GRAND PLASTIC SURGERY
Two Jaw
Surgery
Two Jaw Surgery
Long Face
Prognathism (underbite)
Receding Chin
Facial Asymmetry
Functional Problem Improvement Along With a Beautiful Facial Shape!
What makes Grand
Two Jaw Surgery so special?
Case-specific Surgery Planning
Grand’s Two jaw Solution by Types
Jaw Correction by upper jaw (maxilla) and lower jaw (mandible) osteotomy
Two Jaw Surgery
Surgery duration3~4 hours
Types of anesthesiaGeneral anesthesia
Hospitalization2 days
Stitch removalAfter 2 weeks
After the surgery
Two jaw surgery is a corrective surgery done by fracturing upper and lower jaw in case of prognathism, protruding mouth, and asymmetrical face for functional improvement and asymmetry correction to achieve beautiful facial shape when the location or function of jaw is abnormal.
SSRO
Sagittal Split Ramus Osteotomy fractures lower jaw close to the gum for retrusion.
Advantages
- Stable recovery due to wide contact surface between the bone
- Shorter fixation period by complete fixation
- Only SSRO can be done in case of weak chin correction
Disadvantages
- Temporomandibular joint can be strained due to the complete fixation.
- Risk of nerve damage as the surgery is done by dividing the area into two plates where the lower jaw nerve exists.
- Longer operation time compared to IVRO.
IVRO
Intraoral Vertical Osteotomy excises a region close to temporomandibular joint for retrusion.
Advantages
- Less strain on the temporomandibular joint as the fracture region is not fixed after surgery, making the temporomandibular joint to be freely located.
- Surgery is performed at the back part avoiding the area where the nerve enters.
- Shorter operation time compared to SSRO.
- Faster recovery of the function on the lower jaw compared to SSRO.
- Invisible surgical site and fixation screws on radiographs.
Disadvantages
- Mouth needs to be fixed for 2 weeks for stability of lower jaw.
- The area where the bone overlaps to the back of a jaw bone can be felt shorlty after surgery for a while.
- Not suitable for weak chin correction.
Two Jaw Surgery is suitable for those
- Who has an abnormally long face
- Who cannot achieve structure improvement by having protruding mouth correction alone
- Who has facial asymmetry
- Who has a gummy smile
- Who has prognathism with malocclusion
- Who has beautiful eyes and nose, but seems unharmonious due to facial shape
- Who‘s centerline of upper jaw teeth is off-balanced
Finds a vertical, horizontal balance to match the overall face balance
Two Jaw Surgery for Long Face
Surgery duration3~4 hours
Types of anesthesiaGeneral anesthesia
Hospitalization1 days
Stitch removal2 weeks
After the surgery
A long chin correction can improve facial shape when the chin is simply long, however, when the occlusion doesn't match and the chin is protruded due to growth abnormality of the whole chin bone, Two Jaw Surgery is required.
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STEP 01
Shortening the vertical length of maxillary is done along with correction of occlusion.
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STEP 02
Fix removed region for the adhesion of fractured side.
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STEP 03
If necessary, facial length can be effectively reduced when long chin correction is combined.
Long Face Correction is suitable for those
- Who has a long lower face and long chin with a gummy smile
- Who has facial asymmetry accompanied by prognathism
- Whose lower jaw is developed which causes the mid-face to seem sunken
- Who has a long chin, that is also wide and big in general
Improves malocclusion and unattractive impression caused by protruding lower jaw
Two Jaw Surgery for Prognathism
Surgery duration3~4 hours
Types of anesthesiaGeneral anesthesia
Hospitalization2 days
Stitch removalAfter 2 weeks
After the surgery
When lower jaw or mouth protrudes forward and when the face is long, upper teeth and lower teeth do not occlude well which could give a blunt and angry impression. Also, as malocclusion could cause indigestion, the improvement may be required.
