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Plastic Surgery Clinic of Chicago

Aesthetic Orthognathic Surgery
Improving Facial Balance

 

Aesthetic Orthognathic Surgery Chicago

A strong jaw line is a physical suggestion of confidence, youth, and vigor. Features of the lower-third of the face that are lacking in definition or symmetry can influence self-esteem in men and women alike. Aesthetic orthognathic surgery, more commonly known simply as jaw surgery, is a procedure to enhance the shape, size, and contours of the jaw, while simultaneously correcting any functional issues that may be present.

Aesthetic Orthognathic Surgery

AM I A CANDIDATE FOR AESTHETIC ORTHOGNATHIC SURGERY?

There are a number of factors that can attribute to a weak jaw line. Some people are born with smaller jaws, or mandibular hypoplasia (an underdevelopment of the jaw). You may have a retrusive jaw (one that is displaced backwards from a central position), or would just like to enhance or augment the size or shape of your jaw. Vertical maxillary excess, also known as a “gummy smile,” or too much teeth showing can be corrected with aesthetic orthognathic surgery.

Ideal candidates for orthognathic surgery are in generally good physical health, non-smokers, and do not have any medical conditions that may impede the healing process.

To best determine if you are a candidate for aesthetic orthognathic surgery, schedule a consultation with a board-certified plastic surgeon. In some cases, issues of the jaw line may be better treated with a different procedure, such as genioplasty, a neck lift, or liposuction.

WHAT TO EXPECT FROM YOUR CONSULTATION

If you believe you are a candidate for aesthetic orthognathic surgery, contact the Plastic Surgery Clinic of Chicago for a consultation. A board-certified plastic surgeon will review your medical history and perform a full facial evaluation to see if this procedure is the best treatment option for your aesthetic goals. We will take the time to explain all aspects of the procedure, including recovery, cost, any potential risks associated with aesthetic orthognathic surgery.

HOW IS AESTHETIC ORTHOGNATHIC SURGERY PERFORMED?

After general anesthesia is administered, incisions are made, typically inside the mouth. From there, the process of performing the procedure varies. Aesthetic orthognathic surgery usually involves cutting either the upper or lower jaw, realigning the affected bones, and then using plates and screws to hold them in place. These techniques are used to improve the overall aesthetic balance of the face.

During the procedure, the jaw is typically wired shut with stainless steel wires to ensure that the bones are correctly positioned. After surgery, these wires are removed and rubber bands are used to allow the bones ample time to heal in the new positions.

Lastly, sutures are used to close the incisions. Oral sutures are usually absorbable, so they will not have to be removed later.

RECOVERY AFTER AESTHETIC ORTHOGNATHIC SURGERY

Bruising and swelling at and around the surgical site is normal after orthognathic surgery. Your plastic surgeon will prescribe pain medication and give specific instructions regarding diet and physical activity. A liquid diet is typical in the days following the procedure, and patients should not perform any rigorous activity until they are cleared by their plastic surgeon to do so.

Rubber bands will be placed for a short period of time after the procedure to help keep the bones in their new positions while they heal. Your plastic surgeon will discuss this with you during your consultation so that you understand the full recovery process.

The results of aesthetic orthognathic surgery will be apparent after swelling and bruising go away completely, usually within two months after the procedure is performed.

POTENTIAL RISKS OF AESTHETIC ORTHOGNATHIC SURGERY

Every surgical procedure involves some potential risk. The complications generally associated with orthognathic surgery include:

  • Bleeding
  • Infection
  • Changes in skin sensation
  • Mouth or lip numbness

You should always ensure that your surgeon is board-certified by the American Board of Plastic Surgery before undergoing any surgical procedure, and that the surgery is being carried out in an accredited surgical facility.

WHAT DOES AESTHETIC ORTHOGNATHIC SURGERY COST?

The national average cost for orthognathic surgery, according to the American Society of Plastic Surgeons, is around $18,000. This figure will vary according to your location, the surgeon, and your particular aesthetic goals. In some cases, health insurance may cover some of the cost if the jaw is misaligned, under or overdeveloped, or if a congenital defect is apparent. You should speak with your health insurance provider before scheduling a consultation.

