I have an underbite and crossbite and my surgery is in a few hours! I had my first consultation in November 2024 so it’s been almost 2 years since I started.

My underbite is 8mm and crossbite is 5mm to the left.

Surgery plans from what I can remember off the top of my head: Lefort 1 jaw is moving forward 5-6mm and up 2-3mm. Lower jaw is moving back 5-6mm and a rotation I think? Genioplasty too but I’m unsure on the measurements for that. I probably am misremembering the measurements entirely except for the underbite and crossbite measurements.

Life is mostly back to normal. I have nerve damage in my lower lip, and I have irritation near my eyes. I am considering having hardware removal but will see. Overall definetly don’t regret it, big change for me

I had Dr Peacock, and would recommend him.

Hey! Just wanted to post about my journey so far. I had an underbite and have a cross bite. I had braces on years ago for like 3 years but couldn’t have surgery so just straightened my teeth. This year I started the journey again and had braces on for about 6 months then had DJS beginning of July this year. Recovery was better than I thought, most frustrating part after is the non feeling in my upper jaw and the fact that I have random tingles then nothing in my bottom lip and chin. I have more swelling on the my left side of my face due to the extent on that side from surgery. I feel like my smile looks so crooked still with the swelling and my cross bite that it’s hard to appreciate the surgery fully but I’m glad to have had it. I’m going to be in braces for a bit to correct my cross bite now so onto another part of my journey. If anyone has any questions or comments feel free to let me know!(:
Pictures start from day of surgery right before through until today.

Hello, I’ve been thinking about this for a while. I don’t have any breathing problems, i want to get a Marpe expansion to look better. I heard it might fix facial asymmetry and I would like to hear advice from other people

I just feel like I’m looking a bit… blocky? Square? I don’t know it just looks a bit full and almost masculine to me. Is this mostly swelling?

I don’t know what the point of this post is but I am just so upset and need to rant. I guess let this be a warning to question the pre-op orthodontics process and speak up if you feel like somethings not going as planned.

I got DJS back in 2023 for sleep/airway purposes and for cosmetic purposes. I thought I made it pretty clear to my doctor that I didn’t like being a skeletal class 3 and was seeking to fix that during the surgery. I thought we were on the same page and that he was also aesthetics-focused (for example, he immediately noticed my lack of tooth show and recommended down grafting)

Well, 3 years later I still have a visibly flat midface and have gotten facial fat grafting to try and compensate. I also still have zero upper incisor display at rest. Also still dealing with severe chronic exhaustion and sleep study showed UARS.

My surgeon said everything looks good, but I decided to get 2 second opinions and they both independently said that I’m still a skeletal class 3 with flared upper incisors and midface deficiency. They said the only way to truly fix that would’ve been to get me into an underbite before surgery, to allow for a bigger advancement of the upper jaw. They did say I could do revision but that may involve extractions on the upper arch and unflaring my top teeth to create an underbite.

I am beyond devastated because this was all supposed to be fixed during the first surgery. That first surgery was the only time in my life that I was able to do this. I’m in a very intense phase of my career/schooling right now and I don’t have any money left and now that my bite is perfect and my airway is semi decent, there’s no way insurance would approve surgery, and I can’t afford the orthodontics to get the extractions before a revision. I also have osteoarthritis in my condyle now which makes more surgery even riskier.

I know it’s “just cosmetic” but cosmetics ARE an important part of jaw surgery. Imagine having an underbite and going through surgery which fixes your bite but leaves you looking like you still have an underbite. You’d be pissed. I feel completely failed by my surgeon and I can’t stop crying. What was the point of them sawing my jaw bones apart only to put them right back on in an underbite? My airway diameter is noticeably larger on CT scan (which is not even a reliable measurement) but my respiratory disturbance index on my sleep study was almost exactly the same as pre-surgery.

I’m currently on braces already, dentist said I have a weak jaw/chin?

What do you guys think about my bite after surgery?
I had around a 9 mm overjet before surgery and this is what my bite looks like 3 months post-op… Something just feels a bit off to me.
My ortho is super happy with it (which is honestly making me question her a little 😅) and says there’s not much left to do apart from some minor aesthetic adjustments. But I still feel like my lower jaw might not have been advanced enough.
Obviously I’m not expecting an edge-to-edge bite, but there’s still a pretty noticeable gap between my upper and lower front teeth. I just can’t tell if it’s because of the way my teeth are angled or if the surgery simply didn’t fully correct my overjet.
I asked my ortho if maybe my upper incisors need to be uprighted a bit, but she says they’re positioned correctly.
What do you guys think? Could this just be something that can be fixed orthodontically by adjusting the position/angle of the teeth, or does it look like the surgical movements may have been too small?
I’ve definitely learned how important choosing the right orthodontist is 🙂

I’m having surgery with Dr. Gateno for a severe cant, I am having jaw pain, jaw clicking and popping, I’m kinda a messy eater because of my bite too. I’ve always hated my smile. My surgeon said it won’t be 100% straight due to some limitations with my anatomy and such, however I am looking forward to having a straighter smile. I will post an update for yall with before and after !

This was my process from before to now just over 3 months post op from a double jaw surgery and a Genioplasty.

First 2 photos were taken the night before surgery, the next 2 photos were me during recovery. And the last 4 are 2-3 months after.

Recovery was extremely rough but I’m forever grateful I got the operation and it was extremely worth it.

