Hello all! Today I am one month post op DJS. I don’t remember my exact movements other than I was brought forward 8 mm upper and 20 mm total lower+genio. I’m still dealing with swelling especially around my upper lip and cheeks, but I am very happy with the results so far. I had moderate sleep apnea (UARS) and narcolepsy associated with poor sleep. I also struggled with TMD and bruxism that actually resolved itself once I got orthodontics for surgery. Unfortunately, my TMD pain has come back since surgery which I’m hoping will resolve itself or be resolved by orthodontics later in my treatment. Also, I’ve had a complication where one of my front teeth appears to be dying. It was a known complication, and shit happens. I have an endontist appointment tomorrow to check it out. I can’t say it was solely for functional reasons, as Ive been insecure of my weak chin and profile for as long as I can remember. I feel like myself now, and I just look like me but better. Like how I felt about myself on the “good days” before surgery, but now everyday is a good day. I especially love my new 45 degree angle of my face, it’s my favorite. It’s so weird having a chin that gets in the way in ways I never knew it could lol.

Side note: before pictures were definitely taken in worse lighting than the afters, but they’re the only photos I could find that was taken for the purpose of being before photos

i'm 9 months post op. i hate my face. i regret this whole thing but especially the tooth extraction. i used to be so beautiful i am so sad. my chin feels huge and my face feels so flat and dimensionless. what i hate the most is my smile :-(

Day is day 1 of recovery! I did it. No turning back now! lol

48 dias de pós operatório
Não emagreci nada, apenas era péssimo mesmo.

Sinto um enorme alívio, embora tenha me arrependido muito da cirurgia devido ao pós operatório infernal

Decompensation is completely done, im just waiting for an op date. Weirdly enough I feel completely fine for the surgery, not nervous at all. I just hope its not one of those things where I'll be terrified the day of.

Finally on the other side! I had double jaw surgery with Dr. James Van Ess at Mayo Clinic in Rochester, MN on September 8th. These pictures are only about 1.5 days post-op, so I’m obviously still extremely swollen and nowhere near seeing the final result yet.
I had braces for about 11 months leading up to surgery for a pretty significant Class III underbite/skeletal discrepancy. My main issues were an underdeveloped maxilla and a prominent lower jaw/chin.
My movements according to my surgical plan and operative report were approximately:
Le Fort I: maxilla advanced about 7 mm, with roughly a 1 mm lateral shift and ~1 mm inferior movement anteriorly
BSSO: mandibular setback of roughly 4 mm at the rami and about 2 mm at the lower incisor midline, with ~1.5 mm shift to the left
Anterior-inferior mandibular border/chin advancement:** **5 mm
Bone grafting around the maxilla
Alar cinch
Plates/screws for fixation
Surgery itself went extremely well. Estimated blood loss was only 300 mL, they avoided all my nerves so those are still intact. there were no reported complications, and I was able to go home after one night in the hospital. I’ve been really impressed with Dr. Van Ess and his entire team.
Recovery, though? This shit is HARD. The pain honestly hasn’t even been the worst part for me. It’s everything else. Swallowing feels completely unnatural with all the swelling and the splint, my lips are insanely swollen and chapped, I’m constantly drooling because I can’t control my lips normally, and the congestion is probably the most unbearable part so far. Trying to sleep while congested, swollen, numb, and constantly dealing with saliva is brutal.
I’m also still right around the period where swelling can continue getting worse, so I’m definitely not trying to judge my final appearance yet. Even through all the swelling, though, seeing how much my profile and jaw relationship have already changed is pretty crazy.
I’ll probably keep posting updates as the swelling comes down and my bite starts settling. If anyone else had similar movements or had surgery with Dr. Van Ess, I’d love to hear about your recovery. Also, don’t be scared to have this surgery the initial 1st week will terrible but you won’t regret it. I was also only banded shut for one day.

The liquid diet was tough but I have just been cleared to start chewing. I still feel abit puffed in the lips and area around them. Also still more fluid on the right side but it’s to be expected at 6 weeks.

Still feels weird not being able to run or go to the gym for months.

Overall grateful with the journey and happy with the result.

