
When it comes to facial aesthetics and oral health, double jaw surgery is a game-changer. Whether you’ve been recommended this procedure due to severe jaw misalignment, difficulty chewing, or even breathing issues, understanding what lies ahead can help alleviate some of the anxiety that comes with the unknown. Here at Mahogany Oral Surgery, just outside Calgary, AB, our team of experienced oral surgeons is dedicated to guiding you through every step of the process, ensuring you feel informed and comfortable from the first consultation to the final follow-up.
Double jaw surgeries typically last around four hours and offer numerous benefits, such as improved bite function, chewing, and speaking abilities.
Imagine your jaw as the foundation of a house. If the foundation is off-kilter, everything built upon it is at risk. Double jaw surgery, also known as bimaxillary osteotomy, aims to correct the “foundation” of your face and mouth, aligning the upper and lower jaws to function harmoniously. This blog will explore why someone might consider this surgery, what it involves, and how our skilled oral surgeons at Mahogany Oral Surgery play a crucial role in achieving the best possible outcomes.
1. Why Consider Double Jaw Surgery? Understanding the Underlying Issues

If you’re considering double jaw surgery, chances are you’ve been dealing with some persistent issues that affect your quality of life. But what exactly necessitates this procedure? There are several reasons, often rooted in skeletal misalignment and orthodontic challenges.
Jaw Misalignment and Bite Problems
One of the primary reasons people opt for double jaw surgery is to correct significant jaw misalignment. Conditions like an underbite, overbite, open bite, or crossbite often don’t respond well to braces or other orthodontic treatments alone. For example, if you have a severe underbite, your lower jaw extends far beyond your upper jaw, leading to difficulty chewing and even speaking. Double jaw surgery realigns the jaw bones, correcting misalignments and irregularities to improve both functionality and facial appearance.
Obstructive Sleep Apnea
For some patients, the surgery isn’t just about aesthetics or minor inconveniences. It can be a life-changing intervention for those suffering from obstructive sleep apnea (OSA). This condition, characterized by repeated episodes of partial or complete blockage of the airway during sleep, can be mitigated by surgically advancing the jaws to widen the airway space.
Maxillofacial surgery involves individualized assessments to address anatomical changes in the airway, which can help mitigate obstructive sleep apnea.
Facial Aesthetics and Psychological Well-being
Beyond the functional benefits, there are significant psychological and aesthetic reasons for considering double jaw surgery. An imbalanced jaw can lead to facial asymmetry, which may affect a person’s self-esteem and confidence. Correcting these imbalances can have profound effects on both mental health and social interactions.
Tip: Always consult with a qualified oral surgeon to determine if double jaw surgery is right for you. A professional assessment is crucial to weigh the benefits against potential risks.
2. What Does Orthognathic Surgery Entail? A Step-by-Step Guide
Double jaw surgery isn’t just a single operation; it’s a journey that involves multiple phases, each requiring careful planning and execution by a skilled oral surgeon. Here’s a breakdown of what you can expect.
Pre-Surgical Planning
The road to surgery begins long before you enter the operating room. At Mahogany Oral Surgery, our team will start with a comprehensive evaluation, including X-rays, 3D imaging, and detailed measurements. This stage is crucial for mapping out a precise surgical plan tailored to your unique anatomy.
The Surgical Procedure
On the day of the surgery, you’ll be under general anesthesia, ensuring you’re comfortable and pain-free. The oral surgeon will make precise cuts in the jawbones, moving them into their new, optimal positions. This procedure can alleviate pain and discomfort associated with the jaw joint by correcting misalignments. Tiny plates and screws are then used to secure the bones in place. The surgery typically lasts between 2 to 5 hours, depending on the complexity.
Recovery and Rehabilitation
Post-surgery, you’ll need to stay in the hospital for a couple of days. Swelling and discomfort are normal, but these are manageable with medication and cold compresses. Recovery involves a liquid diet initially, slowly transitioning to soft foods as you heal. Our team at Mahogany Oral Surgery will provide detailed aftercare instructions to ensure a smooth recovery.
Tip: It’s essential to follow all aftercare instructions meticulously and attend all follow-up appointments to monitor your progress and avoid complications.
3. The Role of an Oral Surgeon: Expertise That Makes a Difference

