KOREA 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?

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 duration

3~4 hours

Types of anesthesia

General Anesthesia

Hospitalization

2 days

Stitch removal

After 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 has facial asymmetry
Who has prognathism with malocclusion
Who‘s centerline of upper jaw teeth is off-balanced
Who cannot achieve structure improvement by having protruding mouth correction alone
Who has a gummy smile
Who has beautiful eyes and nose, but seems unharmonious due to facial shape
Finds a vertical, horizontal balance to match the overall face balance

Two Jaw Surgery for Long Face

Surgery duration

3~4 hours

Types of anesthesia

General anesthesia

Hospitalization

1 days

Stitch removal

2 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.

STEP 01

Shortening the vertical length of maxillary is done along with correction of occlusion.

STEP 02

Fix removed region for the adhesion of fractured side.

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
Whose lower jaw is developed which causes the mid-face to seem sunken
Who has facial asymmetry accompanied by prognathism
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 duration

3~4 hours

Types of anesthesia

General anesthesia

Hospitalization

2 days

Stitch removal

After 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.

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.

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.

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 lisps when talking due to malocclusion
Who has dented area around the nose which makes the mid-face look sunken
Transforms flat face shape into face with volume

Two Jaw Surgery for Receding Chin

Surgery duration

3~4 hours

Types of anesthesia

General anesthesia

Hospitalization

2 days

Stitch removal

2 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.

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.

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 has difficulty in improving a symptom of receding chin by an implant insertion or advanced genioplasty
Who suffer from micrognathia with a severely receding chin
Transforms flat face shape into face with volume

Two Jaw Surgery for Asymmetrical Face

Surgery duration

3~4 hours

Types of anesthesia

General anesthesia

Hospitalization

2 days

Stitch removal

2 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.

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.

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 long face with underbite and crooked axis
Who suffer from micrognathia with a severely receding chin
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
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
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

BEFORE & AFTER

Move your fingers side to side
‘Better Together’

Grand Two Jaw Surgery Facial Contouring Packages

PACKAGE 01

Uneven,
angular-face

Completed system with the latest medical equipments

GRAND offers the most advanced techniques

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

    2019 Medical Korea Awards - Grand Prize in Plastic Surgery
    2019 Medical Korea Awards
  • No. 1 in Anti-Aging Plastic Surgery

    2019 Healthy Life Forum

    Sponsored by Russian Ministry of Health
    Healthy Life Forum: Towards 80+
    Invited Speaker Speech Rhee Sewhan, M.D.

    2019 Healthy Life Forum
  • No. 1 in Anti-Aging Brand Awards

    2018 KCAI

    2018 KCAI (Korean Consumer Appraisal Index)
    - Grand Prize in Anti-Aging Surgery

    2018 KCAI
  • Giving & Sharing - Social Contribution Activity

    2016 Mongolian Red Cross

    Mongolian Red Cross Appreciation Plaque
    Surgery and treatment volunteer for
    disadvantaged group

    2016 Mongolian Red Cross
Please follow the instructions for
the best results of the surgery!

Before and after
surgery guide

Before surgery
1

On the day of surgery, it’s recommended to dress comfortably and to bring a hat, sunglasses, glasses, scarves, etc.

2

If 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.)

3

If you have symptoms of cold and flu, high fever, severe phlegm or cough, it is recommended to postpone the surgery.

4

Please stop smoking and drinking three days before the surgery.

5

For smooth anesthesia process, please fast for 8 hours before the surgery. (Including candy, gum, and any kind of beverages)

6

Driving immediately after surgery is dangerous, so please use public transportation or come with your guardian.

7

If you take blood pressure medication, please take the medication with only a small amount of water at 7 a.m on the day of the surgery.

1

Enough rest and vitamin C intake after the surgery will promote collagen to regenerate for faster recovery.

2

Please avoid jogging, swimming, and acupunctural massage for up to six weeks after the surgery.

3

You need to sleep in the right position, not lying on sideways for four weeks after the surgery.

4

Do not bow your head or sleep on your face and use 2-3 fluffy pillows to elevate your head over 20-30 degrees higher than heart position – this helps with swelling and bruising minimization.

5

The swelling is at its maximum within 48 hours after the surgery. It’s good to use an ice pack for the first 7 days and start using a hot pack after that period.

6

Smoking and drinking are prohibited for fast recovery. It can be done starting from 3 – 4 weeks after surgery but only in inevitable situation.

7

Please avoid using the sauna for about 4 weeks after the surgery.

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