A receding jaw can adversely affect your teeth and health and can an outcome in obstructive sleep apnea, stomatognathic, and also TMJ dysfunction.

You are watching: Long face syndrome surgery before and after

Treatment time the surgery: 2 hours

Treatment time the distraction osteogenesis: 12 days, transforming a proprietary distracter daily.

A short course the orthodontic therapy before and also after the procedure was needed.


Case Description:

An imbalance of the jaws can substantially adversely impact the wellness of the teeth, jaws, and also overall health. If left untreated, the damage is progressive, especially as one ages and the organization become an ext susceptible come breakdown.

This patient decided to correct she jaw imbalance before the damage and also deterioration progressed.

Treatment time the surgery: 3 hours

Orthodontic treatment: 6 months before surgery and 6 months after surgery because of her significant malocclusion (improper bite).


Case Description:

Danielle complained of strain of the lips, jaw pain, and also an uncomfortable bite. She dentist referred her in due to progressive gum recession and also clicking and popping in she jaw.

Type the surgery: LeForte I, BSSO and also Genioplasty

Duration the Surgery: 4 hours

Duration the orthodontic treatment: 11 months due to her malocclusion (improper bite), headaches and TMJ pain.

Following surgical procedure the stress, overload of she lips and also mentalis muscle resolved. She reported her bite feel balanced and also comfortable. The clicking and also popping that the TMJ resolved and also the micro-trauma that the malocclusion and mechanical reason of she gum recession to be eliminated.


Danielle complained of despondency, depression, and feeling tired when she wake up up in the morning after sleeping 7 hours. She felt a lack of energy and by the finish of the job felt much more tired. She thought that it may be affecting she memory and work.

The imaging taken at Jaw surgery LA Imaging center shows a narrow airway before surgery (left image) and a typical airway after surgery (right image).

Following treatment every one of her symptoms resolved and she reported “a tremendous feeling of well being, energy and overall quality of life and also happiness.”


Danielle also complained of a “gummy smile” the she said bothered her and also made her feel “very me conscious” every time she smiled.

The maxillary impaction procedure and orthodontic treatment eliminated the “gummy smile” and revitalized a organic facial and also muscle balance.

Treatment included palliative modalities and also careful placement of the TMJ condyles right into the physiologic centric place Rx by Dr. Jacobson, with finish resolution of her pain and dysfunction.


Case Description:

Stephanie complained of an uncomfortable underbite and also a smile that bothered her. Her teeth were attract down yet her mommy intercepted and brought she to our Orthodontic facility LA at an early enough age. Together a an outcome a jaw surgery was 100% prevented.

All treatment was completed by Dr. Jacobson making use of a segmental technique and interceptive orthopedics teach to the by his mentors Dr. Ricketts and also Dr. Tom Graber, after perfect his specialty training in ~ UCLA. Because then Dr. Jacobson has occurred a series of added effective techniques and protocols, because that children and also young adult to intercept and also correct mild and moderate skeletal and dental malocclusions, without the need to do jaw surgery.

Before orthodontic therapy (left image) and after orthodontic treatment (right image). No jaw surgical procedure was needed.

All children should be confirm by a board certified orthodontist with extensive experience in cephalometrics and also growth and also development.

Most malocclusions (improper bites) have the right to be enhanced if intercepted early, preferably prior to the permanent teeth erupt (come right into the mouth). At an early stage treatment can also significantly alleviate the total active treatment time and enhance stability.

Most development of the jaws is finish by age 15 years in a young woman and also age 21 in a young man. After those ages, there are progressed orthodontic therapies that have the right to be supplied to treat far-ranging imbalances that the jaw and also bite, however jaw surgery have the right to usually develop a much better result.

Case Description:

This patient complained of one asymmetry and also uncomfortable bite through pain in both TMJ’s. If the jaw is anatomically asymmetric and disparate, jaw surgery can restore balance and symmetry.

Before surgical procedure (left image) reflecting the strain of the lips and muscles contributing to the TMJ pain and imbalance. After surgical treatment (right image) mirroring the surgical correction of the skeletal imbalance.

After surgery, bite adjustments and also specially built TMJ splints deserve to be provided at night together retainers and also protectors for patients that habitually clench or grind their teeth at night.

Ancilliary dental and restorative steps are ideal done after the surgical treatment is completed to filter the anatomy of any type of worn down teeth and to improve as whole smile esthetics if patients want to boost the size, shape, color or border of their teeth.

