Lower Jaw Surgery

Lower Jaw Surgery

Lower Jaw Surgery

What is Lower Jaw Surgery?
Facial contouring surgery
Lower surgery makes deviated jaw and occlusion to a normal structure; it moves lower jaw to correct
occlusion unlike other two jaw surgery
Grand’s Lower Jaw Surgery naturally improves function of jaw as well as improves facial shape by correcting
lower jaw to upper jaw with orthodontic after jaw correction surgery.

Two Jaw Surgery / Facial Contouring Surgery is Grand.
Grand’s Lower Jaw Surgery creates naturally beautiful face by moving position of
lower jaw bone to an ideal position

Fully understanding surgical method
and ability to apply it according
to each individual’s condition and
problem is important.
Become safely beautiful with Grand’s
Lower Jaw Surgery by collaboration of
plastic surgery and oral surgery.

Aesthetic effect of plastic surgery + functional effect
of oral surgery = Grand’s Lower Jaw Surgery

Aesthetic effect
of plastic surgery
functional effect
of oral surgery

Grand tries to higher satisfaction for both functional and beauty for diagnose and
treatment of temporomandibular related disease by specialized surgeon before and
after lower jaw surgery.

Grand performs two jaw surgery using laser
Facial contouring operation can be done without heating damage and vibration to gently cut bone
using water and laser.
 01| Less damage to bone compared to cutting with saw. 
 02| Laser helps bone cells to regenerate to heal quickly. 
 03| Less damage and hemorrhage to blood vessel, and soft tissue. 
 04| Less hemorrhage. 
 05| Minimized danger of surgery process. 

Why Grand’s Lower Jaw Surgery?
Facial contouring surgery
Accurate facial
structure analysis
and result prediction
by 3D CT scan
Accurate excision
with delicate and
appropriate ratio
Both functional
and aesthetical
effect improvement
three dimensional
face line
Thorough after
care and
recovery system

Well matching lower and upper jaw
Grand just moves lower jaw to accurately match lower and upper part and minimizes feeling of
lower jaw getting wide after the surgery and connects jaw line naturally from the back to give
slimmer effect as well.

Accurate Excision
Grand’s Lower Jaw Surgery is a surgery to excise facial bone where various nerves and blood
vessels are, therefore, surgery should be operated by an experienced and expert surgeon.

Functional effect of oral surgery and aesthetic effect of plastic surgery
Grand performs surgery considering aesthetically harmonious overall face by solving functional
problems such as food masticatory function disturbance and temporomandibular pain

Completion of three dimensional balanced face
The surgery is performed by considering overall face as a one face line and trims,
therefore the result is prominent and satisfaction is high.
Completion of higher looking nose and three dimensional face line is possible by not just
correcting mouth and jaw to the mouth but also changing overall facial structure.

Thorough after care and recovery system
Grand tries to minimize daily life discomfort and shorten recovery period by thorough
after care system to reduce swelling and apin after lower jaw surgery.

Realizing beautiful face line by accurate measurement 3D CT scan.
Scientific analyzation as well as shortening recovery time by minimizing operation time is possible due to diagnosis complications (paresthesia due to nerve damage, excessive bleeding during the surgery due to abnormal anatomical structure, definite diagnosis to check if free airway is difficult during general anesthesia, prediction of free airway after the surgery) in advance.

It is difficult for an accurate diagnosis with existing 2D (panorama, X-ray) system due to an error by showing three dimensional face to flatways.

‘Scientific Diagnosis’ and ‘Complex Therapy’ influence surgery result.
Accurate analysis
through 3D CT

Grand’s Lower Jaw Surgery Method
Facial contouring surgery
Two Jaw revision surgery makes incision inside the mouth and there are two different methods for osteotomy which are SSRO (Sagittal Split Ramus Osteotomy) and IVRO (Intraoral Vertical Ramus Osteotomy).
IVRO is used for lantern jaw and does not strain temporomadibular joint which is more advantageous for people with temporomandibular joint disability.
SSRO is more popular and reduces burden of intermaxillary fixation and physical treatment due to advantageous of initial stability.

 · Advantage

· Stable healing is possible due to wide contact
surface between bone.
· Jaw wired shut period is shorter.
· Early function of lower jaw bone is possible.
· Only SSRO is possible for short chin correction.
· Shape of chin bone can be created in the beginning.

 · Disadvantage

· Complete fixation can strain temporomandibular
· Possibility of nerve damage due to separating
  lower jaw bone where nerves are, into two pins.
· Operation hour is longer than IVRO.
· Full recovery of lower jaw could be slower than IVRO.

