Orthognathic Surgery 101: with Dr. Paul Cho Skip to main content

Orthognathic Surgery 101: with Dr. Paul Cho

“Hi guys. This is Dr. Paul Cho, here at ATLANTA Oral & Maxillofacial Surgery and Dental Implant Center. I wanted to talk to you guys today, a little bit about corrective jaw surgery, also known as orthognathic surgery. This is essentially a surgery that’s done on your upper and/or lower jaws, that helps reposition them surgically, to correct a severe overbite or those who have a severe underbite. So, we typically see patients referred by the orthodontist who are in braces, who need surgical correction of their severe either overbite or underbite. This is a very safe procedure that we do here in the office. It’s an outpatient procedure. We have an anesthesiologist here who puts you under general anesthesia for the procedure. It takes about a few hours, depending on whether we operate on one or both jaws. We have a great protocol here, where we have a nurse that goes home with the patient for postoperative care.

So, things that I like to talk about with patients on what to expect after orthognathic surgery is fourfold.

1. You can expect to have some numbness on the outside of your face. That’s temporary, that will improve over time.

2. You’ll be on a soft diet for at least six weeks.

3. You’ll have swelling on the outside of your face. The worst being usually the first week, and after which, it improves drastically over time.

4. Depending on what you do for work, patients typically can go back to work one week after surgery.

So, how we do this surgery, all the incisions are in the inside of your mouth, so no scars on the outside of your face. So, we’re making an incision on the inside of your upper lip. And then also if we’re doing surgery on your lower jaw, its way back behind the molars, in the gum tissue area. So, like I said, nothing that can be seen on the outside of your face. Once we have the jaws in the position that we want, we fixate it with plates and screws like these. Titanium plates and screws that are compatible with your body, that you should not have any reactions to, and these stay in for the rest of your life.

So, thanks again for tuning in. If you think you’re a great candidate for this surgery, or just want to talk more about this type of surgery, feel free to come see us in our Alpharetta or Brookhaven offices.”



Orthognathic/Jaw Surgery can be used to 

-Improve facial cosmetics

-Correct malocclusion (your bite is off)

-Open your airway (make your breathing better)

-Correct sleep apnea

-Align your teeth for corrective dentistry


Dr. Loetscher and Dr. Cho use modern computer-aided techniques and three-dimensional models to show you exactly how your surgery will be approached. Using comprehensive facial x-rays and computer video imaging, we can show you how your bite will be improved and even give you an idea of how you’ll look after surgery. This helps you understand the surgical process and the extent of the proposed treatment.


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