and after comparison 2
CTL before and after comparison 3
CTL before and after comparison 4
CTL before and after comparison 5
CTL before and after comparison 6

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