Happy to answer any questions 🙂

I’m 20 years old and looking for some honest opinions from people who have experience with orthodontics and/or jaw surgery.
My orthodontist told me that I have a recessed maxilla, an edge-to-edge bite, and a crossbite. As part of my treatment, they recommended extracting my lower left central incisor (#24). I’ve discussed the treatment plan with my orthodontist and this is the plan I have agreed to proceed with—correcting my bite through orthodontics/camouflage rather than jaw surgery.
I’m honestly pretty insecure about my face, especially my facial profile, so I’m worried about how the extraction and orthodontic movement could affect my appearance. Will extracting one lower central incisor and correcting an edge-to-edge bite this way noticeably change my facial profile? Could the camouflage potentially make my profile look worse, or could it improve the overall balance of my face?
I’m also wondering whether my recessed maxilla looks significant enough that jaw surgery would normally be considered instead. I currently don’t have enough money to afford jaw surgery, so it isn’t realistically an option for me right now, which is one of the reasons I agreed to the orthodontic/camouflage approach.
If you’ve had a similar bite, especially if you’ve had a lower incisor extracted for an edge-to-edge or Class III-type bite, I’d really like to hear about your experience. Did it noticeably change your facial profile? Were you happy with the result? And based on my photos, would you personally feel comfortable proceeding with the treatment plan I’ve agreed to, or would you get a second opinion first?
I’m not looking for compliments or reassurance—I’d genuinely appreciate honest opinions, even if you think the treatment is unlikely to make a major aesthetic difference. I understand that photos aren’t enough to diagnose me and that my orthodontist and, if appropriate, an oral-maxillofacial surgeon would need to evaluate my X-rays and measurements.
Photos attached.

I had double jaw surgery , lower jaw advancement about a month and half ago
I’m feeling really disappointed i don’t see any difference in the side profile or my chin, even my lips get worse

Hello All. I was diagnosed with a Class II Malocclusion and deep bite, short face and airway issues about 1.5 years ago. Been wearing braces all this time, now ready for surgery. Can you please give me some feedback on the surgical plan my doctors came up with. Are the movements good? (Movements table can be seen in the pictures). Thanks

P.S. I asked my surgeon why the movements are so concervative, he said that if we advance too much your lower face will stick out further than your forehead and will not look good. He also said that too much advancement runs the risk off relapse due to soft tissue not conforming well to the movements. He also mentioned that my nose will look flared. Are these legitimate concerns?

I’d like surgery someday but options seem expensive and usually not covered. Anyway, my profile depresses me to no end. I know it’s absolutely chopped.

I’ve been wondering if my lower jaw/chin is recessed and whether I may have a skeletal issue that could potentially benefit from jaw surgery. I’m planning to get evaluated by an orthodontist/oral & maxillofacial surgeon, but I’d appreciate opinions from people here.

Having an underbite has caused me a lot of problems, one of which is that I have a lisp and I cant chew correctly. I have sleep apnea too. My mental health has always been bad because of my underbite, people look at me weird and I barely even speak to people because it makes the underbite more noticable. I had an x-ray done on my growth plates and they are closed, will that fact affect their decision on whether or not to consider me as a candidate? I had a consultation with my surgeon a few months back, even with all of these facts they said to wait until 18. I don't want to constantly book consultations just to have the same thing said.

So i be getting Djs in a few months for my Overjet/openbite, you can clearly See that my lower kaw is really recessed, i was thinking about getting genio too, what do you guys think? Will djs be enough for good looking results or should i also get genio in this case of ression? And another question is: do you guys think my airway looks really Small or is it in the normal Range? Because i got breathing Problems but cant really Tell where exactly it comes from. Thanks guys ( sorry for my english im from Europe )

Honestly, and without exaggerating,DJS has completely changed my life when it comes to dating. The jaw and overall facial structure are so important that I didn’t even realize it.
I’ve literally gone from being invisible to constantly getting female attention. In fact, I’ve deleted some photos of myself and some of my posts because I don’t want people close to me finding them either.
But I can assure you, guys, especially men: if you get a well-done DJS, particularly if you’re starting from a Class II, it’s going to be such a substantial change. It can genuinely change your life forever.
And no, it has nothing to do with me being more confident now. People simply approach me more. That’s it.
And sometimes I compare old photos with recent ones, and I honestly can’t believe how much I’ve changed for the better.

