OIrthognathic surgery, also known as orthofacial surgery or corrective jaw surgery, is recommended for individuals who have significant jaw irregularities that cannot be corrected with orthodontics alone. When a malocclusion is caused by malposition of the jaws, it is called a skeletal malocclusion and typically will need orthognathic surgery to be corrected in a stable fashion. The surgery aims to correct issues related to jaw alignment, bite function, and facial aesthetics. People who might need orthognathic surgery typically fall into the following categories:

1. Malocclusion (Improper Bite)

– Severe underbite or overbite:
– Open bite: When the upper and lower teeth do not touch when the mouth is closed, leading to chewing difficulties.
– Crossbite: When some upper teeth sit inside the lower teeth, leading to jaw misalignment and wear on the teeth.
– Asymmetrical bite: The jaw is uneven, causing a facial imbalance and problems with function.

2. Jaw Misalignment

– Jaw growth discrepancies: When the upper and lower jaws grow at different rates, leading to functional or aesthetic problems.
– Facial asymmetry: One side of the face appears noticeably different from the other due to jaw misalignment or growth abnormalities.

3. Sleep Apnea

– In cases of obstructive sleep apnea (OSA) where repositioning the jaws can help open the airway and reduce breathing issues during sleep.

4. Difficulty Chewing, Swallowing, or Speaking

– Severe jaw alignment issues may make basic functions like chewing, swallowing, or speaking difficult or painful.

5. Chronic Jaw Pain or TMJ Disorders

– Orthognathic surgery can be recommended to correct structural problems contributing to temporomandibular joint (TMJ) disorders or chronic pain in the jaw.

6. Facial Trauma or Birth Defects

– Individuals who have experienced trauma or have congenital conditions like cleft palate or craniofacial syndromes may need surgery to restore proper function and aesthetics.

7. Aesthetic Concerns

– Some patients seek orthognathic surgery for purely cosmetic reasons to improve the appearance of their face or jawline.

Orthognathic surgery is typically a collaborative effort between an orthodontist and Dr Birbe, often preceded or followed by braces to ensure proper alignment of the teeth and jaws.

Is there a certain age for orthognathic surgery?

Yes, there is generally a recommended age range for orthognathic (corrective jaw) surgery, but the exact timing depends on several factors, particularly the individual’s growth and development.
The key is determine if the direction of the jaws growth is the same as the face growth. When the orthognathic surgery movements are the same as the face growth direction, it is possible to do orthognathic surgery at an early age, as soon as the second molars have erupted, typically around 12-13 years old. That would be the case for example of a patient that need advancement of upper or lower jaw.

When the orthognathic surgery movements are opposite to the facial growth movements ( for example, when a mandibular set back is needed) it is recommended to wait until jaw growth is complete to ensure that the results of surgery are stable.

1. Age Guidelines

– Teens to Early Adulthood (17-21 for Males, 15-18 for Females):
– The ideal time for orthognathic surgery is typically once a person’s jaw has fully developed, which usually occurs in the late teens to early adulthood.
– Females often stop growing earlier (around ages 15-18), while males may continue to grow slightly longer (around ages 17-21).
– Performing surgery before growth is complete could result in the jaws shifting again as the patient continues to grow, leading to the need for additional surgeries.

2. Early Surgery in Special Cases

– Severe Functional Issues in Childhood:
– In rare cases, orthognathic surgery may be performed at a younger age if the patient has severe functional problems that significantly impair breathing, eating, or speech, such as in some craniofacial syndromes or severe congenital conditions.
– In such cases, surgery may be staged, with follow-up procedures in adulthood after growth is complete.

3. Adults

– Adults in Their 20s and 30s (or Older):
– Orthognathic surgery can also be performed in adults, and many people undergo the surgery well into their 20s, 30s, or even later.
– The results are generally stable in adults because the jaws are no longer growing, but there may be a longer recovery time compared to younger patients.

