Dr. Vicky Jain Plastic Surgeon - Excellence in Cosmetic Surgeries

What is Facial Bone Surgery (Orthognathic Surgery)? 

Facial Bone Surgery, also known as Orthognathic Surgery, is a corrective surgical procedure that realigns or reshapes the jaws and facial bones to improve function and appearance. It is commonly performed to address problems such as misaligned jaws, bite issues (like overbite or underbite), facial asymmetry, and difficulty chewing, speaking, or breathing. This surgery often works in combination with orthodontic treatment (like braces) and is typically considered after facial growth is complete, usually in the late teens or early adulthood. In addition to its functional benefits, Orthognathic Surgery can significantly enhance facial balance and confidence, offering both medical and aesthetic improvements.

Why Do People Consider Facial Bone Surgery (Orthognathic Surgery)?​​​​

• 1. Cosmetic Reasons

• To correct facial asymmetry or imbalance

• To improve jawline definition and facial harmony

• To enhance profile or appearance of the chin and jaw

• To gain a more confident and balanced look

• 2.  Functional Reasons

• To fix bite problems such as overbite, underbite, or open bite

• To improve chewing, biting, and speaking

• To correct breathing issues, including sleep apnea

• To relieve jaw pain or discomfort from misalignment

Dr Vicky Jain Approach to Facial Bone Surgery (Orthognathic Surgery)

Dr. Vicky Jain’s approach to orthognathic surgery centers on creating harmony between appearance and function with careful planning and personalized care. He begins with a detailed evaluation of the jaw alignment, bite, facial structure, and patient concerns. Working closely with orthodontists when needed, he designs a precise surgical plan to move and reshape the upper jaw, lower jaw, or chin as required to balance the face and improve chewing, speaking, or breathing. Throughout, he prioritizes safety, clear communication, and realistic goals ensuring each step is explained in simple terms and tailored to the individual. His goal is to support long-lasting outcomes that enhance both facial proportions and quality of life while ensuring a smooth and confident recovery.

What is the suitable age group for Facial Bone Surgery (Orthognathic Surgery)?

Facial Bone Surgery (Orthognathic Surgery) is most suitable for individuals typically between the ages of 17 and 40, once facial bone growth has completed. This ensures that the jawbones have fully developed and will not shift after surgery. While most candidates are in their late teens or early adulthood, the procedure can be safely performed later in life as long as the patient is healthy and has realistic expectations. The key consideration is not age alone, but whether the individual’s facial structure is stable and whether there is a functional or cosmetic need for correction. 

How long does recovery take for Facial Bone Surgery (Orthognathic Surgery)?

Recovery from Facial Bone Surgery (Orthognathic Surgery) typically takes about 6 to 12 weeks for the bones to heal properly, though full recovery, including swelling reduction and final results—can take up to 6 to 12 months.

In the first 1 to 2 weeks, patients usually experience swelling, bruising, and limited jaw movement, and may need a liquid or soft food diet. By week 3 or 4, many people can return to school or light work, though strenuous activities should be avoided until cleared by the surgeon. Regular follow-ups and good oral hygiene are essential during this time to support healing and prevent infection. The final facial appearance and bite alignment gradually stabilize over the months that follow.

Tests Requirements

Before undergoing Facial Bone Surgery (Orthognathic Surgery), patients are required to complete a series of medical and diagnostic tests to ensure they are fit for the procedure and to aid in precise surgical planning. These include blood tests such as a complete blood count (CBC), blood sugar levels, thyroid, liver, and kidney function tests, along with a coagulation profile to assess bleeding risk. Imaging such as 3D CT scans or CBCT scans of the face and jaw are essential for mapping bone structure. Additional tests like ECG (especially for patients over 35), chest X-ray, urine analysis, and screenings for infections like HIV and Hepatitis B/C are also conducted. Orthodontic records like dental impressions, X-rays, and photographs may be required to support planning, especially when braces are involved. These evaluations help ensure a safe surgery and a successful outcome.