 · Advantage

· No strain on joint with no wire,
  temporomandibular area can be freely located therefore
  temporomandibular disease and illness can be reduced.
· Surgery is performed at the back where nerves are on
  lower jaw, which greatly reduces possibility
  of nerve damage.
· Fast recovery is possible due to shorter operation hour
  compared to SSRO.
· Initial physical treatment period is required, however, full
  functional recovery of lower jaw is faster than
  SSRO due to no strain on temporomandibular joint.
· Screw on surgical area is not visible on radiation photo.

 · Disadvantage

· As the jaw boned are not fixed together, the mouth
  needs to be tied together in order to stabilize the lower
· In the early stages, the overlapped bone at the back
  of the jaw may be felt with touch.
· This method is difficult to apply for partients with small

Grand’s medical professionals collaborative system
Facial contouring surgery

Grand’s two jaw surgery / facial contouring surgery offers 1:1 customer care
with comfortable treatment and postoperative care by systematically accurate collaborative
system and composition of medical professionals
GRAND Two Jaw/ Facial Contouring Collaborative System
 Plastic Surgery
 Oral Surgery
 Team of Anesthesiologist
 for Facial Contouring Surgery

 Post surgery treatment
 under exclusive supervision
Surgery plan, treatment and aftercare system by two jaw/ facial contouring surgery specialist
Collaborative system for two jaw surgery, protruding mouth surgery and orthognathic surgery
Pre, post operative care and pre, post check up for general anesthesia for patients with high blood pressure, diabetes and angina
Complex therapy system for safe surgery result through close preliminary measurement and internal check up before the surgery
‘Post Surgery Exclusive Supervision System’ from two jaw/ facial contouring surgery medical staffs
Emergency ManagementIntersive Care UnitCertified AnesthesiologistsDisinfectant System

Uninterruptible Power Supply(UPS)
in case of local black out
Defibrillator that controls heartbeat
Emergency cart to prepare
for emergency
We have equipment and skills to react
swiftly and accurately on emergency
situation that might happen during
two jaw / facial contouring surgery.

Prepare for any emergency
that could happen with
intensively managed care

meticulously checks each
patient’s heart beat and
breathing condition

Established with thorough
disinfectant system with
most advanced various
sterilizer and sterilant
for safe and clean surgery
and treatment.

Who need Lower Jaw Surgery?
Facial contouring surgery
Those who have
lantern jaw without
facial asymmetry
Those who have
long jaw without
facial asymmetry
Those who have
wide lower jaw
without facial
Those who have
ower jaw

After Lower Jaw Surgery?
Facial contouring surgery

1day after surgery
∙ Drainage inside the mouth will be maintained until the
  second day of surgery
∙ Taking thin rice gruel & watery porridge & juice is possible
  though intake of regular food would be uncomfortable due to
  swelling, wound and drainage inside the mouth
∙ Continously apply ice pack in the hospital

3day after surgery
∙ Discharge from a hospital after taking after surgery
  3D CT scan
∙ Wear wafer & Taking regular food is possible as
  jaw bone is not fixed

5-6days after surgery
∙ Change to warm pack and taking regular food such
  as porridge, steamed egg, tofu except solid food

2day after surgery
∙ Removal of drainage inside the mouth/ check up of
  wound inside the mouth and teeth condition
  by oral surgeon
∙ Usage of ice pack and taking soft food to not strain
  jaw is possible

4days after surgery
∙ Continuous using ice pack is required due to facial
  jaw and cheekbone surgery

7days after surgery
∙ Gargle to care wound inside mouth alike facial
  contouring surgery
∙ Moderate exercise (light walking) is recommended to
  help reduce swelling
∙ May return back to work after one week, though
  there will be some swelling

 After care is also important after Two Jaw Surgery! 

It is advised to use ice pack right after the surgery until swelling goes down.
Fasting for a day after the surgery and taking soft food (thin rice gruel, juice, milk and drinkable liquid food) is recommended.
Taking normal food is possible 2 weeks after the surgery, however, cut side dishes into pieces and eat solid food 4 weeks after the surgery.
Wear compression band for 3-4 days after the surgery and avoid bending head down or lying on the stomach. Sleeping with 2-3 pillows under the head will help with subsiding pain.
Gargle to keep clean inside the mouth after taking meal in order to prevent inflammation and infection inside the mouth.
Smoking and drinking will slow down healing wound. If unavoidable, they are possible 3-4 weeks after the surgery.
Going through heavy shock should be avoided.
Swelling after the surgery occurs to everybody, it differs depending on each individual’s constitution.

* Side effects such as bleeding, inflammation, infection, etc. can be experienced after surgery and consult with your doctor as individual results may vary.*