4. Older Adults

– Older Adults (40s or beyond):
– While less common, older adults can also undergo orthognathic surgery if needed, although they may have slightly higher risks of complications and a longer recovery time. Orthodontic work prior to surgery can also be more challenging for older patients due to less flexible bone structure.
Patients that need jaw correction for sleep apnea treatment, typically fall in this age group.

In summary, the surgery is typically recommended after jaw growth is complete (late teens or early adulthood), unless the direction of the correction is the same as the facial growth, but it can be performed later in life depending on the individual’s condition and needs. Orthodontists and surgeons will often use growth assessments (e.g., X-rays) to determine the best time for surgery.

How is the planning for orthognathic surgery?

Planning for orthognathic (corrective jaw) surgery is a detailed and collaborative process that involves multiple steps, often with input from an orthodontist, an Dr Birbe, and sometimes other specialists. The goal is to ensure that the surgery not only corrects the functional and aesthetic problems with the jaw but also aligns the teeth and improves the patient’s overall bite. Here’s an overview of the typical steps involved in planning for orthognathic surgery:

1. Initial Consultation

– Evaluation by an Orthodontist and Dr Birbe: The process usually begins with a consultation with both an orthodontist and the surgeon. They will evaluate your bite, facial symmetry, and overall jaw alignment.
– Patient’s Goals: You will discuss any functional issues (e.g., difficulty chewing, speaking, or breathing) and aesthetic concerns you have with your jaw or facial appearance.
– Medical History: The surgeon will review your medical history to assess whether you are a good candidate for surgery.

2. Pre-Surgical Orthodontic Treatment

– Braces (Typically 12-18 Months): Most patients will need to wear braces for 8 to 12months before surgery. The orthodontist will straighten the teeth and position them in a way that ensures the best possible alignment post-surgery.
– Alignment for Surgery: The teeth are aligned in a way that may temporarily worsen the bite, as the focus is on preparing the teeth to fit correctly after the jaw is repositioned.
– Surgery First protocol: In some cases surgery can be done before orthodontics since the resulting situation is favorabkle for such approach. We will determine if such is the case in your initial consultation.

3. Imaging and Diagnostic Tests

– X-rays, CT Scans, and Photographs: Detailed imaging is taken to assess the position and alignment of the teeth and jaws. This usually includes panoramic X-rays, 3D CT scans, and facial photographs from various angles.
– Dental Impressions or 3D Scans: Impressions of your teeth (or digital scans) are taken to create models of your bite, which helps in planning the surgery.
– Cephalometric Analysis: We use cephalometric X-rays, which are side-view images of the head, to measure jaw angles and assess skeletal relationships. This helps guide the surgical approach.

4. Surgical Simulation

– Virtual Surgical Planning (VSP): In all of our cases we use computer-assisted virtual planning to simulate the surgery before it happens. Using 3D models of the patient’s jaws and teeth, we can digitally reposition the jaws, determine the exact movements needed, and predict post-surgical results.
– Mock Surgery: Sometimes,we use 3D-printed models of the patient’s jaws to perform a “mock” surgery in advance. This helps ensure the most accurate and predictable outcome.

5. Surgical Planning

– Surgical Guides: Based on the virtual planning or mock surgery, the surgeon may create custom surgical splints or guides that help ensure precise bone cuts and jaw positioning during surgery.
– Multi-Disciplinary Input: The surgeon will work closely with the orthodontist to ensure that the teeth and jaws will align properly after the surgery, and they may consult with other specialists (e.g., speech therapists or sleep specialists) if the case involves specific issues like sleep apnea or speech problems.

6. Pre-Surgical Meeting

– Final Preparations: As surgery approaches, there will be a final consultation with the surgeon to confirm the plan and go over any last-minute details. You will also discuss post-surgical care, recovery expectations, and any risks associated with the procedure.
– Medical Clearance: If you have any underlying medical conditions, you may need clearance from a physician to ensure you are fit for surgery.