Case Description:

Left image: prior to a genioplasty (chin surgery).

Right image: after genioplasty (chin surgery).

Notice the normalization of the lip stress, overload on the upper and also lower lip after ~ orthodontics and also chin surgery. No upper jaw or reduced jaw surgery was needed, only chin surgery.

A prosthetic chin implant typically performed by a plastic surgeon there is no maxillo-facial specialty cultivate is NOT wanted for this procedure. A genioplasty (chin surgery) have the right to be changed to to decrease the reduced facial height and the bone remodels.

A surgeon the is twin board certified in Maxillo-facial and Plastic surgical treatment is preferred due come the subtleties involved in the administration of the soft and hard tissues of the chin.

Before surgery this patient complained of one uncomfortable bite v lip and also muscle strain. That had an obstacle closing his lips and complained that a mouth breathing habit specifically while sleeping with dry mouth and also bad breath top top waking.

Dr. Jacobson used TAD’s (temporary anchorage devices) because that 5 months in conjunction v orthodontic therapy to reduce his severe open bite, non surgically. Then the chin surgical treatment was perfect to help restore face balance and also alleviate lip strain.

The chin surgical treatment was completed in 1 hour under basic anesthesia. The surgical procedure was performed in ~ our Jaw surgical treatment LA on site AAAHC certified operation Room on a Friday. The recovered at house over the week-end and returned come visit united state on Monday.

Typically the bruising and swelling indigenous a genioplasty (chin surgery) procedure resolves within one to 2 weeks and also no wiring of the jaws or elastics is needed.

Orthodontic treatment full time to be 10 months to correct his severe open bite. TAD’s to be only needed for 5 that the 10 months.

Case Description:

This patient visited Jaw surgical procedure Los angles complaining of an uncomfortable bite and an i can not qualify to close her lips. She wanted to also improve her facial esthetics and profile. She dentist told her she showed evidence of clenching or grind her teeth, most likely at night and she report mild soreness in the muscles of the face.

The treatment had orthodontic therapy in conjunction v orthognathic surgery to assist restore facial balance, and also harmony. Post-treatment, she reports a very comfortable bite with no muscle tension. Her objectives are to maintain a health bite and also teeth for life without the require for comprehensive future dentistry.

There is seldom any type of need come ‘wire the jaws shut’ adhering to surgeries performed at Jaw surgery LA because of the orthodontic and also surgical protocols followed for the previous 20 years. All surgical incisions room made within the mouth so there room no exterior of visible scars.

It is feasible to protect against surgery on plenty of patients before they have actually completed their growth. Men commonly complete many of their expansion of the jaws and also face by period 21. Woman commonly complete most of their facial and jaw expansion by period 15.

All three kids of this patient completed interceptive orthodontic at our Orthodontic facility LA and also have not essential jaw surgery.

There space many benefits to diagnosing and intercepting malocclusions early, even before the long-term teeth erupt. Many times surgery have the right to be prevented, and also the all at once extend of therapy is regularly much less with much better short and also long term stability. Attachments area

Case Description:

This patience is extremely intelligent, decisive and discerning. He wanted to exactly his overbite to aid protect his this from unnecessary damage from day come day chewing, biting and eating.

The treatment consisting of a quick course that orthodontics as result of his malocclusion, in conjunction v jaw surgical procedure at Jaw surgical treatment Los Angeles.

He is very happy v the as whole improvements. The reported that most human being he knew go not even realize the he had actually had any kind of treatment or changes. He claimed that either people are no observant or the changes were subtle sufficient to go unnoticed. That himself fully enjoys this optimistic change.

Case Description:

This patient was described Jaw surgical procedure Los Angeles involved that her this were wearing under unnecessarily. She commented that she is usually a happy person, but was mistakenly perceived together looking stern.

Her bite and jaw were uncomfortable and also she to be told the she snored while sleeping. Different jaw positions can adversely impact one’s airway and cause unnecessary snoring. Besides being annoying, and disruptive to quality sleep, snoring can prevent optimal oxygen intake and also saturation during sleeping. This will certainly in turn, regressively affect overall health and also well-being.

Orthodontics in conjunction through jaw surgery can resolve obstructive sleep apnea and restore a more natural face balance in addition to a bite correction. Alters can be financially rewarding in terms of general health in enhancement to the health and wellness of the teeth, bite, TMJ’s and facial musculature.

