How to choose the right surgeon for your double jaw surgery in Korea

 

If you have an external or functional problem due to asymmetry of the jaw, you can consider orthognathic surgery, also known as double jaw surgery. Double jaw surgery is an operation of the upper and lower jaw. It is an operation that artificially separates and rearranges the facial bone where the nerve is located.

Since double jaw surgery was first introduced in Korea, several surgical procedures have advanced. Once the bones have been through osteotomy, it cannot be reverted to the original form and re operation is a financial burden, so it is important to choose the right surgery according to the characteristics of each individual.

‘Skip the braces if teeth are aligned’
If occlusion is not a problem, but jaw surgery is necessary, orthodontic is not required. The generic double jaw surgery involves orthodontic treatment before or after surgery to ensure that the jawbone is in the correct position. However in recent years, orthodontic treatment can be omitted depending on symptoms, thereby minimizing inconvenience and financial burden. More precise decisions are made after a careful consultation and diagnosis with a specialist.

‘Skip jaw wiring if you have a nasal problem or difficulty in nasal breathing’
If you are having difficulty breathing due to a nasal disease, you can omit jaw wiring. Jaw wiring is a jaw fixation method of tying the upper and lower teeth with wires or bands to secure the jawbone so it doesn’t move after surgery. However, this can cause airway obstruction, so for cases like this, it is possible to omit the fixation.

Alarm activated when surgical tool is approaching the nerve’

Neuronal damage has always been a risk of double jaw surgery. Neurons are nerve cells that transmit nerve signals to and from the brain. However, it is difficult to check them with the eyes during the operation, so it is very tough to rely only on the equipment and the hand technique of the doctor.

Navigation double jaw machine can detect each patient’s position of nerve, and an alarm is activated when surgical tool is approaching near the nerve to prevent damage. In addition, a live surgical scene can be monitored and progressed, reducing even the smallest error of the planned osteotomy.

Double jaw surgery is a procedure that can be performed only by specialists with accumulated clinical experience and skills. If you are considering double jaw surgery for asymmetry or lantern jaw correction, you should research in advance on the surgery method the hospital pursues, type of surgery they offer, experience and ability of medical staff, and establishment of safety system.

Article by Tae Sung Lee M.D., ID hospital (board-certified plastic surgeon)

After Double Jaw Surgery Self Care Tips

After Double Jaw Surgery Self Care Tips

Deciding to get double jaw surgery is a big decision in your life. The first day after the surgery is especially quite tough, but by learning some tips on aftercare, it can definitely make your recovery easier. Here are some tips you should know for after double jaw surgery. 

First day After Double Jaw Surgery

During the first day after the surgery, you will be hospitalized for one night and the nurses will be taking care of you and monitoring you throughout as directed by the surgeon. Make sure to take the medications prescribed to you along with hydrating yourself throughout.

 

First week

To reduce swelling elevate your head in the level above your heart at all times. For the first three days make sure you religiously ice pack the area of swelling. After the three days, you will then switch to a warm pack. Walking is also encouraged for deswelling, however, do not be over active on your first week after surgery.
On your first week, make sure you are on a strict liquid diet. This can include consuming smoothies, protein shakes or juices. Even though you can’t consume soft/solid food, make sure to always keep yourself hydrated. Avoid carbonated drinks as it can lead to nausea and sugar concentrated drinks that lead to dehydration.
Make sure to keep your wound area clean, this will include using mouth wash 2-3 times a day and brushing your tooth with a soft baby sized toothbrush 2-3 times a day.  

Second Week

By the end of your second week your swelling will have gone down significantly. However, numbness in your lower lip and chin might still be present. On your follow up treatment, you will be instructed to practice changing your rubber bands daily. Your new set of rubber bands should give you more range of motion to open your mouth. Diet wise, continue to take liquid diet, but by the second week you may start adding soft food to your diet such as scrambled eggs, soft pasta, oatmeal etc.

 

Third & Fourth week

By the end of the one month period, you should be able to open your mouth as wide as you could before. Continue your soft food diet throughout the third and fourth week as well, but you can start exercising lightly such as going bike riding, treadmill or light aerobics. By your sixth week you will remove your splints and you can resume back to your daily diet but don't forget to take it slowly. 

If you are interested in getting double jaw surgery, take advantage of our free online consultation to find out more information on it.

Healing process for forehead reduction process

One of our most requested posts is the healing process for forehead reduction surgery.

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How to get the perfect V-shaped chin?

A lot of people wish their chin was a bit sharper and the chin can actually be made sharper with genioplasty.

Genioplasty (also known as Mini V-linesurgery) is a type of surgery done on the chin. It is considered an aesthetic surgery performed by a maxillofacial surgeon under general anesthesia.

Genioplasty surgery method is used to narrow, shorten, elongate, push forward or bring the chin area backwards. T-osteotomy is the basic method used for resecting the bones, but the surgery can get customized depending on the individual’s bone structure.

Nerve Lines and muscles

The inferior alveolar nerve supplies sensation to the chin and lower lip and teeth. Great caution must be taken not to cause any damage to the nerves as it can lead to permanent nerve damage.

The mentalis muscle is attached to the chin. It is detached during surgery for the osteotomy and must be re-attached with caution.

What is T-osteotomy method?

T-osteotomy method was developed by ID Hospital, and published in various plastic surgery journals.

The method involves resecting the bone horizontally and leaving a small part of the bone intact. The bones are then shaped and fixated with titanium screws and this surgery changes the shape of the chin.

The surgeon checks your chin length, width and nerve lines location. Then the length of the philtrum and chin are compared to check if your chin is long or short. Since the incision area is inside the mouth, the stitches will not be visible to others, and the scars heal fast.

The type of chin you have determines the osteotomy method most suited for your chin.

Wide and round chin: T-osteotomy is performed and a small section of the bone is removed. The remainder of the bones are attached together and fixated with pins and screws.

Long chin: Along with the basic T-osteotomy method and additional horizontal piece of bone is resected to remove the excess bone.

Protruded chin: Along with the basic T-osteotomy method, the protruded bone is resected and the tip of the chin is brought backwards to balance the chin shape.

Short chin/Receded Chin: For the short chin, the bone is resected, the fixated with pins to elongate the chin. With the receding chin, an extra step is performed to advance the chin forward to its normal position.

Asymmetric chin: With the asymmetric chin, the amount of bone resected from each side will differ. The surgeon has to make measurements to assure as much symmetry as possible.

As with all surgeries, having a Board-certified plastic surgeon perform your surgery will get you the best results the first time around.

Contact us here for an online consultation.

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Full body Liposuction 1 years post-surgery results are here!

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Even though she was working out and eating healthy, she was not able to get rid of the stubborn fat.

Those stubborn pockets of fat were preventing her from truly enjoying the confidence she wanted, and surgery was the best option.

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No matter the case, selecting the correct implants is crucial to ensure you get your desired results.

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Jaw surgeries Explained : What type of jaw surgery do you need?

Many people are confused about the facial contouring jaw surgery and the double jaw surgery.

Not only are both surgeries completely different, they both serve to correct different parts of the jaw.

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The nose’s location is on the middle part of the face, so a balanced nose is important for the overall balance of the face. 

Changing the nose shape, size or height will also change the rest of the the facial proportions, especially the chin. 

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