Facial contouring

Orthognathic surgery is a type of surgery, the main purpose of which is to normalize the relations between the teeth (the so-called occlusion) and dental occlusion (jaw relation), remove asymmetry, restore facial harmony. Due to such surgeries, the quality of life, as well as the aesthetics of the patient's appearance, is improved.

До Після

Leading experts provide orthognathic surgery services at Certus clinic. We help within congenital and acquired pathologies of any complexity.

When is orthognathic intervention required?

The process of incorrect formation of the jaw position and dental bite takes place mainly within the period of 10-13 years of age. A number of reasons may contribute to this, among them are:

  • congenital deficiency;
  • hyperplasia (bone augmentation);
  • hypoplasia (bone malformation) and other factors.

When the jaws are displaced, that affects the position of the soft tissues as well. There are changes in the cheeks, lips, nose, chin, cheekbones, face contour, which are identifying in the formation of the appearance and facial expression of a person.

Generally speaking, orthognathic surgery is indicated in such cases:

  • facial asymmetry, provoked by disharmonious position, shape or size of the jaws;
  • deformity of dentitions caused by impaired growth, formation, development of the bones of the facial skeleton;
  • micrognathia (refers to hypoplasia of tissues), which can be both congenital and acquired one;
  • excessive development of the lower jaw (hyperplasia), which causes bite disturbance and disharmonizes the face;
  • previous ineffective orthodontic treatment.

Braces do not have a special effect in case of abnormal bite caused by the deformed position of the jaw. It means that we can talk about effective treatment only after returning the bones to their normal position. Orthognathic surgery is the most effective measure in such cases.

Surgery scheduling

A doctor performs computed tomography of the head and upper neck, as well as makes photos of the face in different projections, dental cast model during the planning stage. At that time, a surgeon carries out three-dimensional modeling of the face, according to the results of a thorough examination. A patient can see the result he will get after the surgery and can express his wishes. In addition, changes in the size of the respiratory tract of the nose and pharynx are estimated. It allows getting rid of snoring in terms of such surgery. The doctor uses modern computer programming for this. Due to such preparation, a specialist thinks through every step, even if there is a problem situation. It allows you to see the expected result and protect yourself from possible difficulties in treatment.

How is the surgery performed?

Orthognathic surgery is usually indicated for patients over 18 years old. Bone growth period ends at that age. The procedure can last from 1 to 6 hours (depending on the degree of complexity).

Orthognathic surgery may involve both one or two jaws. If necessary, the surgeon performs enlargement of the upper jaw, genioplasty (chin correction), and other elements of the surgery. Experienced surgeons are able to cope with tasks of any complexity.

Today, minimally invasive techniques are preferential, in the orthognathia field as well. There is a complex of various methods, procedures, and techniques that allow making such surgeries to be more sparing. Correction of defects is performed through the oral cavity with the help of small incisions and surgical procedures. Due to this, the formation of scars and cicatrices on the face is excluded.

Orthognathic surgery results

After orthognathic surgery has been performed in a competent way, facial harmony is normalized, the abnormal bite is removed, speech defects are eliminated partially or completely, eating disorders do not disturb as well. Besides the fact the patient after surgery does not have functional defects of a congenital or acquired nature, he feels more confident and attractive due to improved appearance. Quality of life changes very much for the better.

After the orthognathic procedure, the surgeon gives the patient recommendations on the rehabilitation process. In addition, together with an orthodontist, they develop an individual orthodontic treatment. The patient has to wear braces before and after surgery. The terms are determined by a specialist for each patient individually.

Advantages of undergoing orthognathic surgery at Certus clinic

In our clinic, orthognathic surgery implies several advantages:

  • treatment is carried out by a surgeon in cooperation with an orthodontist, which allows achieving the most effective result;
  • due to the minimally invasive procedure, the recovery period is shortened, and after surgery, there are no scars on the face;
  • there are only experienced professionals with excellent qualification;
  • the result of the surgery is noticeable immediately.