Case Description:

This patience flew in from north California, concerned around an underbite and also a lack of this showing during smiling. She also had clicking and also popping that the jaws, intermittent headaches, and an uncomfortable bite with lip strain.

The treatment and also surgical mediate of every malocclusions, specifically malocclusions that the bones type, is complex.

The course 3 kind malocclusion through an underbite is specifically complex. In a class 3 form malocclusion, the convey of the bones disparity must include a very careful analysis of the TMJ, airway, teeth, bite, soft tissues, and the extent of skeletal, facial, and muscular imbalance.

There is no such point as a straightforward skeletal imbalance and also the protocols established at Jaw surgical treatment Los Angeles adhere to because that all varieties of skeletal and dental anomalies.

Optimal treatment does not always involve simply setting the lower jaw ago in a Skeletal class 3.

Paramount, is the pre-surgical phase of placing of the teeth, right into a position that facilitates optimal jaw surgical procedure placement.

Patients desire to look and feel an excellent and desire a result that deserve to last a life-time.

Dentists and also orthodontists desire a bite the is a course one with the TMJ condyles centered into a physiologic centric place that is repeatable, really comfortable and also mutually defended with instant disclusion in protrusive role and every excursions.

ENT’s desire to ensure there is one exceptionally great airway v no blockage in the sleep or sinus congestion.

Speech pathologist and also myofunctional therapists desire to make details the tongue has enough an are in the mouth for best swallowing and also speech.

Sleep specialists want the jaws positioned in a method to allow the wait to circulation optimally, including at the ago of the mouth (retro-glossal and also retro-palatally), with no overabundance soft tissue or uvula laxity or tissue excess that vibrates, leading to snoring throughout sleeping.

Chiropractors, osteopaths, and physical therapists want to make specific the muscle of the face and also neck room relaxed and not strained.

Everyone desires natural-looking smile. That is a lot to strive for.

Patients favor not to have braces (orthodontic appliances) on their teeth. If needed, they choose them because that as small time together possible.

Fortunately, digital modern technology and protocols arisen at Jaw surgery LA allow us to significantly decrease the moment of the pre-surgical preparation and also the need for braces before and after surgery.

3-D imaging, intra-oral scanners and proprietary software also aid us enhance accuracy and also decrease in its entirety treatment times.

A an extensive pre-surgical digital protocol and resultant practice individualized jigs used during surgery additionally helps minimize the yes, really time the surgery. Much shorter surgery times and well-integrated post-surgical protocols can aid facilitate a much much shorter and much easier recovery.

All surgeries room rehearsed digitally prior to the actual surgery so patients and also specialist have the right to collaborate visually to better understand and also appreciate the options, alternatives, and also limitations inherent.

Case Description:

Chief complaint: Jaw pain, headache, facial pain and also clicking of the TMJ with an overbite.

Procedure: Surgical activity of the reduced jaw front (Bilateral Sagittal split Osteotomy) duration of Surgery: One hour Orthodontic treatment specific for jaw surgery: 8 weeks

A protocol emerged at Orthodontic center LA and Jaw surgical procedure Los Angeles to be followed.

One important part of this therapy was to develop the optimal place of the temporomandibular joint, certain for this patients’ structure and also function.

Dentists, orthodontists, and surgeons room taught and also typically usage a TMJ position dubbed Centric relationship (CR). There is much controversy about this place within the profession. CR is generally proper for most patients that space not in pain or do not have actually dysfunction.

This CR place was not provided for this patient as result of her ‘slipped disc’ (meniscus displacement) and loose TMJ ligaments (joint laxity).

Case Description:

Chief complaint: ns am an actor life in India and also just obtained an sell to execute a very huge movie v Netflix and I want to exactly my overbite and create a an ext defined jaw.

I was described Jaw surgery Los Angeles from among the reputedly “best specialists world-wide” who claimed that the Jaw surgery Los Angeles specialists are the finest for this kind of jaw surgery and worth flying to Los Angeles for.

“I am soooo happy through the results, was available a leading role by Netflix and can’t thank you enough”.

This patient was particular about what he explains as a “Brad Pitt” jaw and brought us countless photographs the what he liked.

We invest a considerable amount the time v him and his family, who flew come Los Angeles for the consultations. We were able to achieve the look and an interpretation he wanted.

