Orthognathic Surgery — Before & After

Surgical repositioning of the upper and lower jaws to correct skeletal discrepancies.

What is orthognathic surgery?

Surgical repositioning of the upper and lower jaws to correct skeletal discrepancies.

Also known as jaw surgery, double jaw surgery, bsso, le fort.

Orthognathic Surgery by topic

Information pages — cost, recovery, surgeons, and more

Orthognathic Surgery by recovery timeline

How the result evolves over time

Orthognathic Surgery by demographic

Age and gender breakdowns of common candidates

Orthognathic Surgery by ethnicity

Anatomical and aesthetic considerations across patient backgrounds

Orthognathic Surgery by outcome reality

Range of results — from natural to cautionary

Orthognathic Surgery by where it's performed

Regional approaches and aesthetic preferences

Frequently asked

How much does jaw surgery cost?

Single-jaw $20,000–$40,000. Double-jaw $40,000–$70,000. Functional cases often partially insurance-covered. Pre/post orthodontics adds $5,000–$10,000.

Will insurance cover orthognathic surgery?

When the case is functional — documented Class II/III malocclusion, severe sleep apnea responsive to MMA, severe TMJ — major insurers often cover. Pre-auth requires cephalometric analysis, ortho records, and (for sleep cases) sleep studies. Cosmetic-only cases are not covered.

How long is orthognathic surgery recovery?

1–3 day hospital stay. Liquid diet 2 weeks → soft 4–6 weeks → solid 6–8 weeks. Most return to desk work week 3–4. Final result and bite stability at 6–12 months. Numbness persists for months.

Will my face change after jaw surgery?

Significantly — that's the point. Profile, smile, chin projection, and lip position all change. Many patients also see improvements in breathing and chewing function. Cephalometric simulation pre-op should give you a realistic preview.

Is jaw surgery safer than it used to be?

Yes — modern rigid plate fixation eliminates jaw wiring (intermaxillary fixation) for most cases. Recovery is dramatically less restrictive than the wired-jaw image still associated with the procedure.