Tel: 415-666-2525 | Email: info@drkeojampa.com | San Francisco | Los Angeles
Aesthetic Orthognathic and Double Jaw Surgery
World renowned Facial Plastic Surgeon
Aesthetic Craniofacial Surgery
San Francisco
Ocean Front Los Angeles
Advanced treatment of Corrective Double Jaw Surgery and Aesthetic Orthognathic Surgery
Double Jaw Surgery – Orthognathic surgery – Maxillo-mandibular advancement – Lefort 1 with Sagittal Split
Double Jaw surgery (Lefort 1 with Bilateral sagittal split osteotomy) can be performed to treat obstructive sleep apnea, malocclusion, and for aesthetic reasons. The procedure opens the airway by advancing both the upper maxilla and lower jaw. Both segments can be moved to the best aesthetic and functional position. The surgery can change the appearance of the face immensely and can improve the facial aesthetics drastically especially in patients with midface and jaw hypoplasia. Obstructive sleep apnea patients who have airway obstruction may benefit from maxillomandibular surgery. A thorough airway evaluation is performed to determine the level of obstruction. If the obstruction appears to be at the skeletal level, maxillo-mandibular advancement will increase the volume of the oropharyngeal airway to treat the obstructive sleep apnea.
If you have malocclusion with an overbite, underbite, or facial bone asymmetry, we feel strongly that your FFS surgeon also performs your Orthognathic surgery. Why?
The reason it’s crucial for your FFS surgeon to also perform your Orthognathic surgery, especially if you have facial asymmetry or malocclusion, is because a surgeon specializing in facial feminization surgery (FFS) has a deep understanding of the nuances of the female facial structure and can prioritize aesthetic considerations when repositioning your jaw, ensuring the final result aligns with your desired feminine appearance; whereas a general oral surgeon might focus primarily on correcting the bite mechanics without considering the broader facial aesthetic implications, potentially leading to a masculinized outcome, particularly in cases of revision surgery where a previous orthognathic procedure may have masculinized the face.
Key points: Gender-specific understanding:
An FFS surgeon is trained to recognize and address subtle facial features that contribute to a feminine appearance, which can be easily overlooked in a standard orthognathic procedure.
Prioritizing facial aesthetics:
While a general jaw surgeon might focus primarily on correcting the bite alignment (occlusion), an FFS surgeon will prioritize the overall facial harmony and balance when repositioning the jaw bones.
Minimizing masculinizing effects:
A significant concern for many women seeking FFS is the potential for jaw surgery to masculinize their face, which an experienced FFS surgeon can actively avoid.
Complex procedures:
Double jaw surgery, which might be necessary in some cases of facial asymmetry, requires a high level of expertise to achieve optimal aesthetic results.
Having your FFS surgeon perform your orthognathic surgery ensures that your jaw repositioning is not only functional but also aesthetically aligned with your desired feminine facial features, minimizing the risk of inadvertently masculinizing your face.
It is important the surgeon clearly understands the gender differences and not fixated primarily on the occlusion. Primary concern should be Facial aesthetics, adequate airway, and lastly bite or occlusion.
There are few FFS surgeons that have the training, knowledge, and currently performs complex Double Jaw and Orthognathic surgery.
Treatment of Vertical Maxillary Excess or “Long face syndrome”
Additionally, Lefort 1 osteotomy can also be used to only advance the top segment and can be used to shorten the midface due to vertical maxillary excess (VME) with removing intervening bone.
Patients with vertical maxillary excess (VME) or “long face syndrome” can have the vertical height of the maxilla reduced with the LeFort 1 osteotomy. Correction involves decreasing the vertical position of the maxilla and the amount of gingival show.
Transoral Robotic Surgery for Base of Tongue Reduction
Robotic assisted base of tongue surgery for Obstructive sleep apnea. We are one of the few practices in USA and internationally that offer both maxillo-mandibular advancement (double jaw surgery) and robotic assisted base of tongue reduction (TORS). The advantage of TORS over maxillo-mandibular advancement for severe OSA is quicker recovery without need for titanium plate fixation. #roboticsurgery #snoring #obstructivesleepapnea #maxillomandibularadvancement #doublejawsurgery #losangeles #california #drkeojampa
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