Experienced surgeons and orthodontists are available for you at Certus clinic.  They can help you to restore the functionality and aesthetics of the bones of the facial skull, bite, teeth. Arrange a visit to a doctor to find out if you need orthognathic treatment and how to get it.

Ihor Zolotarenko

Medical director, Plastic surgeon

Ihor Zolotarenko

Anton Podorozhnii

Maxillofacial surgeon. Plastic surgeon

Anton Podorozhnii

Video about the service Bone grafting face

Frontoplasty (forehead plastic) at Certus Clinic. Surgeon Council [2019]

Response. Jaw plastic [2021]

Вартість операції включає в себе:

  • Operation

  • Anesthesia

  • Implants (if used)

  • Compression underwear (if used)

  • Stay in the clinic with meals, round-the-clock medical support

  • Dressings, examinations

  • Medicines

UAH EUR

Назва процедури Ціна (грн)

Mandible angle reduction

2600 €

Mandible angle augmentation with silicone implants

2700 €

Mandible angle augmentation with individual implants PEEK

3400 €

V-line (mandible angle reduction + chin bone surgery)

3800 €

Orthognathia of the upper or lower jaw

4000 €

Segmental osteotomy

3200 €

Сheekbones reduction

3000 €

Cheekbones augmentation

3200 €

Cheek augmentation with with silicone implants

2700 €

Cheek augmentation with with silicone implants (professor, CMS)

2900 €

Cheek augmentation with with individual implants PEEK

3400 €

Frontoplasty (reduction of suprabrow arches)

2600 €

Reduction of the suprabrow arches, temporal access

2700 €

Adam's apple reduction

1500 €

Face feminization (frontoplasty + V-line + Adam's apple reduction)

8200 €

Feminizing the voice

800 €

Популярні питання

How much does orthognathic surgery cost in Kyiv?

The price of orthognathic surgery depends on the type of surgery, and includes anesthesia, medications, bandages and examinations, implants if used, and a stay in the clinic.

The price of orthognathic surgery depends on the type of surgery, and includes anesthesia, medications, bandages and examinations, implants if used, and a stay in the clinic.

In what cases is maxillofacial surgery performed?

Maxillofacial surgery in Kyiv is indicated if there is facial asymmetry due to the irregular shape and location of the jaws, deformation of the dentition, underdevelopment or overdevelopment of one or both jaws.

Maxillofacial surgery in Kyiv is indicated if there is facial asymmetry due to the irregular shape and location of the jaws, deformation of the dentition, underdevelopment or overdevelopment of one or both jaws.

How does orthognathic surgery affect the patient's quality of life?

Orthognathic surgery of the lower jaw or both jaws allows you to form an orthognathic bite and thus get rid of speech defects and problems with food intake, as well as improve your appearance and self-esteem.

Orthognathic surgery of the lower jaw or both jaws allows you to form an orthognathic bite and thus get rid of speech defects and problems with food intake, as well as improve your appearance and self-esteem.

How to prepare for facial bone grafting?

Preparation for bone grafting is a set of actions that involves a detailed examination and analysis of data by doctors, obtaining an orthodontic diagnosis, and making models of the dentition.

Preparation for bone grafting is a set of actions that involves a detailed examination and analysis of data by doctors, obtaining an orthodontic diagnosis, and making models of the dentition.

How does recovery after orthognathic surgery go?

Recovery after orthognathic surgery takes on average 8-12 weeks. The swelling subsides in the second week, and its residue may persist for 2-3 months. There may also be numbness or decreased sensitivity in the face, which disappears within 6-12 months.

Recovery after orthognathic surgery takes on average 8-12 weeks. The swelling subsides in the second week, and its residue may persist for 2-3 months. There may also be numbness or decreased sensitivity in the face, which disappears within 6-12 months.

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