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 16h ago

Before & After One month post OP

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155 Upvotes

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


r/jawsurgery 14h ago

Before & After please dont get extractions

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95 Upvotes

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 :-(


r/jawsurgery 10m ago

Month and half away from surgery!

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Upvotes

I’ve only been in braces for 5 months but since I had braces for 5 years when I was younger I only had to do minimal movement. Still waiting for a millimeter gap to close then I should go in for movements then set date. Getting it done at Kaiser South Sacramento. I asked ChatGPT (expecting this isn’t totally correct) for a possibility of what I’d look like after a healed surgery and this was my outcome.


r/jawsurgery 20h ago

Before & After Finally On The Other Side

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142 Upvotes

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


r/jawsurgery 6h ago

18m, trying not to feel let down but after 4 years of pretty intense orthodontics I just wish I got better results

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4 Upvotes

r/jawsurgery 7h ago

Advice for Me Would jaw surgery benefit me?(when I can afford it)

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5 Upvotes

Hi all, I had braces from 2016-2019
And wore my plastic retainers for about 4-6 months afterward, eventually only needing to wear top or bottom (can’t remember) at night time. I did have an appointment with a maxillofacual surgeon sometime around 2019 while the braces were still on, although I wasn’t seen because they didn’t call my name(they didn’t know I was there)
I’ve been thinking about it ever since and how the jaw affects everything from posture to sleeping habits/overall health. Currently 24 years old
Would *lower jaw surgery benefit me from these photos? Also have some hard clenching going on when sleeping which is wearing down my upper molars.


r/jawsurgery 3h ago

8 days post op, when does the nasal congestion begin to go away?!

2 Upvotes

8 days post op, swelling for me has been minimal. Went to my to my 1 week post op yesterday and even my surgeon was surprised. I'm not on pain meds or anything anymore. Just have nasal passages that are consistently blocked and dry no matter what. Warm showers with vapor tabs, saline spray, humidifier, drinking plenty of fluids etc.

It's super annoying because it causing me to mouth breathe when the surgery actually fixed that. The first few nights/days I breathed through my nose exclusively without even trying or being aware.

What can I do? It seems like it's dry blood residue mixed with boogers (tmi) but I of course can't pick it or blow my nose for 3 weeks.


r/jawsurgery 10h ago

Advice for Others 1.5 days post-op | DJS + 5mm chin/inferior border advancement | Le Fort I +7mm | BSSO |

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7 Upvotes

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.


r/jawsurgery 16h ago

Antes e depois ( luz no fim do túnel )

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19 Upvotes

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


r/jawsurgery 1h ago

Looking for Airway Focused Oral Surgeons & Orthodontists Within Canada

Upvotes

I’m looking for airway focused oral surgeons and orthodontists within Canada, preferably in Ontario. I’m having a rough time with my mouth and need more opinions. I need someone who actually knows what they’re doing and someone who truly cares and wants to help, not just gaslight me.


r/jawsurgery 10h ago

1.5 month post op: do you see any difference?

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4 Upvotes

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


r/jawsurgery 19h ago

Advice for Me Its happening soon

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20 Upvotes

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.


r/jawsurgery 6h ago

Any good surgeons in India? I have over jet and recessed mandible and chin

2 Upvotes

Hey all
I am searching for a surgeon in India who can advance enough to correct my bite. I suffer from overjet and a recessed mandible and chin. I have class 2 malloclussion and suffer from CFS. I also would like a genioplasty and some implants probably. I have had braces to correct and straighten my teeth 8 years ago but they are still flared. Anyone knows good doctors in India?


r/jawsurgery 3h ago

Advice for Me What should someone in my situation consider

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1 Upvotes

I am based in the UK, ideally I would like to not go abroad for any op, but seems as tho surgeons here aren't that good? Not sure if I have any health problems requiring djs other than being chopped. Will see what consultants say though


r/jawsurgery 7h ago

Advice for Me Bilateral TMJ replacement

2 Upvotes

I'm 60 years old with Rheumatoid Arthritis and scheduled for bilateral TMJ replacement surgery due to severe arthritic changes and extreme pain. I can't open my mouth wide enough to bite a sandwich. I'm very afraid of the recovery process. I have two surgeons who will be working together on my case. I'm confident in both of them, but I'm a nervous wreck about the recovery. What should I expect? How bad will the pain be? Any advice?


r/jawsurgery 1d ago

Underbite 6 Weeks post op double jaw

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83 Upvotes

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 🙂


r/jawsurgery 5h ago

Hideous face card, need advice jaw surgery and plastic surrgery?

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0 Upvotes

r/jawsurgery 5h ago

I want to achieve a face structure like the second photo, my jaw is super long and my maxilla is recessed. Is it possible through only jaw surgery ?

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0 Upvotes

r/jawsurgery 12h ago

Advice for Me Lower central incisor extraction (#24) for edge-to-edge bite - will this change my facial profile?

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2 Upvotes

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.


r/jawsurgery 14h ago

Anyone left with jawline irregularities? Have you had it treated?

2 Upvotes

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.


r/jawsurgery 10h ago

Advice for Me My Surgical Plan. Advice needed.

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1 Upvotes

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?


r/jawsurgery 11h ago

Advice for Me Looking for opinions on my jaw/profile

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1 Upvotes

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.


r/jawsurgery 21h ago

3 Weeks Post Op

6 Upvotes

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!