7. Surgical Procedure

– The surgery itself typically takes place in a hospital or surgical center and can last anywhere from1 to 3hours, depending on the complexity of the case. It is performed under general anesthesia.
– Common Types of Procedures:
– Le Fort I osteotomy: For upper jaw (maxilla) surgery.
– Bilateral sagittal split osteotomy (BSSO): For lower jaw (mandible) surgery.
– Genioplasty: Surgery to modify the chin, often done in conjunction with jaw surgery.

8. Post-Surgical Orthodontics

– Braces After Surgery: After the surgery, braces are usually kept on for an additional 6 to 12 months to fine-tune the alignment of the teeth.
– Final Adjustments: The orthodontist will make final adjustments to ensure the bite is perfect, with small tweaks to the teeth as needed.

9. Follow-Up and Recovery

– Post-Surgical Follow-Up: There will be regular follow-up visits with the surgeon and orthodontist to monitor healing and adjust the treatment plan as needed.
– Physical Therapy: In some cases, physical therapy is recommended to help regain full function of the jaw.
– Dietary and Activity Restrictions: You’ll likely follow a soft or liquid diet immediately after surgery and gradually transition back to regular food. Activity levels will also be restricted during the recovery period to ensure proper healing.

10. Long-Term Monitoring

– After the braces are removed, retainers are typically used to maintain the new alignment of the teeth. Periodic check-ups with both the orthodontist and surgeon may continue for some time to ensure everything remains stable.

The planning process is thorough to ensure that the surgical outcome addresses both functional and aesthetic concerns and that the results are long-lasting and stable.

What are the risks and complications associated with orthognathic surgery?

Orthognathic surgery, like any major surgical procedure, carries certain risks and potential complications. While most patients experience successful outcomes, it is important to be aware of both short-term and long-term risks. These complications can range from mild to more serious, and we will discuss them with you during the planning process.

Here are the key risks and complications associated with orthognathic surgery:

1. Infection

– Risk: Infection at the surgical site is a common risk in any surgery. In orthognathic surgery, this may occur around the incisions inside the mouth or at the bone segments.
– Management: Infections are usually treated with antibiotics, but severe cases may require additional surgical intervention to drain infected areas.

2. Nerve Damage and Numbness

– Risk: One of the more common complications is temporary or permanent nerve damage, particularly to the inferior alveolar nerve, which affects sensation in the lower lip, chin, and sometimes the gums.
– Symptoms: Numbness, tingling, or altered sensation in the lips, chin, cheeks, or tongue.
– Outcome: Nerve damage is usually temporary, resolving over weeks or months. However, in some rare cases, the numbness may be permanent, especially in the lower jaw.

3. Relapse (Jaw Shifting Back)

– Risk: Post-surgical relapse occurs when the jaws shift back toward their original position after surgery. This is more likely if the jaws were moved significantly during surgery.
– Management: Relapse can sometimes be corrected with post-surgical orthodontic treatment, but in severe cases, additional surgery may be required.

4. Problems with Bite Alignment

– Risk: After surgery, the teeth may not align perfectly, resulting in problems with the bite (malocclusion) or difficulty chewing.
– Management: Braces or other orthodontic adjustments are often needed after surgery to fine-tune the bite. In rare cases, further surgery may be needed if the bite is not correct.

5. Jaw Joint Problems (TMJ Disorders)

– Risk: Temporomandibular joint (TMJ) issues, including pain, clicking, or difficulty moving the jaw, may develop or worsen after surgery. The joint can be stressed during the repositioning of the jaws.
– Management: TMJ problems are often managed with physical therapy, anti-inflammatory medications, or other non-surgical treatments, though surgery may be necessary in severe cases.

6. Difficulty with Healing

– Risk: Some patients may experience delayed or poor bone healing (nonunion or malunion), where the bones don’t heal properly or align as expected.
– Management: If healing is delayed, the surgeon may recommend additional treatments, such as bone grafts, further surgery, or prolonged use of orthodontic appliances.

