Pre Two-Jaw Surgery

Pre Two-Jaw Surgery

Pre Two-Jaw Surgery

What is Pre Two Jaw Surgery
Facial contouring surgery

Pre Two Jaw Surgery is a method of having surgery first and then orthodontics afterwards to shorten orthodontic treatment duration.
This surgery is suitable for people who need improvement as soon as possible, or who cannot have orthodontics before the surgery, because pre two jaw surgery is performed first and then orthodontics will be required unlike surgery from the past which required a year and a half of orthodontics.

Two jaw/ facial contouring surgery is Grand

Existing two jaw surgery
Grand’s Pre Two Jaw Surgery

2 years before
11 months

Orthodontics before surgery
∙ Long recovery period due to more than 2 weeks of
  intermaxillary fixation.
∙ No bone fixation.
∙ Treatment is impossible for lower jaw deficiency.
∙ Back of the jaw bone is overlapped, therefore,
  bone can be felt and overall face could look wider.

Orthodontics after Pre Two Jaw Surgery
∙ Recovery period is very short due to short
  intermaxillary fixation.
  (Whole treatment period is reduced)
∙ Almost no recurrence by complete fixation.
∙ Asymmetrical jaw and lower jaw deficiency can be
∙ Prevention of degenerate phenomenon of lantern
  jaw due to pre orthodontic.
∙ Excellent to enhance appearance.
∙ Surgery is possible on desired period.

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

Grand uses laser for Two Jaw Surgery
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 Pre Two Jaw Surgery?
Facial contouring surgery
Shortened treatment
Instant appearance
Surgery is possible
on desired period
Balanced, three
dimensional face
line with functional
+ aesthetical effect
Accurate facial
structure analysis
by 3D

Shortened recovery period
Surgery after orthodontics
Orthodontics after surgery

Instant appearance improvement
Lantern jaw will look severe during the period of orthodontics when wearing orthodontics before
surgery. However, Grand’s pre two jaw surgery performs surgery first, therefore, instantly
improves appearance.

Surgery is possible on desired period
Orthodontic period (a year and a half) before surgery is omitted which makes easy to decide to have surgery on desired period.

Increased functional + aesthetical effect
General two jaw surgery has one goal to treat; on the other hand, Grand introduces functional
treatment as well as aesthetical concept for optimum aesthetical effect, and you may expect your
face getting smaller since complex problems will be improved at once considering each individual’s
features and image.

Safe two jaw surgery by accurate diagnosis of facial structure with 3D
Two jaw surgery is a surgery to excise facial bone where various nerves and blood vessels are, therefore, experienced and skilled specialist.
Grand uses 3D to precisely diagnose face without touching nerves and sets priority to safely cut which
makes it possible for a high level surgery to be safe.

Thorough aftercare and recovery system
Grand is in process of aftercare system after two jaw surgery to lessen swelling and pain as well as to
shorten recovery period.

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 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 Pre Two Jaw Surgery?
Facial contouring surgery
Those whose
face is
Those who
have facial
Those who
improvement from
Those who
from existing
Those who
have severe
gummy smile
Those whose
center line of
upper jaw teeth
do not fit
Those who
have beautiful
eyes and nose
but not balanced
in general

After Pre Two 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.*