Common "Orthognathic Surgery" queries answered by top doctors | iCliniq

Orthognathic Surgery

Orthognathic surgery is done for patients with significant skeletal abnormalities in addition to dental malocclusion. This surgery is otherwise known as corrective jaw surgery. Orthognathic surgery is performed under general anesthesia, so no pain will be felt during the surgery.

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I have a flat-looking maxilla. Do I need an aesthetic surgery?

Query: Hello doctor, I am concerned about the position of my maxilla. I have consulted a maxillofacial surgeon and have been diagnosed as skeletal class 1. The surgeon mentioned that my maxilla is well-placed and does not require surgery. However, it appears flat esthetically compared to the ideal. I have ...  Read Full »

Dr. Achanta Krishna Swaroop

Answer: Hi, Welcome to I have read your query and can understand your concern. I will be offering advice shortly. My expertise lies in the field of maxillofacial surgery. Thank you.  Read Full »

I fear orthodontic treatment might not help. Please help.

Query: Hello doctor,I hope you are safe and sound. I am 20 years old, and I am wearing braces for the past eight months. I got my two teeth removed and both of them from the bottom. One from the front bottom teeth, and one from the back of the bottom right canine. My orthodontist now uses rubber bands on m...  Read Full »

Dr. Prerna Jain

Answer: Hello, Welcome to From the history and picture of the side of teeth (attachment removed to protect patient identity), I can tell you that your upper and lower teeth are flared. Also, there is an increased gap (overjet) between your upper and lower teeth. As you said, only your lower t...  Read Full »

Is orthognathic surgery possible, and how long does it take?

Query: Hello doctor,I am attaching the X-rays of my teeth. Is orthognathic surgery possible in my case? If not, why? How long does it take for orthodontic treatment to be done? Thank you.  Read Full »

Dr. Mayank Khandelwal

Answer: Hello, Welcome to Hope you are doing well. Based on the photos attached (attachments removed to protect the patient's identity), there is a deficiency in your lower and middle face compared to the forehead area. However, these are X-ray images, and I would like to see the clinical pho...  Read Full »

How can I enhance my looks and make my face look symmetrical?

Query: Hello doctor, I want to enhance my looks and make my face look symmetrical. I underwent orthognathic surgery in the past and got chin fillers and jawline fillers. I am very consious about my looks. Is there anything else that I can go for for better facial appearance? Kindly advise.   Read Full »

Dr. Achanta Krishna Swaroop

Answer: Hello, Welcome to I empathize with your aesthetic concerns regarding the facial contour. I hope you asked your dentist about presurgical orthodontic treatment before orthognathic surgery, as there will be limitations in correcting skeletal deformity without presurgical orthodontic treat...  Read Full »

Are symptoms like pain and lisping linked to small jaw curable with surgery?

Query: Hi doctor, I have a few questions about my potential jaw surgery. My upper jaw is smaller than usual as I was born prematurely and it gives my face a caved-in look along with some joint pain on the right side of my face. I get pain randomly on the right jaw and the jaw gets fatigued while chewing fo...  Read Full »

Dr. Achanta Krishna Swaroop

Answer: Hello, Welcome to I can understand your concern about the caved-in look of the upper jaw. Orthognathic surgery is a totally safe option and you can go ahead with it. I suggest you get a cephalometric analysis in detail so that your maxillofacial surgeon and orthodontist (braces speciali...  Read Full »

Is there any surgery to correct the facial profile and forwardly placed mouth?

Query: Hello doctor, From my late teens to now (I am thirty), I started becoming very insecure about my face, especially my side profile. It is heavy, thick and my mouth is more forward. I was prettier as a child. I want to inquire about surgeries that can be done to adjust my jaw. Also, I seem to have so...  Read Full »

Dr. Mohammad Emranul Islam

Answer: Hello, Welcome to I am sorry for your suffering. But the picture you sent me is not clear (attachment removed to protect patient identity). Please send close-up pictures of your front face and side face with the mouth in resting position. There is a surgical treatment for this problem. ...  Read Full »

My teeth are misaligned and my chinbone is short. Can it be corrected without a surgery?

Query: Hi doctor, My teeth do not align and my lips do not close naturally. My chin bone is too short. So I consulted with a maxillofacial surgeon, who suggested jawline correction surgery to fix my issues as these issues can not be fixed with braces alone. Should I do it or are there any other alternativ...  Read Full »

Dr. A.k.tiwari

Answer: Hi, Welcome to I understand your concern. According to your query, all I can understand is that you certainly need orthognathic surgery rather than orthodontic treatment. Though these procedures seem to be cumbersome, they can give you a permanent solution to your problems. But it woul...  Read Full »

I have a broad flat face and an underdeveloped maxilla and jaw. Please help.

Query: Hi doctor,I have a broad flat face and an underdeveloped maxilla and jaw. I want to ask what treatment and surgery are possible.Thanks.  Read Full »

Dr. Achanta Krishna Swaroop

Answer: Hi, Welcome to I understand your concern. I have reviewed your attached images (attachments removed to protect the patient's identity). The problem is not just the maxillary arch but a retruded mandible or lower jaw. Mandibular retrusion would be due to various causes. It is usually see...  Read Full »

Can jaw surgery for lack of bone cause any change in the face?

Query: Hi doctor, My daughter had braces for four years but her midline is off and she has a gummy smile. Her bite is fine but her teeth are not properly aligned and she does not have bone on her left side. Her orthodontist referred her to a maxillofacial surgeon who says she needs her upper jaw broken and...  Read Full »

Dr. Gagan Khanna

Answer: Hi, Welcome to The procedure which you mentioned is called as orthognathic surgery which is done if there is a skeletal malrelation between the two jaws which cannot be corrected by orthodontics alone. The procedure usually improves the aesthetics of the face and is predictable. The e...  Read Full »

My lower jaw still reclines way too much after the orthodontic treatment. What are my options?

Query: Hello doctor, I had braces where my upper premolars were removed to bring my upper teeth backwards. My lower jaw still reclines way too much when I bite. I have aligned teeth but still want my lower jaw to be brought forward. Doing so, will it cause my teeth to collide, what are my options?  Read Full »

Dr. Achanta Krishna Swaroop

Answer: Hello, Welcome to The MARA appliance (mandibular anterior repositioning appliance) or the orthognathic surgery may be needed depending on your bite for repositioning of your lower teeth to upper jaw alignment. Most of the time, orthodontic treatment is not sufficient alone. You will n...  Read Full »

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