7. Bleeding and Blood Clots

– Risk: Bleeding is a natural part of surgery, but in rare cases, excessive bleeding or the development of blood clots (thrombosis) can occur, particularly in the legs or lungs (deep vein thrombosis or pulmonary embolism).
– Management: We take steps to minimize bleeding during surgery, and post-operative care includes monitoring for signs of clotting.

8. Changes in Facial Appearance

– Risk: Orthognathic surgery can lead to significant changes in facial appearance, which is often one of the goals. However, in some cases, patients may be unhappy with how their face looks after the surgery.
– Management: Thorough pre-surgical planning, including computer simulations, helps patients understand the potential changes. If aesthetic concerns persist, additional cosmetic surgery may be an option.

9. Swelling and Bruising

– Risk: Swelling and bruising are normal after orthognathic surgery and can last for several weeks.
– Management: Swelling typically peaks a few days after surgery and then gradually subsides. Ice packs, elevation, and anti-inflammatory medications can help manage this.

10. Post-Surgical Pain

– Risk: Moderate to severe pain is expected after surgery, though it usually decreases over time.
– Management: Pain is managed with prescription pain medications immediately after surgery, and patients typically transition to over-the-counter pain relief after a few days or weeks.

11. Sinus Problems

– Risk: In upper jaw surgery (maxillary osteotomy), there is a risk of developing sinus complications, such as sinus infections or chronic congestion.
– Management: These problems are usually temporary, but in some cases, further medical or surgical treatment may be needed to address ongoing sinus issues.

12. Speech and Eating Difficulties

– Risk: Temporarily altered speech or difficulty eating is common as the mouth and jaw adjust post-surgery.
– Management: Speech may be affected during recovery, but most people return to normal after healing. In cases where speech issues persist, speech therapy may help. Eating adjustments, such as a liquid or soft diet, are typically needed for several weeks after surgery.

13. Scarring

– Risk: Since most incisions are made inside the mouth, visible scarring is uncommon, but there may still be some internal scarring that affects healing.
– Management: Good post-operative care and following our guidelines can help reduce the risk of problematic scarring.

14. Anesthesia-Related Risks

– Risk: As with any surgery, there are risks associated with general anesthesia, such as allergic reactions or complications with breathing or heart function.
– Management: Anesthesia is generally safe, and the anesthesiologist will monitor you closely throughout the procedure to minimize risks.

15. Psychological Impact

– Risk: Undergoing a major surgery, especially one that affects facial appearance, can have psychological effects. Some patients may struggle with anxiety, depression, or body image issues post-surgery.
– Management: It’s important for patients to have support systems in place and to communicate any psychological concerns to their healthcare providers. Counseling or support groups may be helpful during the recovery process.

Conclusion

While the majority of patients have successful outcomes with orthognathic surgery, these risks highlight the importance of thorough pre-surgical planning, working with an experienced surgical team, and following post-surgical care instructions carefully. We will provide detailed information specific to your case and take steps to minimize these risks.

Is orthodontic treatment required before orthognathic surgery?

No, orthodontic treatment is not always required before orthognathic surgery, but it is typically necessary in most cases to achieve optimal results. Orthodontic treatment (braces or clear aligners) helps align the teeth and prepare the bite for surgery. Here’s a breakdown of why it is usually recommended:

1. Aligning the Teeth:

– Prior to surgery, orthodontic treatment ensures the teeth are properly aligned within each dental arch (upper and lower jaws). This step is crucial because orthognathic surgery primarily focuses on correcting the position of the jaws, not the teeth themselves.

2. Ensuring a Proper Bite Post-Surgery:

– If the teeth are not properly aligned before surgery, the final bite may not fit correctly after the jaws are repositioned. Pre-surgical orthodontics makes sure that, after the surgery, the teeth meet in a way that ensures a functional bite.

3. Complex Cases:

– In cases of severe malocclusions (misalignment of the teeth) or skeletal discrepancies, both orthodontic treatment and surgery are needed to fix the relationship between the teeth and jaws. The orthodontist and surgeon work together to plan the treatment.