Choosing the right professional for your double jaw surgery is like selecting a pilot for a transatlantic flight—you want someone with experience, precision, and a deep understanding of the path ahead. But what exactly does an oral surgeon bring to the table?
Specialized Training and Experience
Oral and maxillofacial surgery involves extensive training beyond dental school, focusing on surgical procedures related to the face, mouth, and jaw. This specialized expertise is crucial for complex surgeries like double jaw surgery, where precision is paramount. At Mahogany Oral Surgery, our surgeons have years of experience performing this specific procedure, making us a trusted choice in the SE and SW Calgary regions.
Comprehensive Pre- and Post-Operative Care
Our role doesn’t end when the surgery does. We are committed to your care from the first consultation to the last follow-up. This includes creating a tailored recovery plan, managing pain and swelling, and monitoring healing to prevent complications. Our goal is to ensure that you not only achieve the best possible functional and aesthetic outcome but also have a smooth, comfortable recovery.
Patient Education and Support
We believe that informed patients are empowered patients. That’s why we take the time to explain every aspect of the surgery, what you can expect during recovery, and how to take care of yourself at home. Knowing what to expect can help reduce anxiety and make the entire process more manageable.
Tip: Always choose a board-certified oral surgeon with experience in double jaw surgery. Check reviews, ask for patient testimonials, and ensure you feel comfortable with their approach and communication style.
4. What Are the Risks and Benefits? Weighing Your Options

Like any surgical procedure, double jaw surgery comes with its own set of risks and benefits. Understanding these can help you make an informed decision.
The Benefits: A New Lease on Life
The benefits of double jaw surgery can be life-changing. Double jaw surgery can reduce the chances of jaw joint pain and other complications, improving overall quality of life. Improved bite function can make eating a more enjoyable experience, while better jaw alignment can reduce or eliminate pain associated with TMJ disorders. Additionally, the enhancement in facial aesthetics often leads to improved self-esteem and confidence, which can positively impact all areas of life.
The Risks: What You Need to Know
While the surgery is generally safe, there are potential risks, including infection, nerve damage, or issues with the jaw healing in the new position. However, these risks are relatively low when the procedure is performed by an experienced oral surgeon. At Mahogany Oral Surgery, we take every precaution to minimize these risks, including using the latest technology and techniques to enhance safety and outcomes.
Tip: Make sure to discuss all potential risks and benefits with your oral surgeon during the consultation. Understanding both sides will help you make an informed decision about your health.
5. Preparing for Double Jaw Surgery: How to Get Ready Physically and Mentally

Preparation is key to a successful surgery and recovery. Here’s what you need to know to get ready for double jaw surgery.
Pre-Surgery Checklist
Before surgery, your oral surgeon will provide a list of dos and don’ts. This typically includes avoiding certain medications, stopping smoking, and arranging for time off work. You’ll also need to prepare your home for your recovery, ensuring you have easy access to soft foods, plenty of fluids, and a comfortable place to rest.
For lower jaw surgery, specific techniques such as the Sagittal Split Osteotomy and the Intra-oral Vertical Ramus Osteotomy are used to reposition the lower jaw to improve bite alignment. Considerations include anesthesia, surgery duration, and post-operative requirements.
Mental Preparation: What to Expect Emotionally
The thought of undergoing surgery can be daunting, and it’s normal to feel a range of emotions, from anxiety to excitement about the potential results. Our team at Mahogany Oral Surgery encourages open communication—we’re here to answer any questions and provide the reassurance you need.
Tip: Consider joining a support group or talking to others who have undergone double jaw surgery. Hearing firsthand experiences can provide valuable insights and help ease any concerns.
6. Life After Surgery: What to Expect During Recovery and Beyond