SCHEDULE A CONSULTATION

At the Plastic Surgery Clinic of Chicago, we are happy to answer any questions you may have about aesthetic orthognathic surgery. If you believe you may be a candidate for this procedure, give us a call to schedule a consultation and speak with a board-certified plastic surgeon.

All surgical procedures by the Plastic Surgery Clinic of Chicago are performed at top hospitals in Chicago and CMS or AAAASF-certified surgical centers for safety.

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A 1 year follow-up on a patient who wanted a rhinoplasty to remove the dorsal hump and improve the aesthetics of her tip. In this case the dorsal hump was removed, the nose made straighter, the tip refined, and the tip rotated and projected more. Her new nose fits her face without overtly changing the ethnic features of her face. Posted with permission.



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Proud of our research team for getting this important manuscript published in the #1 plastic surgery journal in the world. In this study, we looked at the published literature to develop guidelines on how to treat visual impairments related to droopy eyelids and excess skin of the eyelids.

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Happy for this patient who underwent full facial rejuvenation surgery, which included a brow lift, upper/lower blepharoplasty, facelift, neck lift, and facial fat transfer. How much younger does he look now? Posted with permission.

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Amazing transformation for this lovely patient who wanted to have fuller, more symmetric, youthful, and natural breasts. The patient underwent a #breastaugmentation with gel implants. Posted with permission.

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One year follow-up on a #BBL or Brazilian butt lift. As you can see from the post-operative photos, the fat that is transferred stays and is permanent. Posted with permission.

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Male patient in his late 60’s who was able to turn back the clock after undergoing a #facelift, #neck lift, #blepharoplasty, and #fattransfer. Pay close attention to the “bags” underneath the eyes, the jawline, and neck. The scars have healed nicely and are inconspicuous even with short hair. In the post-operative photos, the patient has maintained his natural facial features and anatomy, but just looks like a more youthful version of himself. Posted with permission.

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#Primaryrhinoplasty to fix the dorsal hump, droopy tip, and crooked nose. In the post-operative photos, the patient has a nice dorsal profile on side view, the tip has been lifted, and the nose is straight. To evaluate how straight the nose is, look at the dorsal aesthetic lines on bird’s eye view and follow the two light reflexes along the dorsum. Posted with permission.

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Challenging #tertiaryrhinoplasty on this patient who had nasal deviation, a dorsal hump, and an under-rotated/under-projected tip. In the post-operative photos, you can see a straighter nose with more symmetric dorsal aesthetic lines and tip defining points. Posted with permission.

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Honored to be inducted into the Rhinoplasty Society. The Rhinoplasty Society was founded in 1996 by plastic surgeons who have pioneered modern rhinoplasty. The society is dedicated to the education and advancement of nasal surgery.

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Relatively small surgeries can yield big changes. This patient wanted to improve the contour of her chin and the overall profile of her face. The patient’s lower 1/3 of the face and chin were short and set back. Additionally, the patient had asymmetries of the chin and jawline that she wanted improved. The patient underwent a #slidinggenioplasty to achieve these goals where the chin was cut and mobilized forward and downward. In the post-operative photos, you can see a more aesthetic and balanced facial profile. The advantages of a #genioplasty over a #chinimplant are that the chin can be moved in numerous planes, the advancement can be more significant, and asymmetries can be addressed. Posted with permission.

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This patient had a bilateral constricted ear deformity where the top portion of the ear folds over the rest of the ear. In this deformity, the ear appears shorter in height and there are abnormalities of the outer and inner folds of the ear. In the postoperative photos you can visualize the ear is longer in height, the helical rim or outer portion of the ear is lifted up and the antihelical fold or inner portion of the ear is more defined. Posted with permission.


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Challenging #breastaugmentation case where the patient had asymmetries of the breasts in terms of size, shape, and position on the chest. The patient underwent a breast augmentation with #gelimplants with a larger size in the left breast to balance the size difference. The left breast fold was also lowered to match the fold level of the right. Posted with permission.

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Plastic surgery can sometimes be subtle or dramatic. In this case, this patient’s outcome was life altering after a lipoabdominoplasty or tummy tuck. The patient can now do all of the things in life that she was limited in doing due to her body habitus. Posted with permission.


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