When Orthodontics May Not Be Necessary:
– Mild Jaw Discrepancies: In cases where only the jaws need realignment without significant tooth movement, surgery might be performed without prior orthodontic treatment.
– Surgery-First Approach: Some patients may be candidates for the “surgery-first” approach, where surgery is performed first, and orthodontic treatment is done afterward. This method is less common and requires specific conditions.

In summary, while orthodontic treatment is typically necessary before orthognathic surgery to align the teeth properly, there are exceptions depending on the nature of the jaw or bite issues.

What are the different types of orthognathic surgeries?

Orthognathic surgery involves the correction of jaw and facial bone abnormalities to improve function, appearance, and bite alignment. There are several types of orthognathic surgeries, each targeting different areas of the jaw and face. Here’s an overview of the most common types:

1. Bilateral Sagittal Split Osteotomy (BSSO)

– Purpose: One of the most common types of surgery for repositioning the lower jaw.
– Procedure: In this surgery, the lower jaw is split into two parts on each side, allowing it to move either forward or backward as needed. It can be used for both overbites and underbites.
– Conditions Treated:
– Underbite or overbite
– Jaw asymmetry

2. Genioplasty (Chin Surgery)

– Purpose: Alters the shape, size, or position of the chin. It is often performed along with other jaw surgeries for cosmetic or functional reasons.
– Procedure: The chin bone is cut and repositioned or reshaped to improve facial balance and harmony.
– Conditions Treated:
– Receding chin (chin deficiency)
– Prominent chin (chin excess)
– Chin asymmetry

3. Le Fort Osteotomy (Maxillary Surgery)

– Purpose: This surgery is used to correct issues with the upper jaw, and there are different types depending on the severity and location of the issue.
– Le Fort I: The most common, used for repositioning the entire upper jaw.
– Le Fort II and III: Rare, more complex surgeries to correct midface issues such as severe trauma or congenital deformities.
– Procedure: The maxilla is separated from the base of the skull and repositioned to achieve better alignment with the lower jaw and other facial structures.
– Conditions Treated:
– Severe midface retrusion
– Open bite
– Crossbite

4. Segmental Osteotomy

– Purpose: Corrects a section or segment of the jaw rather than the whole jaw. Often done for smaller jaw issues or specific parts of the bite.
– Procedure: A section of the jaw is cut and repositioned, which can be part of the maxilla or mandible.
– Conditions Treated:
– Localized jaw or dental problems
– Minor deformities affecting certain teeth

5. Double Jaw Surgery (Bimaxillary Osteotomy)

– Purpose: Involves simultaneous surgery on both the upper and lower jaws to correct more complex bite or facial issues.
– Procedure: Both the maxilla and mandible are repositioned during one surgery, usually to treat severe cases of misalignment or asymmetry.
– Conditions Treated:
– Severe underbite, overbite, or open bite
– Jaw asymmetry or facial imbalance
– Obstructive sleep apnea in some cases

6. Orthognathic Surgery for Sleep Apnea

– Purpose: Designed to reposition the jaw and open the airway, helping patients with obstructive sleep apnea (OSA) breathe more easily during sleep.
– Procedure: Often involves moving the upper and/or lower jaw forward to enlarge the airway.
– Conditions Treated:
– Obstructive sleep apnea
– Airway obstructions

Conclusion

Each type of orthognathic surgery is customized to address specific skeletal or dental abnormalities, and in many cases, multiple surgeries (e.g., double jaw surgery) are performed to achieve the best functional and aesthetic outcomes. We will work together to decide which type is most appropriate for a patient’s condition.

Are there any scars left after orthognathic surgery?

