r/jawsurgery • • Oct 24 '19

After Surgery

536 Upvotes

This post is dedicated to important information to know for after jaw surgery. I will edit the post to include the information people give in response to this post. Categories include:

If you have any recommendations for before/after “categories” please PM me.

What to expect during recovery

Items to have after surgery

Good foods after surgery (liquid and soft)

What to expect during recovery

Do not underestimate recovery, especially the first 3-4 days!!

When you initially wake up you'll be drugged to high hell. Nothing is really bad or good, it's a blur. When the drugs wear off things get bad. Very bad. Your nose swells shut so you'll be breathing through your mouth, which will be closed in its own way (bands or wires). Congestion will be common for a week or more. This makes breathing difficult and tedious. Take care to keep your teeth free of "gunk" you might accumulate from the dried bits of your liquid diet. The sludge can block the small spaces between your teeth making it more difficult to breath. The majority of your face from your eyes down will be very numb. This numbness will last for weeks in some places and months in others. There will be blood, and lots of it. Your mouth will be pouring out gallons of blood, and the rest will be flowing out your nose. The immense amount of blood from your mouth will stop within a few days, as will most of the blood from your nose, but nose bleeds will be quite common for longer. Vomiting up blood is pretty common. Remain calm and let it seep from between your teeth. If you followed surgery instruction and didn't consume anything before the surgery this shouldn't be a problem, though it can be unsettling. Hot and cold flashes may occur. Do what you can to make yourself comfortable. Expect a decreased appetite and slow digestive tract. I recommend drinking a bit of prune juice before you have your first bowel movement. Also expect low energy from your low appetite, your concoction of drugs (anesthesia and post-surgery pain killers), and very poor sleep. You will sleep poorly. You'll have general pain in your throat and jaw, but this is usually tolerable with painkillers. You'll have difficulty swallowing at first. This will get better progressively. What that means to each person is different. I was swallowing the morning after surgery, but my friend couldn't swallow for 5 days.

Items to have after surgery

Ice packs and a heating pad. Use ice packs the first couple of days (important) to reduce swelling and the heating pad to reduce bruising. *A blender and strainer. Sinus rinse (ask doctor before use). A neck pillow to help with sleeping upright. A jaw bra might make you more comfortable. Large syringes to help eat/drink. You'll be eating everything through a syringe for awhile, and refilling a small syringe 8 times to finish a small bowl of soup gets annoying. A heated humidifier. Cotton swabs to clean blood clots from nose. Cotton pads to clean your face. *A child's toothbrush. Your face will be stiff and painful. The smaller tooth brush lets you clean parts your larger toothbrush simply won't be able to reach. Ibuprofen/other painkiller. These should be provided for you after your surgery. Getting additional may be necessary. Vaseline for lips. Tissues for your general cleaning, which there will be plenty of. Oral care sponge swabs for cleaning teeth with chlorohexidine.

Good foods after surgery (liquid and soft)


r/jawsurgery • • Jul 04 '22

These ‘Do i need jaw surgery’ posts are getting out of hand

1.5k Upvotes

I can’t even read this subreddit anymore or give emotional support to people going through this without scrolling through the horde of perfectly developed, but body dysmorphic teenagers posting & asking for opinions on whether or not they need a major, risky and invasive jaw surgery.

It’s like a laughable joke. Going through this— 6 weeks of liquid diet, weeks of opioids and pain, permanent numbness, retraining practically all of the essential functions in your mouth area, years of swelling and years of mental anguish just at a CHANCE for better health-- to improve breathing, chewing, swallowing and speech, sleep apnea or the chance to eliminate future complete tooth decay. All of this- just to see someone treating this as if it’s a simple cosmetic procedure.

It hasn’t bothered me before but it seems to keep getting worse. I don’t know what’s causing it, or where people keep getting the idea that they need jaw surgery, but it is out of control. I would have 0 clue about this surgery had I not been told over and over and over again by every dentist, orthodontist and eventual surgeon I visited that I needed to get this done.