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CASE 01
Average face with prognathism
The surgical method by moving the lower jaw backward is used, as well as a method that will be less influential on the temporomandibular joint and protects the lower jaw nerve, will be used.
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CASE 02
Short face with prognathism
In such cases where, the lower jaw is bigger than the upper jaw, it makes the upper jaw look smaller and receded. Therefore, the upper jaw needs to be moved forward and the lower jaw needs to be moved backward.
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CASE 03
Long face with prognathism
As the lower jaw and the upper jaw are long and protruding, the upper jaw needs to be moved upward and the lower jaw needs to be moved backward in accordance with the upper jaw for the correction of a lantern jaw.
Lower Jaw Correction is for those
- Whose lower teeth are more protruded than upper teeth
- Who has dented area around the nose which makes the mid-face look sunken
- Who lisps when talking due to malocclusion
Transforms flat face shape into face with volume
Two Jaw Surgery for Receding Chin
Surgery duration3~4 hours
Types of anesthesiaGeneral anesthesia
Hospitalization2 days
Stitch removal2 weeks
After the surgery
Receding chin can be the cause of imbalanced facial contour or a prominent double chin. Also, it could be the cause of protruding mouth. In case of standard degree of weak chin, implant insertion or advanced genioplasty can improve the facial shape. However, when the length of the face is extremely short or long, Two Jaw Surgery may be required.
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CASE 01
Short Face Receding Chin (Receding Lower Jaw Surgery)
A method of cutting back part of the chin bone and moving forward to fix. The contact surface is wide in between bone which makes fixation simple. Receding chin will be corrected and a normal shaped chin can be achieved.
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CASE 02
Long Face Receding Chin (Two Jaw Surgery for Receding Chin)
In case of having a long face with receding chin, upper jaw will be cut and minimized and the length of the face will be shortened by moving the lower jaw region additionally for receding chin correction.
Receding Chin Correction is suitable for those
- Who has a small or receding chin
- Who suffer from micrognathia with a severely receding chin
- Who has difficulty in improving a symptom of receding chin by an implant insertion or advanced genioplasty
Improves facial balance by correcting asymmetry
Two Jaw Surgery for Asymmetrical Face
Surgery duration3~4 hours
Types of anesthesiaGeneral anesthesia
Hospitalization2 days
Stitch removal2 weeks
After the surgery
Everyone has slight asymmetry, however the correction is required if the condition is severe that causes temporomandibular joint pain as well as dysmasesis which makes chewing difficult.
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CASE 01
Lower jaw asymmetry
If the symptom of asymmetry is minor, then lower jaw surgery which would move the lower jaw to the center can be performed for asymmetry correction.
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CASE 02
Two jaw asymmetry
If there is a problem with the upper jaw angle, then the correction surgery to cut the upper jaw vertically to match the angle could be required. Depending on the correction degree of upper jaw angle, lower jaw will be moved to the center.
Asymmetrical Face Correction is suitable for those
- Who has facial asymmetry with crooked axis
- Who has malocclusion with crooked facial axis
- Who has long face with underbite and crooked axis
- Who has protruding mouth or receding chin with crooked facial axis
Grand Plastic Surgery
Safe Two Jaw Surgery System
- Precise Pre-Op Diagnosis through 3D CT
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Precise surgery plan is set by implementing 3D CT to grasp and analyze the structure of the face in three dimensions. Also, safety is reinforced by diagnosing nerve damage, excessive bleeding, and free airway in advance.
- Safety Reinforcement With Collaboration Of Each Filed Of Medical Specialists
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Patient's safety is reinforced during two jaw surgery by up to date medical devices with collaboration of plastic surgeons, anesthesiologists, physicians and dermatologists.
Systematic cooperation between medical specialists
Up to date medical facilities
‘Better Together’
Grand Two Jaw Surgery Facial Contouring Packages
Completed system with the latest
medical equipments
GRAND offers the most
advanced techniques
CCTV Observation System
The guardians who have agreed in advance can observe the entire operation process in real time at CCTV observation room.