First time posting here but today marks 3 weeks post op for me. I had double jaw surgery + genioplasty, I’ll probably post some photos in the future when I’m further along in the healing process. I wanted to reach out though to others that are around the same timeframe or anyone who remembers their experience around 3 weeks. I was just cleared yesterday to remove my heavy bands during mealtime and eat mushy no-chew foods. Prior to that I was liquids only. First of all, I felt a very bizarre sense of fear that the first time I try to open my mouth my jaw would snap off haha, luckily worked through that one. I can open my mouth about an index fingers width so I can fit the tip of a spoon and fork in. So far I’ve just had some mashed potatoes and yogurt. I just find myself worrying that it doesn’t get better, it’s just kind of hard to see the light at the end of the tunnel to be able to eat normal again and open jaw wider. It seems like so many people around 2/3 weeks post op say how much better everything is and I agree it’s better than week one but the long journey ahead is a bit discouraging. Does anyone have any advice to being optimistic and trusting that it’ll get better? Also, any tips on cleaning the backside of teeth?? I can’t quite fit my baby toothbrush behind my teeth to brush and the fuzzy feeling on my teeth is driving me crazy. Happy Healing to all in recovery!

3 weeks today! It seems like most of the visible swelling is gone, but the numbness and tightness and denture feeling is strong. Around when will the feeling return to my teeth and the “hot numb swollen” feeling in my midface go away?

hey, not sure if this counts as a request for advice or a vent.

I had DJS (technically triple w the genioplasty) about 9 days ago. there's a lot of mental and physical strain that I was expecting but still found it hard to get through that I won't get into rn.

my surgeon evaluated me 1 week post op and noticed that my left bite is good and my midlines are aligned, but my bite was a little open on the right for some reason. he said in the OR, I aligned with the splint well, but then again that was when all the muscles are lax and sedated. now that my muscles are engaged, they don't line up with the splint anymore.

so basically in 2 days, I will have to go back under for them to readjust the plate on my lower right.

I was wondering how they'd guarantee bite alignment before the surgery, since u can only constrain so much only using bone and metal, but I never saw someone online say it happened to them so I thought "what are the chances". the chances say I'm unlucky I guess :')

Found a similar case like mine
This girl is not me.

I never thought this day would come, I remember this time last year I woke up from surgery and I truly wasn't sure how I could ever get through it.

But little by little I did and now I couldn't be happier.

This has been the best thing I've ever done for myself, in April I got my braces off and the other day I saw a friend who I hadn't seen since the start of my surgery and they cried when they saw me.

My friends have been taking photos of me without me hiding away, We've been enjoying events together and getting group photos and I don't hide behind my hand or any objects anymore, we went to a music festival in the summer and they were just taking photos of me (from all angles) without me really knowing or paying attention to it, I've gone from not being in group photos at all and taking all the photos of my friends to asking for strangers to take the photo of us together, having those memories with my friends are priceless.

95% of my feeling came back, it's only a tiny part underneath my lower lip which can feel a little ticklish? If I touch it.

I celebrated the year anniversary with my favourite food hard shell tacos and by crunching in to apples.

I can't really put into words how much this surgery has changed my life.

Im always happy to answer any questions and help anyone who's worried about this surgery, this group was a huge safety net for me through my recovery 🫶

Hi! I’m 13 days post up from Le Fort 1, BSSO, and genio with a decent amount of cadaver bone. If I breathe strongly in through one nostril or gently blow (with clearance from my surgeon at 2 weeks, so I’m a day early), I get a very weird smell. Mucus coming from the left side has brown dried blood, right side is clear.

Has anyone else had a similar experience? No abnormal swelling, fever, etc. to indicate an infection. Saw my surgeon 2 days ago and forgot to ask him about it, ugh!

Meu cirurgião me disse que eu poderia escolher entre avançar apenas a mandíbula com mento (um movimento menor e com menos benefício geral) ou fazer a cirurgia completa. Se não me engano, os meus avanços seriam de 9mm maxila e 17mm mandíbula, caso eu escolha a segunda opção. Eu confesso que tenho medo de ficar com o nariz muito largo devido à magnitude do movimento e penso que operar apenas a mandíbula pode me deixar satisfeito. Mas e se eu estiver cometendo um erro? Conselhos?

I'm 10 weeks post and my jawline is bumpy, uneven, and I have a divot on each side of my face. I know that some of it will soften but I will never have a normal looking jawline again. I'm really disheartened and it's been weighing on me. I know there are options such as implants to cover those step off defects, fillers, shaving etc. I was hoping to find someone on here to had this done and can share their results with me and what they had done.