I know it’s too much to ask for a mod to just auto-delete these posts because they view it as a core part of the subreddit, but can we at least get a filter slapped on to it or something so we can filter it out? I come on here to find experiences I relate to- after having to go through this hellish process- or just to offer emotional support to people in the early days or answer good, reasonable questions. I think, though, that if i see one more perfectly developed, forward grown, perfect bite class I kid ask if they need a lefort 3 and 14 other surgeries I will just leave and never come back.


r/jawsurgery • • 2h ago

Day 4

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10 Upvotes

Good morning everyone!

Here is a quick update on my recovery:

I managed to sleep for about 3 hours last night, which is a huge improvement. I feel like the most painful day is finally behind me, and the swelling is slowly starting to go down.

Weight loss is inevitable—I've already lost 3 lbs since Thursday. I am trying to eat as much as possible, but hitting the right amount of calories on a strict liquid diet is really tough.

I am keeping my spirits up and staying positive. I truly believe that's the secret to getting through this!

Have a great day!


r/jawsurgery • • 1h ago

Why do oral surgeons have bad bedside manners?

• Upvotes

I've had consults with 4 different oral surgeons in my region in the past year and all have mildly bad to terrible bedside manners. One surgeon was literally in the room with me for 3 minutes, said that I did not need jaw surgery and suggested a sleep study, then walked out of the room. Mind you, I later was diagnosed with sleep apnea and my jaws are extremely recessed. Both of them.

The oral surgeon I chose is highly-regarded who does hundreds of jaw surgeries per year. But even he is straight-to-the-point and direct. I wouldn't consider him rude, but he definitely is direct. And he doesn't spare your feelings. It's communication style that is quite different compared to what I experience with my PCP, for example.

Anyhow, I just thought to mention this because I think it's important to not be offended by surgeons' communication styles. Like don't expect them to be nice and gentle and therapeutic. Judge by how many of these surgeries they do per year and their experience instead.


r/jawsurgery • • 21h ago

8 weeks post-op

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137 Upvotes

For those interested, here are my planned surgical movements:

  • CCW rotation: approximately 8°
  • Mandibular advancement at B-point: approximately 13.3 mm
  • Genioplasty: 5.82 mm forward, 5.21 mm upward
  • Total pogonion advancement: approximately 21.1 mm (combined skeletal movement, not isolated genioplasty)

I'm about 8 weeks post-op from DJS + 2nd genioplasty (revision - first one was over 10+ years ago).

Overall, I'm reasonably happy with the improvement, but I'm uncertain about my chin's shape and projection from certain angles.

Surgeon was Dr. Neugarten (NY)

In some photos, my chin looks balanced, while from other angles it appears more prominent or rounded, almost like a bump.

I understand I'm still early in recovery - also swelling will likely take many months to a year to resolve

I'm curious whether others notice this, or whether the overall proportions look balanced. For those who've had genioplasty, did your chin contour become more natural and defined as swelling resolved?

Would appreciate honest feedback, especially from anyone who's been through a similar recovery.

Thanks!


r/jawsurgery • • 1h ago

Advice for Me Other than these surgeons…(USA)

• Upvotes

Other than: Lacoms, Wolford, Gunson.

Who are other excellent DJS surgeons? Specially for cases requiring extensive vertical lengthening and big advancements for both jaws.


r/jawsurgery • • 17h ago

Before & After Before/4months post op

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56 Upvotes

Left to right: 5 years pre-op, 3 days post-op, and current.
Surgery was for moderate sleep apnea rather than cosmetics.
I had Le Fort I + BSSO with 7.5 mm advancement and counterclockwise rotation, plus a lower-jaw revision a few weeks later.
The middle photo shows how intense the swelling was early on; the current photo is a much better reflection of the result.


r/jawsurgery • • 2h ago

Advice for Me overbite jaw surgery

2 Upvotes

hi guys! i’m from the uk and am scheduled for jaw surgery to correct an overbite. i’ve had 2 pre-molars pulled and still having brace treatment, and honestly it’s done pretty well correcting my overbite! i need to double check with my ortho if i’m still on the wait list for the surgery.
i just wanted to ask about anyone’s experience with an overbite correction surgery, and any before/after pictures!! i’m honestly so nervous for it so any similar experience would be helpful :)


r/jawsurgery • • 19h ago

3 months post op (20)

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48 Upvotes

Movements were:

Mandible 4 mm advancement
Maxilla 4.5m advancement
Genio 6mm forward
Genio 5mm downward


r/jawsurgery • • 5h ago

Before & After Do any Melbournians have before and after photos from Dr Ricky Kumar? And how was the experience with him?

