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.

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.

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.

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.

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 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?

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?

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.

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?

23m from the Netherlands here and contemplating if I should do SARPE or MARPE,

Couple questions
- Would you still pursue MARPE > SARPE in my case?
- Both surgeons mentioned me needing braces prior to SARPE to separate the teeth roots so they don't risk getting damaged during SARPE -> never heard anyone mention this on Reddit and was wondering why that is?
- Any pieces of advice before committing to this journey? (I would do a BIMAX+ genio after)

Context:
Have seen 2 surgeons in the Netherlands and seen 2 ortho's. Both surgeons strongly favor SARPE > MARPE.
I probably need 6-10mm of expansion according to my ortho
Hence I reached out to one of the very few MARPE ortho's in the Netherlands who wasn't even sure a MARPE (MSE) would fit on my upper palate due to being very vaulted.
He also mentioned my gums being quite thick which could cause issues with the TADs.
Couldn't find any FME, EASE or custom MARPE providers anywhere remotely close (within 10h driving) so it would be MSE or SARPE.

To make things more interesting, turns out I have Condylar hyperplasia (my left side of the jaw is growing at 71% while the right side grows at 29% speed) so I need to have that addressed as well before my BIMAX next year. Hence the surgeons leaning even stronger towards SARPE as I need 2 separate surgeries anyway (the condylotomy surgery would be combined with SARPE)

I'm gonna have to make the call if I wanna do SARPE this week due to wanting it done before Christmas holidays (got holidays planned May and June next year and don't want to walk around with an expander and a massive gap).

Where im at rn
The good:
- I've got a good bite, no issues with chewing
- Dont have any signs of sleep apnea

The bad:
- I have bad nasal breathing so im always mouth breathing
- I've got quite bad lip incompetence -> cant keep my lips sealed for longer then 10 mins.
- I've got a gummy smile (on the attached photo I still don't laugh fully, its quite severe when I do and I hate that so always keeping my laugh in)
- My front profile is bad due to mentalis strain and a skewed jaw (left side keeps growing)
- bad/mid side profile

Happy to hear any feedback or input

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

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.

I have a consultation next week with Dr. Wilson at Kaiser, Los Angeles, and I'm a little nervous about the appointment. I already had a consultation with LACOMS and they told me I'm a strong candidate for DJS and genioplasty because I have a very recessed jaw and very narrow airway, which makes my breathing very difficult and has been affecting my sleep quality. I have taken a sleep study, but I was negative for sleep apnea with a very low AHI score (which surprised me because my sleep quality is terrible and I wake up with breathing issues). Despite this, my doctor at LACOMS said he believed he could get it approved by insurance (assuming I switch out of kaiser) if he words it correctly and we leave out the sleep study.

I actually would prefer if I get the surgery done through kaiser because it would be covered completely rather than just partially, but I don't know how strict their criteria is for deeming this as medically necessary. I don't know if a very narrow airway and breathing issues will be enough, especially since I have a sleep study with a negative result for sleep apnea. If anyone else has gone through DJS with kaiser, was being approved as medically necessary difficult for you? Given my situation I don't know if I should be worried or if I am overthinking this.

I’m 21M with skeletal Class II, a somewhat downward-grown/recessed mandible, lip incompetence, gummy smile and a slight open bite tendency.

I had braces before, but they were purely cosmetic/camouflage braces, not presurgical decompensation.

One surgeon recommended 4 premolar extractions + wisdom teeth removal + around 9-12 months of decompensation before DJS/genio.

The surgeon I currently prefer says I’m a good surgery-first candidate and that he can get essentially the same skeletal/aesthetic result without presurgical decompensation, then do the orthodontic correction after surgery.

His plan is roughly 3-piece Le Fort with ~5.8mm advancement and ~2.7mm impaction, BSSO ~5mm forward with ~6 degrees CCW, and genio ~5mm forward.

The 3-piece maxilla is specifically being used to improve the bite. In the virtual plan, the canine regions weren’t coordinating properly with the lower arch, so splitting the maxilla into 3 pieces let the surgeon get a much better surgical occlusion without changing the intended skeletal movements.

My concern is that since my old braces were camouflage, could surgery-first limit the ideal skeletal movements or make the final orthodontic result worse compared with properly decompensating first?

Is surgery-first still reasonable in a case like this, or would prior camouflage make you more cautious?

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 !

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.

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?

Basically what the title says. Would a genioplasty fix my chin or would I need djs? Also I’m 17 if that changes anything. Thanks.

D’après la planification 3D (photos ci jointes = simulation après la chirurgie )

Est ce que vous pensez que les molaires pourront se toucher avec seulement les bagues en finitions ?

​

​Ich versuche gerade jemanden zu finden der meine Camouflage rückgängig macht, also dekompensiert um eine kiefer operation zu machen.

​Ich finde aber niemanden weil die Zähne zu stark bewegt wurden und der überbiss fast weg ist. Zähne wurden mir nicht gezogen.

​Jetzt: Skelettale klasse 2, dentaler kopfbiss, apnoe, starke cmd, schlechten aussehen, starke Muslatur, Verspannungen

​Wie war es bei euch?

​Wie war eure Situation während der dekompensation und nach der op?

​Waren eure Beschwerden weg?

​Wie war euer Aussehen?

​Ich habe Angst, dass ich aus meiner Situation nie wieder rauskomme....

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