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Assoc. Prof. Dr. Emrah Dilaver

Diagnosis & Conditions

Double Jaw Surgery

What Is Double Jaw Surgery?

Double jaw surgery (bimaxillary osteotomy) is performed to reposition both the upper and lower jaws in order to improve bite function, facial balance, airway, and skeletal harmony. Treatment is individualized according to each patient’s diagnosis and treatment goals.

Who Is a Candidate?

Double jaw surgery may be recommended for patients with:

* Skeletal Class II or Class III deformities
* Open bite
* Severe malocclusion
* Facial asymmetry
* Jaw growth discrepancies
* Selected airway-related conditions

A comprehensive clinical and radiographic evaluation is required before treatment planning.

Treatment Planning

Every patient undergoes a detailed assessment including clinical examination, photographs, CBCT imaging, intraoral scans, and virtual surgical planning. This allows precise planning tailored to the individual’s anatomy.

The Surgical Procedure

The operation is performed under general anesthesia. Depending on the diagnosis, the upper jaw (Le Fort I osteotomy), lower jaw (bilateral sagittal split osteotomy), and, when indicated, genioplasty are performed to achieve functional and skeletal correction.

Recovery & Follow-up

Patients are closely monitored during recovery. Swelling gradually decreases over the following weeks, while bone healing continues over several months. Regular follow-up visits are scheduled to monitor healing and bite stability.

Double Jaw Surgery

Treatment is tailored to each patient following comprehensive clinical evaluation, radiographic assessment, and three-dimensional virtual surgical planning.

Correction of dentofacial deformities to improve jaw function, facial balance, and occlusion.
Image by Rebekah Vos

Recovery After Orthognathic Surgery

Recovery after orthognathic surgery is supported through structured postoperative instructions, scheduled follow-up, and direct communication when needed. Patients receive guidance on swelling, oral hygiene, nutrition, medication use, elastics, activity, and warning signs during the healing period.

Help & Support

Frequently Asked Questions

Is double jaw surgery painful?

Patients typically experience swelling, facial tightness, and temporary discomfort after surgery. Pain is usually well controlled with prescribed medications, and most patients describe the recovery as manageable.

How long does recovery take?

Most patients return to light daily activities within 2–4 weeks. Bone healing continues over several months, with regular follow-up appointments to monitor recovery.

Will my facial appearance change?

Yes. Double jaw surgery changes the position of the jaws, which may improve facial balance and profile. The extent of change depends on the individual’s anatomy and surgical plan.

Will I need braces?

Many patients require orthodontic treatment before and/or after surgery. In selected cases, a surgery-first approach may be appropriate following comprehensive evaluation and treatment planning.

Hand Embrace

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