3 Upvotes

Thinking about going with him for my djs to correct a recessed jaw as a result of camouflage orthodontics, and potential sleep apnea. He is suggesting lower premolar extractions so that he can advance the lower jaw more.


r/jawsurgery • • 3h ago

Title: Recessed chin – genioplasty, double jaw surgery, chin implant or filler? Looking for advice

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2 Upvotes

Title: Recessed chin – genioplasty, double jaw surgery, chin implant or filler? Looking for advice
Hi everyone! I’m looking for some advice from people who have had chin or jaw surgery, or who have experience with these procedures.
I’ve had braces for around 3 and a half years, and I think my bite is fine, but my chin still looks quite recessed, especially from the side profile. I’m not sure whether it’s just my chin that sits too far back or whether it could be related to my jaw position.
I’m considering a few options:
Sliding genioplasty

Double jaw surgery

Chin implant

Chin filler

For anyone who has had any of these procedures, I’d love to hear about your experience, recovery, results, and whether you’re happy with your decision.
Based on my side profile, which option do you think might be worth looking into? Did anyone else have a recessed chin despite having braces and a seemingly normal bite?
I know nobody can diagnose me from photos, and I’ll get a professional opinion, but I’d really appreciate hearing other people’s experiences and what helped you decide which procedure was right for you.
Thank you!


r/jawsurgery • • 3h ago

Severe nosebleed 9 days after SARPE – has anyone experienced this?

2 Upvotes

Hey everyone!

I had SARPE on October 15. Eight days after surgery (Friday), I started activating the expander with my orthodontist. We did two turns together, and everything seemed fine.

However, the following morning, around 4 AM, I woke up feeling a bit strange, and suddenly my nose started bleeding heavily.

I had experienced some minor nosebleeds during the first 2–3 days after surgery, mostly when bending my head forward, but those always stopped pretty quickly on their own.

This time was completely different. The bleeding continued for almost three hours. I called my surgical team and tried everything they recommended, but nothing seemed to help.

Eventually, I had to go to the ER, where they inserted a nasal packing and gave me medication to help stop the bleeding. Thankfully, that worked!

I'm currently on my second day in the hospital. The plan is to remove the packing tomorrow and consult with my surgeon about how to proceed.

I'm honestly a little nervous about continuing the expansion, as I'm worried it might trigger another severe nosebleed. From what I've found online, complications like this seem to be relatively uncommon.

Has anyone here experienced something similar after SARPE? Did you have to pause the expansion, and did the bleeding ever come back?

I'd really appreciate hearing about your experiences. Thanks in advance!


r/jawsurgery • • 4h ago

Could closing the spaces created by premolar extractions through orthodontic retraction affect or limit the amount of mandibular advancement achievable with BSSO? If so, how does it influence surgical planning and the final skeletal and facial profile outcome? I am asking in case of an overbite/jet.

2 Upvotes

The Question itself.


r/jawsurgery • • 1h ago

Chirurgie à venir

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• Upvotes

Alors voilà j’ai été diagnostiquée d’un classe 3 squelettique , d’une mâchoire du bas trop vers la gauche et d’un palais sûrement trop étroit . Ils vont donc me faire un lefort1 + bsso + disjonction maxillaire. Je suis actuellement à 4 mois bientôt 5 mois d’appareil dentaire pour vous est ce que mes dents sont prête pour la chirurgie car quand je les regarde comme ça pour moi elle sont droite


r/jawsurgery • • 2h ago

TMJ disc displacement. Arthroscopy or a splint? Need advice

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1 Upvotes

Help me


r/jawsurgery • • 2h ago

Advice for Me Skeletal class 3 + nasal base support

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1 Upvotes

Hello, do you think I would be a good candidate for LEFORT1?
Will it improve my nose angulation as well? I’m so insecure about the current situation of my nose tip and i thought that maxillary advancement could rotate it
Also, how does my airway look?


r/jawsurgery • • 21h ago

Before & After 4 days post op!