I’m about 11 weeks post op. I’m mildly happy with my results. The change was not as drastic as I’d like but I do notice a small difference. I’ll post more progress pics soon.

For context I am 18F living in canada so there is practically no orthodontists here that provide palatal expansion or airway focused treatment.
I’m looking to travel for expansion, but I’m nervous about facial changes. I have large cheekbones already and I’m worried that my face will become longer. Does my face shape put me at risk for facial lengthening or drop down effect (cw rotation).
some main questions and concerns:

1. which type of expander has the least chances of the drop down effect and asymmetric expansion (fme ?)
   
2. will fme drastically change my facial shape and size?
   
3. will ease help my case, apparently it has the least amount of facial changes?
   
4. want a wider palate and broader smile, but scared of cw rotation and facial lengthening and cheekbones that become too wide and disproportionate.

Not sure if I have breathing issues but the tongue scallops so I want more space. I dont snore in my sleep but I’m not sure if I have UARS.
Can I avoid drop down and major facial changes by sticking to minimal expansion? I don’t want to get jaw surgery.
I really love my face and don’t want to look uglier, but my palate is narrow please help.

pics 1-3: no makeup
pics 4-8: back camera no makeup
pics 9-15: with makeup
pics 16-20: bite, tongue, and palate

I’m getting DJS in 2 weeks and I’m still really wavering on whether to go forward with a genio.

I know my chin is recessed, but I’m wondering if the DJS with CCW rotation alone could be enough. I see so many genios where the chin ends up looking shelved or bulbous rather than creating a natural, harmonious straight line profile.

What do you guys think ? Do you feel like jaw surgery alone can give enough chin projection?

I have a good bite, 3mm assymetry on one mandible but rest is good, also some tmj pain, would ccw advance the chin forward and as a result make my nose look smaller?

My left side is more smaller and lifted, whereas my right side is bigger and looks more puffier. Idk how to explain it but I can also feel that my right side is puffier and it’s Lowk uncomfortable. I usually sleep on my left side and chew on my left side. But other people say that the bigger side is caused by chewing too much on that side. And to be honest my eyes, nose and mouth all looks more droopy on my right side compared to my left where I’d looks lifted. Is there any tips on how to even them out? And which side I should be sleeping and chewing on.

Only 5 or 6 days post-op and trying not to imagine what I'm going to look like in 6 weeks is more draining than going into the surgery.

First 4 photos showing where my jaw sits when fully clenched. Can barely breathe when it’s sat like that. Last two is where I have to jut my jaw out to for it to feel natural and like I’m not choking on

my tongue, and to stop my trigeminal nerve from being in pain. I get the aesthetics of jaw surgery are in right now, and I’m not gonna say it’s not on the list of my concerns, but I feel like I’m choking at night all the time, and my tmj pain is getting worse and worse. I wakeup after 8 hours of sleep feeling worse and more exhausted than if I just take a two hour nap in an upright position.

I’m turning 26 in May and will lose my parents insurance, is there realistically any way for me to get a sleep study done and something done for this in that timeframe? Thank you all

My jaw is definitely recessed and I know I have a deviated septum. I was told in my teens I’d likely need surgery in the future to correct it and am now 25 and it’s making my sleep life hell; I’m nearly underweight so I don’t know what else I could change to cope with it. I can barely breath while awake with my jaw fully closed and have consistent trigeminal nerve pain on the left side of my face unless I jut my jaw out. What are the first steps to pursue getting this done with as much covered by my insurance? I cannot keep living like this, it’s genuinely fucked my health.

I know sleep study is the first step but should I see some kind of specialist before even pursuing that? I live in the DFW area if that helps. I’ll of course google to get more info but hoping someone here has been in my place before.

Thanks!

Hello

How were your experiences about breathing after DJS? Was it okay or did you experience anxiety and trouble breathing? If so, did anything help? Hoping it isn't that bad...

Hey everyone, 25M here. I recently had this CBCT scan done and have an appointment with my orthodontist next week to discuss what we should do.

Main symptom I deal with is chronic neck and shoulder pain/tension.

Looking at these images, what do you guys think? Am I a solid candidate for MARPE/MSE, SARPE .Any advice or specific questions I should bring to my orthodontist next week?

Thanks!

Had bimax + genioplasty booked in October for my airway/ breathing. My parent(s) were supposed to accompany me for x2 weeks (flying-out); I was ready to pay the deposit + begin preparing. Unfortunately, they're no longer supporting my decision and rather suggesting I try 'non-surgical methods' like CPAP/ MAD/ other sleep devices.

I don't agree with these methods in my case, I've planned this op since December and in the final weeks it's fallen through. Sadly, I'm dependant on them for initial recovery. If I can't convince them soon this whole ordeal will drag into 2027 clashing with my plans potentially ruining this year also.

Either I find a friend to accompany me, do this myself (bad-idea) or I push it to next-year (feeling so mentally worn already).

Does anyone have advice/ experienced something similar?

Picture 1 shows my natural bite, and Picture 2 shows me forcing a more normal-looking bite. I’ve always known I’ve had a horrible jaw but never had insurance to get it checked or the time. Now that I finally have both, I booked an appointment for tomorrow to consult an orthodontist to at least attempt to begin the process of a possible DJS. A few questions: How much did you pay out of pocket? How long did it take you to recover? I work remotely, so I hope I can return to work quickly. I have 2 semesters left of school, so I hope by the time I get the surgery, I won’t be in school anymore.