Stationed Anesthesiologists
Anesthesiologists who were former university professor is present during the surgery and real-time monitoring system is equipped to check all possible situation during general anesthesia.
Surgery real-name system
All the medical staffs at Grand Plastic Surgery are conscientious. Patient's surgeon will be in charge of the entire process from consultation to surgery and post-operative care to prevent damage from ghost surgery and substitute surgeon.
Emergency system fully equipped
Grand Plastic Surgery operating rooms are fully equipped with a University hospital-level safety system, including a cardiac defibrillator for emergencies, an emergency kit, and a UPS self-generating power system in case of a power outage.
Air circulator installed
Air circulator that can supply clean air, elimination of dust and germs, is fully equipped in OR to prevent infection.
Management of medical tools
All medical tools that can be easily contaminated are thoroughly sanitized and sterilized for prevention of infection.
Management of laundry
Professional laundry services are used for patient gowns, scrubs, OP drapes, etc. to aim the sanitized laundry through strict monitoring of infection or inflammation.
Management of inpatient rooms
Comfortable inpatient rooms are available to ease the whole surgery process of foreign patients. Professional, detailed care services are offered during their stay.
Collaboration of specialists in various fields for professional, high-quality customized solution for each patient
Grand Plastic Surgery has a systematic care system consisted of various specialists such as plastic surgeon, dermatologist, oral & maxillofacial surgeon, and anesthesiologist.
Improvement in patient’s appearance in most ideal, beautiful way is possible as 1:1 customized surgery is planed through detailed examination.
No. 1 in Plastic Surgery - Brand Award
2019 Medical Korea Awards
- Grand Prize in Plastic Surgery
No. 1 in Anti-Aging Plastic Surgery
Sponsored by Russian Ministry of Health
Healthy Life Forum: Towards 80+
Invited Speaker Speech Rhee Sewhan, M.D.
No. 1 in Anti-Aging Brand Awards
2018 KCAI (Korean Consumer Appraisal Index)
- Grand Prize in Anti-Aging Surgery
Giving & Sharing - Social Contribution Activity
Mongolian Red Cross Appreciation Plaque
Surgery and treatment volunteer for
disadvantaged group
Please follow the instructions for
the best results of the surgery!
Before and after
surgery guide
- Before surgery
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- 1On the day of surgery, it’s recommended to dress comfortably and to bring a hat, sunglasses, glasses, scarves, etc.
- 2If you are taking any medication, please tell your doctor in advance. You have to stop taking your medication from 7 to 10 days before the surgery. (Aspirin, painkillers, etc.)
- 3If you have symptoms of cold and flu, high fever, severe phlegm or cough, it is recommended to postpone the surgery.
- 4Please stop smoking and drinking three days before the surgery.
- 5Please do not eat or drink anything from 6 hours before the operation.(Including candy, gum, beverage, coffee, water)
- 6Driving immediately after surgery is dangerous, so please use public transportation or come with your guardian.
- After surgery
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- 1Fast for a day after surgery and eat soft food (liquid food such as thin rice gruel, juice, milk) for 7 days.
- 2Wear compression garment on the face for 3-4 days after surgery.
- 3Maintain oral hygiene by gargling after every meal to prevent inflammation or infection.
- 4Be aware of the strong impact during the recovery.
- 5Avoid laying face down while sleeping and keep head 20-30 degrees higher than heart by having 2-3 pillows under the head to help with swelling and pain relief.
- 6You may experience most swelling up to 48 hours after surgery. Use an ice pack for 3 days and a warm pack from the 4th day.
- 7Avoid drinking and smoking for faster recovery. If unavoidable, they can be done 3-4 weeks after surgery.
- 8Avoid going to the sauna or hot spring for 3 weeks after surgery.
Postoperative swelling and bruising may vary depending on the individual's constitution
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