Orthognathic surgery typically leaves minimal to no visible scars because most of the incisions are made inside the mouth. Here’s a more detailed look at scarring after orthognathic surgery:

1. Intraoral Incisions (Inside the Mouth)

– Primary Method: Most orthognathic surgeries, including upper jaw (maxillary osteotomy), lower jaw (mandibular osteotomy), and chin surgery (genioplasty), are performed through incisions inside the mouth.
– Outcome: Since the cuts are made along the gums, the scars are hidden within the oral cavity and are not visible externally. These scars typically heal well and are not noticeable.

2. Scar Healing and Management

– Healing Process: The healing process for internal incisions is generally fast, with minimal discomfort. Any stitches used inside the mouth are usually dissolvable.
– Post-Surgery Care:We advise to follow good oral hygiene to promote healing and avoid infection. If any external incisions are involved, we will provide specific scar care instructions to minimize scarring, such as using silicone gels, avoiding sun exposure, or undergoing laser treatments if necessary.
– Long-Term Appearance: With time, most scars (whether internal or external) become faint and may be nearly invisible.

Conclusion
In the vast majority of cases, orthognathic surgery leaves no visible scars due to the use of intraoral incisions. If external incisions are needed, scarring is usually minimal and can be managed with proper care.

What happens after orthognathic surgery?

After orthognathic surgery, there is a recovery period that involves several stages, each requiring specific care and attention. The post-surgical process typically includes healing, monitoring, and follow-up treatments to ensure the best results. Here’s what you can expect:

1. Immediate Post-Surgery (Hospital Stay)

– Hospital Stay: Most patients stay in the hospital for 1-2 days after surgery, depending on the complexity of the procedure and their overall health.
– Swelling and Bruising: Significant facial swelling and bruising are common and can peak 2-3 days after surgery. This gradually decreases over the next few days.
– Pain and Discomfort: Pain is typically managed with prescription painkillers. Most patients feel discomfort from swelling, tightness, or numbness, especially around the jaw and mouth.
– Numbness: Numbness in the lips, cheeks, and chin is common due to nerve involvement during surgery. It may last for weeks and, in some rare cases, can be long lasting.
– Breathing and Eating: Breathing through the nose may be difficult initially due to swelling, especially in upper jaw surgery. You’ll likely be on a liquid diet for the first week or two and gradually transition to soft foods.

2. First Weeks After Surgery (Initial Healing)

– Diet: In the first few weeks, patients usually follow a liquid diet (smoothies, soups) and progress to a soft food diet (mashed potatoes, soft pasta, scrambled eggs) as their jaw heals. Chewing is generally not allowed during this period to protect the surgical site.
– Swelling and Bruising Reduction: Swelling will begin to decrease after the first week, but some residual swelling can persist for longer. Cold compresses and keeping your head elevated help reduce swelling.
– Jaw Mobility: Your jaw will be restricted in movement, either by rubber bands or other means. Gradual jaw exercises may be introduced after a few weeks, based on the surgeon’s instructions.
– Oral Hygiene: Oral hygiene becomes very important to prevent infection. Patients use a special mouth rinse and carefully brush their teeth to avoid disturbing the surgical site.
– Pain Management: Pain decreases significantly after the first week, but over-the-counter pain medications may be needed as you transition off prescription painkillers.

3. Follow-up Appointments

– First Checkup: A follow-up appointment usually occurs within the first week to check the healing process. We monitor swelling, the stability of the jaw, and overall recovery.
– X-rays and Assessments: X-rays are typically taken to ensure that the bones are healing in the correct position.
– Orthodontic Adjustments: If orthodontic treatment (braces or aligners) was part of your treatment, you will continue seeing your orthodontist for adjustments. These may begin within a twoweeks after surgery.

4. First Few Months After Surgery (Recovery and Adjustment)

– Return to Normal Diet: After about 4-6 weeks, patients can typically begin eating more solid foods, but hard or crunchy foods may still be restricted. Full chewing may not be allowed for several months.
– Numbness and Sensation Recovery: Numbness will continue to improve, though it may take up to a year for sensation to fully return. Some areas, especially around the lips or chin, might remain permanently numb in rare cases.
– Swelling: While major swelling reduces after the first month, minor swelling can persist for up to six months to a year, especially in the cheek or jaw areas.

