Questions after 'Orthognathic Surgery' – Q & A
1. My nose is bleeding suddenly after discharging, is it normal?
- It is normal that your nose bleeds. This bleeding may
last for 1-2 weeks after surgery and is made while the surgery is conducted. It
is the stagnated blood in the bone next to your nose and it will come out of
your nose as swellings subdue around the nose. Please do not blow or sniff your
nose and just wipe off the blood.
* If your
nose does not stop bleeding or the wound inside of your mouth bleeds, please
press down the bleeding area gently. If it is still bleeding, visit our
hospital or any emergency centers for treatments.
2. My teeth do not fit into the wafer
- You may
feel like your teeth are not fitting into the wafer because your sense of teeth
has changed after surgery. However, if you really think they are not fitting
into the wafer, you need to visit us to change the location of the rubber bands.
If this situation continues, there may be a problem of occlusion or the period
of bracing might get longer. However, estrange of wafer location for 1-2 days
is not a big problem so you do not need to hasten or be flustered.
3. It has been a month since the surgery but one side of my chin is still
painful and swollen after eating hard food.
- This is a temporary symptom caused from putting
too much strength to your chin muscles. However, there may be a problem on the
bones or fixing equipment, so we recommend you to visit the hospital and have tests
such as radioactive examination to check for any problems.
*A month
after surgery, bones are in the progress of returning to its original density but
it is not strong enough to reach its original strength. (It takes more than 3
months to get the normal bone strength after surgery) You need to be careful to
eat only soft food until your bone is completely recovered.
- You can
take a shower a day after the surgery as long as the bandages are attached
firmly and it is protecting your wounds well. You can go to sauna after removing all the stitches (about a month after
surgery).
* It is not good to be exposed by heat in sauna for
a long time.
5. When can I get on the flight after leaving the hospital?
- After
discharging, getting on the flight or wobbly bus does not cause any problems. However, it is better to postpone your
overseas travelling schedules to at least 1-2 month of your surgery.
*For a few
days after your surgery, because your eustachian tube is blocked, you might feel pains in your ears during flights.
6. When can I start doing light exercises?
- From a month after the surgery, you can start doing
light exercises that does not require body contacts (light jogging, swimming,
golfing, hiking and etc). However, wait for at least three month after your
surgery to start doing hard exercises such as soccer and basketball.
* It is not good if you give severe concussion to
your surgical areas until your bones are agglutinated. It will take about three
months at least for your bone to have its original density.
- Your throat may be hurt temporarily because of the
anesthetic tube that had been put into your throat during the surgery. If you
have infections on your throat or catch a cold, this pain may last for 2-3
months. At ID, we offer a joint treatment with ENT doctors so we will do checkups
for you when you come visit us.
8. My lower lip feels tingly.
- During the lower jaw surgery, your senses around the
jaw areas may be deprived, but it does not mean that your nerves are damaged.
Thus your senses may be recovered within 1-2 weeks after surgery generally.
However, recovery period may vary depending on each patient’s condition. For
some patients, it could take 3 months to 1 year to get their senses back but no
matter of the length, the nerve symptoms will be recovered so you don’t need to
feel anxious about it.
9. Why do my muscles or teeth feel tight after surgery?
- After surgery, your tensed muscles may cause small
cramps and because your face and muscles are swollen, it can also cause
stretchy feelings. Moreover, you might feel strange because of new teeth
occlusion but this symptom will get better as your swelling subdues.
10. Why do I feel like my chin is sticking out after removing the wafer?
- It is not
your actual chin that is sticking out but
the muscles of your chin. This is caused from your previous habit when you had
a protruding chin; just making you feel like your chin is moved forward. If
your bite is correct, your chin does not stick out.
11. Why does my chin make a sound when I open the mouth?
- Your
temporomandibular joints require time to be settled and relocated in its new position
after the surgery. Therefore your jaw could
make a sound when you open your mouth until it is set, but it is normal.
12. It has been a while since I got the surgery but my ears are still deafened.
- You could
feel deafened because of oedema in your Eustachian
tube, but it subdues in 1-2 weeks. If this symptom is continued for a long
time, you might be having an inflammation in the middle ear. In this case,
please contact us or see an ENT doctor for checkup.
13. Will my skin be saggy after surgery?
- Not the
entire skin, but it could be affected by the elasticity of your skin. Surgeries
that require whole face transition, such as bimaxillary operations have
tendency to result with less saggy skin, as the entire face skin relocates lastly.
It will take about 3-6 months for the skin to be relocated and settled.
14. Will I have pronunciation problems after surgery?
- After surgery, due to the imperfection of
occlusion, your pronunciation may sound inaccurate initially. But with your
orthodontic in progress and as time goes by, this symptom will be improved.
15. I can’t close my mouth properly; I need force to close.
- Because
your lips swell and strength in your muscles decrease after surgery, your lower
lip drops down and therefore it is hard to close your mouth naturally. Over 3-4
months of time, your mouth will be recovered with a natural shape, so you don’t
need to worry about this symptom.
16. I have dizziness when I wake up in the morning.
- This symptom is called orthostatic hypotension and
is different to anemia. However, if you have anemia it could worsen your
condition so please check your anemia level and take iron if needed.
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