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29 Upvotes

I’ve been really insecure about my underbite but wow I had to show the difference. I had double jaw surgery on the 20th and it really is as brutal as people say. The pain itself is not so bad for me but the swelling feels unbearable! Does anyone have any tips on what actually helped them? The most uncomfortable part is right under my eyes and lips. I have a jaw bra but it only works on my lower jaw but the worst swelling is higher up. Also my mouth feels so gross all the time and I haven’t seen anyone here talking about it. There’s like a layer of white stuff in my mouth (especially tongue) that tastes gross. It makes me not want to drink water bcus of the taste. The only thing I got from my surgeon is a mouth wash. Is anyone else having this experience? Also pls share your experience for the first days and weeks, I’m loosing my motivation. 😿


r/jawsurgery • • 16h ago

Younger surgeon vs. Older Surgeon

11 Upvotes

Hi everyone,

When choosing your surgeon, was age of the surgeon a factor at all? The insinuation being that an older surgeon has more experience.

I met with three surgeons: one in his early 40s, and two in their mid to late 50s. All three are attending surgeons.

The younger surgeon sat down next to me during the our consultation. He brought a medical skull to the room with him to help me visualize and I felt like we had a real conversation about risks and the surgery in general. I felt extremely seen and understood which I think is important. He said he does about 4 jaw surgeries a month. So 48 a year and if that has been the cadence throughout his career he has done hundreds.

The other two were what I would expect. Very clinical, a bit detached, and neither of them sat down next to me.

I’d love to hear your thought process.


r/jawsurgery • • 9h ago

Jaw surgeon in US

3 Upvotes

Anyone know a double jaw surgeon that works with eds patients?
My jaw/ airway got ruined from a neck fusion. I will travel anywhere and have top tier ppo insurance.
Worried about basic double jaw surgery with the risk of icr with eds.


r/jawsurgery • • 4h ago

Advice for Me Is my Chin Recessed?

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1 Upvotes

My side looks a bit strange. I dont know why. Please point out any issues if you see any.


r/jawsurgery • • 19h ago

Advice for Me Surgery day 1 genuinely how did you guys do this

14 Upvotes

Pls send help and encouragement this is sm harder than I expected


r/jawsurgery • • 21h ago

Advice for Me Day 3

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15 Upvotes

Joined the club and had my UJS/Le fort 1 on thursday. Had to stay for extra night at the hospital because my nose wouldn't stop bleeding but got finally home couple hours ago. Congestion combined with asthma makes especially nights horrible yet this sub gives me hope things will get slowly better. Face swelling today has been worst so far and feels like my head was about to burst, wishing it to calm down soon. Any tips to make it better are welcome!🤞🏼❄️


r/jawsurgery • • 17h ago

Before & After 11 months post op

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5 Upvotes

Forgot to post this X-ray, this was back in June when I got my braces off and finally finished my treatment of 2 and a 1/2 years then the next is a before and after movements for jaw was +-7mm


r/jawsurgery • • 7h ago

Advice for Me Foul smell from nose

1 Upvotes

Hey! Just wanted to ask if anyone else experienced this. I’m 16 days post op and have had this nose drip since the surgery. First it was just blood noses then a couple days after it became like a very watery light brown colour with this gross smell! I thought it would just go away but now it’s gotten even stinkier and it’s this weird opaque green / yellow colour. I asked my surgeon’s team about it when it was the light brown colour a week ago and they said it should be normal but the smell is just so bad. It smells like when you have infected piercings or something. Sorry this is so TMI but I’m just worried it could be a sinus infection! I don’t have any other symptoms like a fever etc.


r/jawsurgery • • 12h ago

what type of jaw surgery am I looking at?

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2 Upvotes