5. Final Stages of Recovery

– Jaw Exercises: As you heal, we will provide jaw exercises to improve mobility, strength, and flexibility in your jaw. We recommend physical therapy to enhance your recovery.
– Braces or Aligners: If you had orthodontic treatment, you will continue with braces or aligners for several months post-surgery to fine-tune the alignment of your teeth and bite. Most patients wear braces for 6-12 months after surgery.
– Scarring and Bone Healing: Any internal or external incisions will continue healing, and the bones should fully heal within 6 months to a year. X-rays may be taken to monitor bone healing.
– Bite Stabilization: It may take time for your bite to feel normal as the muscles and bones adjust to their new positions. Your orthodontist will fine-tune this over the months after surgery.

6. Long-Term Outcome

– Appearance: Most patients see the full cosmetic results of their surgery after 6-12 months once the swelling has completely subsided.
– Improved Function: Over time, patients experience improved bite alignment, chewing efficiency, and sometimes improved breathing if the surgery was related to conditions like obstructive sleep apnea.
– Nerve Sensation: While most numbness resolves within a few weeks, it can take up to a year to fully regain feeling. In rare cases, some numbness may be permanent.
– Final Orthodontic Results: After orthodontic treatment is complete, the braces or aligners will be removed, and retainers will be worn to maintain the new alignment of your teeth and jaws.

Conclusion
Recovery after orthognathic surgery is a gradual process that involves both healing and follow-up care. Initial discomfort, swelling, and restricted jaw function improve over the first few weeks, but full recovery can take several months to a year. Follow-up appointments with Dr Birbe and your orthodontist are critical to ensure a smooth recovery and the best functional and aesthetic results.

What would be the cost of orthognathic surgery?

The cost of orthognathic surgery can vary widely depending on several factors, including the complexity of the procedure, geographic location, surgeon’s fees, and whether you have insurance coverage. Here’s a general breakdown of what to expect:

1. Average Costs

– Single-Jaw Surgery: Typically ranges from $9,000 to $12,000. This includes the cost of the surgery itself, anesthesia, and hospital or surgical center fees.
– Double-Jaw Surgery: Can cost between $12,000 and $18,000 or more. This is because it involves more complex surgical procedures and extended recovery times.
– Additional Procedures: If other procedures are needed, such as chin surgery (genioplasty) or corrective surgery for the temporomandibular joint (TMJ), costs can increase.

2. Factors Affecting Cost

– Surgeon’s Experience: Highly experienced or specialized surgeons may charge more for their expertise.
– Hospital or Facility Fees: Costs can vary depending on the facility where the surgery is performed. Surgical centers may have different fee structures compared to hospitals.
– Pre- and Post-Surgical Care: Expenses for pre-surgical consultations, imaging (like X-rays), post-surgical follow-up visits, and any necessary orthodontic treatment can add to the total cost.
– Insurance Coverage: Some health insurance plans may cover a portion of the cost, particularly if the surgery is deemed medically necessary (e.g., for severe bite issues affecting function or causing pain). Coverage for cosmetic improvements might be limited or excluded.

3. Payment Options

– Financing Plans: Many surgical centers and dental practices offer financing options or payment plans to help manage the cost.
– Health Savings Accounts (HSAs) or Flexible Spending Accounts (FSAs): These accounts can sometimes be used to pay for surgical expenses, depending on the specific plan details.

4. Additional Costs

– Orthodontics: If orthodontic treatment is part of your plan, this can add several thousand dollars to the overall cost.
– Medications: Post-surgical medications and any additional treatments or therapies (e.g., physical therapy for jaw exercises) can add to the expenses.

Summary
Orthognathic surgery is a significant investment, with costs ranging from $15,000 to $25,000 depending on the complexity and location. Insurance coverage and financing options can help manage these costs, and it’s important to discuss all potential expenses with your surgical team and insurance provider to get a clear understanding of the total financial commitment.