Three-Jaw Surgery

Three-Jaw Surgery

Three-Jaw Surgery

What is Three Jaw Surgery?
Facial contouring surgery
Protruding mouth and weak chin not only affects aesthetical effect, but causes functional problem due to abnormal oral structure if the case is severe.
Grand’s Three Jaw Surgery corrects both protruding mouth and weak chin at the same time that are hard to fix with orthodontic or general protruding mouth surgery to maximize both functional and aesthetical effect.

Protruding Mouth and Weak Chin Self Diagnosis

Self diagnose for protruding mouth
Lips are always opened without being aware of it.
Nasolabial folds are visible on the sides of the nose.
Gum is exposed too much when smiling.
Lips look thick.
Wrinkles are created at the end of the chin and lips
and chin area looks unnatural when mouth is closed.
Nose looks lower than actual height or chin
looks smaller.

Self diagnose for weak chin
Chin is small and short.
Deep wrinkle around and shaded.
Upper lip looks protruded.
Pain or sound on temporomandibualr which get worse.
Line between chin and neck is not clear.
Chin looks receding.

'Facial contouring surgery is Grand'
Correction is not easy in case of severe protruding mouth and weak chin.
It is important to have it done from experienced professional since the surgery requires high degree of skill.
Protruding mouth? Weak Chin? Orthodontics or surgery?
Comparing treatments

Division Three
Jaw Surgery
Orthodontics Protruding
Mouth Surgery
Two Jaw Surgery
treatment duration
Short (10 months) Long
(more than 2 years)
6 months 10 months
Odontectomy Necessary Necessary Necessary Not necessary
Tooth movement Not necessary Necessary Not necessary Not necessary
Effect confirm Fast
(right after surgery)
(after orthodontics is done)
(right after surgery)
(right after surgery)
Face correction Possible Not possible Not necessary Possible
Recovery period 2 weeks Not possible 1 week 2 week

Grand performs Three 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 Three 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

Protrduing mouth and weak chin diagnose with 3D CT
Surgery should be performed based on accurate diagnose since the surgery invovles excising
face bone where a lot of nerves and blood vessels are, when protruding mouth and weak chin
is severe l. Grand’s experienced expert performs surgery by accurately diagnosing thickness
of bone, length, and position of nerves by 3D CT

High tech excision which guarantees satisfactory result
Advanced surgery is safely performed by safely excising upper jaw, lower jaw and end of the
chin without damaging nerves based on accurately analyzed face structure information by 3D CT.

Functional effect of oral surgery and aesthetic effect of plastic surgery
Surgery is performed by considering aesthetic effect of everall facial balance by plastic
surgery specialist and solves functional problem such as food masticatory function disturbance and
temporomandibular pain due to maloclussion regarding protruding mouth and jaw corretion surgery.

Transformation from protruding mouth and weak chin to a three dimensional face
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 Three Jaw Surgery Method
Facial contouring surgery

This surgery is based on accurate anlysis of facial structure by 3D CT scan and result of surgical operation simulation by anterior segmental osteotomy which pushes gum bone and teeth after tooth extraction and two jaw surgery which fixes both upper and lower jaw at the same time, and this surgery is performed for severe protruding mouth and weak chin cases.

Decide resection site
of upper and lower
jaw by 3D CT scan
Fracture upper, lower jaw
and end of the chin
Move fractured area and
excise gum bone
Fix fratured bone

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 Three Jaw Surgery?
Facial contouring surgery
Those who have
complex protruding
mouth with severe
weak chin
Those who have
both lower jaw
deficiency and
protruding mouth
Those who cannot
have orthodontics
due to bad gum
condition with
protruding mouth

After Three 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.*