ORTHOGNATHIC SURGERY

Orthognathic surgery on the jaw places the jaw in the correct position to achieve facial harmony, and most importantly, a recovery of the functionality of this bone, which is essential to chewing, breathing and speaking.

This procedure is performed to correct various facial deformities, such as mandibular prognathism or Class 3, open bite or gingival smile.

Orthognathic surgery of the jaw consists of an incision in the jaw bone called Le Fort I osteotomy, which enables the advance, retrusion, stretching, shortening or rotation of the jaw bone. Once in the desired position, the jaw is fixed with titanium plates and screws, a completely biocompatible material.

Due to the risks involved in mandibular reduction surgery (narrowing of the airways), the most commonly performed orthognathic surgery in the jaw is mandibular advancement surgery. This procedure is necessary when people have a small jaw that is retracted from the maxilla, a condition known as retrognathia or class II. We reserve mandibular setback in cases of severe mandibular prognathism in classes III, usually in combination with advancing maxillary surgery, in the context of bimaxillary surgery.

This type of malformation especially affects the harmony of the lower face and causes various functional problems, such as sleep apnoea.

Mandibular advancement surgery consists of cutting each side of the mandible bone, known as bilateral sagittal osteotomy, advancing the bone and fixing the bone in the new position using titanium plates, a completely biocompatible material.

In most patients with dentofacial changes, it is necessary to reposition the maxilla and mandible to achieve correct occlusion and facial harmony. This procedure is known as maxillomandibular surgery or bimaxillary orthognathic surgery.

Bimaxillary orthognathic surgery is used to treat the following Class 2 and Class 3 malformations, facial asymmetry, or open bite, among others, when monomaxillary surgery is not sufficient to remedy the patient's problems.

Mentoplasty or chin surgery, to achieve an excellent result, where indicated, this must be performed at the same time as the orthognathic surgery.

The surgery is performed by incisions inside the mouth, where the wounds take to ten days to heal, the stitches are resorbable and on average the mandible is consolidated in 2 months, and the maxilla is consolidated in 4 months. The average stay in the clinic is one day. Facial cooling equipment will be placed to minimize postoperative oedema and lymphatic drainage will also be performed on the second postoperative day.

During the 3 months after surgery, there will be various physiotherapy and speech therapy sessions, together with the surgeon's supervision, for an excellent functional recovery.

Mentoplasty is an outpatient chin surgery, very safe and with great results. In some parts of the world, this surgery even supplants other types of cosmetic surgery, such as liposculpture or mammoplasty.

In addition to being one of the most important features defining our face, the chin is also a facial gender sign, which leads to increasingly more people to use chin repair to increase, decrease or symmetrize their face.

This surgery is performed through a small incision inside the mouth (leaving no scar), where we increase or decrease the chin bone, and can also use a custom prosthesis to achieve the desired facial aesthetic outcome.

These types of techniques leave a permanent result in the patient, and chin treatments include other techniques such as the infiltration of hyaluronic acid or fat collected by liposuction of the thighs or belly. In recent times, the modelling of the chin contour or contouring has proved to be a high-performance technique in facial aesthetics.

One of the great advantages of mentoplasty is its light postoperative effect in relation to other aesthetic surgeries and the evidence of the final result in a short period of time.