The surgery duration was 90 minutes, performed at our onsite AAAHC OR under basic anesthesia ~ above a Friday. The patient invest one night at a close to overnight restore center and returned for followup checkups ~ above the adhering to Monday. He defined his full recovery together “surprisingly easy and fast” compared to what he had seen ~ above the internet.

Case Description:

Chief complaint: “I am insecure and self conscious about my weak chin and also tried come “get end it” however am struggling.

Surgical procedure: Wedge proceeding genioplasty.

Duration the surgery: 1 hour (No exterior scarring, because all incisions are inside the mouth in the vestibule listed below the lower lip).

Orthodontic treatment needed: None specifically for a genioplasty. Numerous times tooth movement is planned come ensure a course I or an optimal bite and also best placement of the teeth, for ideal functional and also facial results.

A Genioplasty is no an implant.

Most plastic surgeons sell patients chin implants however a chin implant can resorb right into the bone end time. Chin implants offered by Plastic Surgeons have tendency to look choose an ‘add on’ and not natural, particularly when the lower jaw and chin appear recessive choose in the photos above.

Specialists at Jaw surgical procedure Los Angles space board certified in Plastic surgical procedure but also board certified in Maxillofacial Surgery. The genioplasty procedure is closely planned making use of 3-D imaging the the hard and also soft tissues to aid ensure the optimal placement of the chin.

The confront is so fragile and tiny changes can make a very big difference.

Proprietary software and hardware enables surgeons to arrangement changes in size, shape, contour, position and also symmetry. Chins deserve to be canted, protrusive, recessive, too lengthy vertically, too quick or asymmetric.

There is a most subtlety come chin surgery and also it is finest planned and also performed by an skilled surgeon with double board certification and training in both Maxillofacial and Plastic Surgery.

Case Description:

Chief complaint: “I had braces and lately my challenge is an altering and sagging a tiny and it renders me look tired and old, yet I am no tired and also I feel young. Ns was referred to your Orthodontic facility by so many human being that are very happy v their results and Dr. Jacobson recommends the I carry out jaw surgical procedure for the ideal results for my condition”.

Surgery duration: 90 minutes under basic anesthesia.

This patient claimed that she kept cold package on and also off her jaw, intermittently for the first 24 hours after surgery. She claimed she slept v her head slightly elevated for 2 nights complying with surgery. She report very tiny swelling and also a rapid recovery through very small discomfort, also though she stopped taking pain medication days after her surgery.

All patient will endure swelling, particularly the work after the surgery yet protocols and recommendations emerged at Jaw surgical procedure Los Angeles assist significantly advice recovery.

Case Description:

“So many civilization I recognize that space really happy v their orthodontic treatment had actually their braces and also Invisalign excellent at Orthodontic center LA in Pacific Palisades”.

“I was described Jaw surgery Los Angeles by Dr. Jacobson at Orthodontic center LA, who stated my chief complain of a longer looking face and also a slightly weak chin cannot be corrected by orthodontics alone yet that merged with jaw surgery, I can get the result I was looking for”.

“I did not really want to readjust the means I looked, just improve my weak chin and be able to close my mouth better”.

“I love the results”.

“Friends that have not seen me because that a while, say i look solid and healthy, choose I have actually been functioning out. They have actually no idea that I had actually jaw surgery. Ns tell them and they say ns look fantastic, yet that they would certainly never have actually been able to tell”.

“It is subtle however I love the change. As soon as you view the before and after, that is an remarkable result, even better than what I can have imagined.”

Duration the surgery: 3 hrs under general anesthesia

Case Description:

Chief complaint: “I’ve constantly had an uncomfortable bite and jaw. Ns was very self-conscious cultivation up. I felt ns looked ‘goofy’. Now my teeth space wearing, mine gums room receding and also my confront is changing. That seems prefer this is slowly acquiring worse.”

Surgical procedure: Distraction osteogenesis that the mandible in conjunction v orthodontics.

Distraction, using curvy-linear distractors designed by Dr. Schendel, Professor Emeritus and also founder that Jaw surgical treatment Los Angeles, enables directional distraction and optimal control in the forward, side to side and also up and also down direction. Dr. Schendel recruited Dr. David Dorfman DDS MD to success him as Chief of surgical procedure at Jaw surgical procedure Los Angeles.

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Carefully controlled, distraction can enhance the vertical face height and also the overbite. Distraction also correct asymmetry. Advancing a reduced jaw the is severely recessive through conventional jaw surgery is insufficient to totally correct major jaw deformities. Distraction surgery enables a better result in this cases.