Recovering from double jaw surgery is a journey in itself, requiring patience and adherence to your surgeon’s advice. Here’s a glimpse into what you can expect.
Immediate Post-Surgery: The First Few Days
The initial recovery phase is the most intensive, often involving significant swelling, bruising, and discomfort. Our surgeons will provide you with pain management strategies and tips to reduce swelling, such as keeping your head elevated and using cold compresses.
The Weeks Following Surgery: Gradual Improvement
As weeks go by, the swelling will gradually decrease, and you’ll begin to see the results of the surgery. Aligning the upper and lower teeth is crucial for improved bite function, enabling better chewing and speaking capabilities. It’s crucial to follow your surgeon’s instructions regarding diet, oral hygiene, and activity levels to ensure a smooth recovery. Regular follow-up visits will be scheduled to monitor your progress and address any concerns.
Long-Term Outlook: Achieving Your Desired Results
Most patients can return to their normal routines within six to eight weeks, although complete healing and settling of the jawbones may take several months. The final results—a more balanced jaw and improved function—are well worth the wait. Many patients report a significant boost in confidence and quality of life following the surgery.
Tip: Be patient with yourself during recovery. Healing takes time, and following your oral surgeon’s advice will ensure the best possible outcome.
7. Frequently Asked Questions About Double Jaw Surgery

As with any significant medical procedure, there are plenty of questions surrounding double jaw surgery. Let’s tackle some of the most common ones.
How Painful is Double Jaw Surgery?
Pain levels vary from person to person, but most patients experience some discomfort post-surgery. However, this is manageable with prescribed pain medications and following the aftercare instructions provided by your oral surgeon. Typically, the pain is most intense in the first few days following surgery and gradually diminishes over time. Many patients also experience swelling, which can contribute to discomfort but is a normal part of the healing process.
Will I Need Orthodontic Treatment After Surgery?
In many cases, patients require orthodontic treatment both before and after double jaw surgery. Pre-surgical orthodontics are often necessary to align the teeth properly so that when the jaws are repositioned, the bite aligns correctly. Aligning the upper teeth with the lower teeth is essential for achieving optimal bite alignment. After surgery, orthodontic treatment may continue to refine the bite and ensure optimal alignment. The combined approach of surgery and orthodontics maximizes both functional and aesthetic outcomes.
How Long Does It Take to Recover Fully?
Recovery from double jaw surgery is a gradual process. While most of the swelling and discomfort subside within a few weeks, complete recovery can take several months. The bones typically need six to twelve weeks to heal properly, but it may take up to a year for all swelling to go down and for you to fully acclimate to your new bite and facial structure. Your surgeon will provide detailed guidance on what to expect during each phase of recovery.
What Are the Long-Term Results of Double Jaw Surgery?
The long-term results of double jaw surgery can be life-changing. Patients often experience significant improvements in their ability to chew, speak, and breathe. Additionally, the surgery can have profound effects on facial aesthetics, leading to a more balanced appearance and boosting self-esteem. Most patients are extremely satisfied with the results, especially after the full recovery period.
Is Double Jaw Surgery Covered by Insurance?
Insurance coverage for double jaw surgery varies depending on the reason for the surgery and the specifics of your insurance plan. If the surgery is deemed medically necessary, such as for correcting obstructive sleep apnea or severe functional impairments, insurance is more likely to cover a portion of the costs. However, coverage for procedures considered primarily cosmetic may be limited. It’s important to check with your insurance provider and discuss options with your oral surgeon.
Tip: Keep a list of questions to discuss during your consultation with your oral surgeon. Being well-informed will help you feel more comfortable and prepared for the journey ahead.
Conclusion: Taking the Next Step Towards a Healthier, Happier You

Double jaw surgery is a significant decision, but for many, it represents a vital step towards improved health, function, and confidence. At Mahogany Oral Surgery, we understand the magnitude of this choice and are here to support you through every stage of the process. From initial consultations to the final stages of recovery, our experienced team is committed to delivering exceptional care tailored to your unique needs.
By addressing both the functional and aesthetic aspects of jaw alignment, double jaw surgery can have profound effects on your quality of life. Whether you’re dealing with chronic pain, difficulty eating, breathing issues, or are simply looking for a more harmonious facial profile, this surgery could be the transformative solution you’ve been seeking.
Remember, the journey to a better you starts with understanding your options and seeking professional guidance. We encourage you to reach out to our team at Mahogany Oral Surgery for a comprehensive evaluation. Let us help you take the next step towards a healthier, more confident future.
If you’re ready to explore your options or have more questions about double jaw surgery, contact us today. Your path to a new, confident smile begins here!


