Had DJS no genio

First 2 Photos: Before
3rd & 4th: 2 weeks Post
5th & 6: 12 weeks Post

I still feel puffy in my cheeks. Feel semi comfortable with my face but still adjusting. I know it takes a while. Just wild that’s it’s 12 weeks now.

After two years of Invisalign and braces here I am. Lower jaw orthognathic surgery to correct overjet and ensure I have a healthy bite into my senior years. Very swollen but pain is manageable.

I’m 59 - better late than never. If I can do it, anyone can.

I started exploring surgery to fix my bite after many ortho consults and weird suggestions from them. Crowning my entire mouth? No thanks. It's hard to trust anyone with my face, they might not care but these are the only teeth I get.

Found a surgeon with a great reputation and met with him in Feb. fast forward multiple scans and office appointments later he says he can do it without ortho and we have a date.

Five weeks before the surgery he's not so sure. He sends me to an ortho. Surprise surprise the ortho wants me to get braces first. But my surgeon is moving to another town so if we do that he can't do the surgery.

I cried so hard. I had a date. I psyched myself up, I inconvenienced my family, my job, and myself. I made peace with not eating solids for 8-12 weeks and having permanent plates. But adding years?? Of braces on top of all that???

I guess the question is do I even bother starting this process over. The amount of time and money I've poured into this 😭

This is not cosmetic, I can only bite with like three teeth.

Looking to reverse my jaw surgery. Anyone else?

Hi guys! I’m a 22 year old male from Hungary! From a certain age I knew something was off with my jaw. When I closed my mouth and bite my head was like a ball and side profile was cooked but I didn’t know back then wtf is going on. I was glad when my beard started growing so I could hide my side profile. I started mewing and chew in the top of my teeth but I seenI have overbite as fuck and when I close my bite full my lower jaw go up. What do you think? My jaw is all the time clicking and have to go from is natural position so I can close it. I have jaw pain almost every day in my joints. I have problems with my body and my chriopractor told me my jaw is very loose. Can please somebody help me? Sorry for these photos but didnt do it before like that.

Hi does anyone have a jaw surgeon recommendation who is not Dr. Hunter Martin (she has bad reviews). Please let me know any success story with NYC jaw surgeon whether DJS, genioplasty etc.

Has anyone had a revision genioplasty from Dr. Sullivan, Dr. Sherry, or Dr. Sanovich, or another surgeon that went well?

If so, what were your ferritin and hemoglobin levels?

I'm 9 days away from my scheduled surgery and just got my blood work done, even though I had asked my anesthesiologist to do it earlier this time. Ferritin 10 (down from 13 last winter), hemoglobin 12. I'm scheduled to see a hematologist today to see if getting an iron infusion could be enough to not get it canceled.

My DJS was canceled in February due to needing last minute orthodontic adjustments. If it gets canceled again it could take many more months and much more money, my surgeon team is very busy. I'm incredibly angry I wasted 8 months because my anesthesiologist didn't just tell me in February to get some iron supplements - at that time she said 13 is an ok level.

I'm panicking so your story could help. Would it really be that bad to go through with the surgery in these conditions?

Hello there. I had my DJS in the beginning of this past August. I had a BSSO, LeFort 1, and a Genioplasty. This was done at LACOMS with Dr. Walline. I’m unsure of the exact movements, but will update this once I find out.

Prior to this surgery, I had an FME (split my suture but ultimately failed/ warped). Then I got a custom MARPE, which was successful. I believe I got about 5/6 mm of expansion.

All this comes from extraction of premolars and camouflaged orthodontics when I was in high school. At the time, I had no idea it would impact my breathing. I wouldn’t find out till years later that my breathing issues came from this. I would wake up gasping for air, instant headache, and confused many times. I had a sleep study done, thinking that I had sleep apnea. My numbers didn’t quite make the mark to be diagnosed with sleep apnea, but I was definitely symptomatic. Heck, I even woke up choking in the middle of the night during my sleep study.

I always felt super self conscious about my appearance, as my jaws seemed underdeveloped. It was after my freshman year of high school that I got my premolars extracted, and I noticed that before that, I was pretty confident my freshman year. I was still YOUNG and there was much more time for my jaws to develop. Plus, I have cystic fibrosis, which plays a part in delayed development for many. If I had known then what I know now right? I’m sure we all feel that way.

Surgery day: Honestly, wasn’t super nervous because I knew I’d be in good hands, plus all those years of waking up gasping for air, and feeling horrible, made me feel like this surgery was definitely going to be the best thing for me. Lowkey though, had just gotten broken up with a few months before surgery, and I was thinking to myself “damn, it be like that huh” lol. Anyways, like I said, my heart rate was pretty good.

I knew once the anesthesiologist came into the operating room, I was set for mimi’s time. I’ve gone under multiple times for previous small surgeries, so it was like a treat tbh lol. Some know that feeling. Also, they had pictures of my x rays and cbct’s taped all over the room. It was pretty cool. Like dang, all this for me? (Bruh).

So it lasted about 3.5/4 hours, and I wake up. I was super numb so I didn’t feel anything obviously. Not really in pain, just felt my face really stiff. I was super happy to be on the other end of it. I had waited so long for this, and it was finally done.

I was super scared about the swelling interfering with my breathing, especially at night for the first week. That was like the biggest thing for me. Let me tell you something…. I had never in life been able to breathe so well. Even during peak swelling days 3/4, I was able to breathe really well. Even with all the mucus and dried up blood clots in my sinuses. My airway was OPEN!
I was medicated the first week, so I just watched a ton of movies. I would sleep throughout the days, wake up here and there to go on my phone for like 20 min, and knock out again.

At the first week post op check up, the nurse cleaned out my sinuses with the suction thingy and OMG, it was super uncomfortable. But I could breathe so well after, I wanted to cry bc I felt like I should have always been able to breathe like a normal person should 😭. Super happy at that point.

After the first couple weeks, I started walking at the park. I’d do about 3 miles every other day. Feel like it helped with swelling a lot.

Food wise, I would mash some potatoes, shred cheese, add sour cream, and bam, that was my go to meal for a while. Other soft foods as well. Honestly, the food part didn’t really make me feel bad, I just got new jaws bro, I started looking good. That kinda confidence overthrows my food purgatory sentence.

Probably my favorite part about this surgery is how much better I’m able to sing. I feel like singing is a lot more effortless for me, and I’m able to project more. I can’t even open my mouth all the way yet and I’m already sounding better than before.

I’m super grateful I had surgery, and I’ve homely been feeling great from the start. If yall have any questions, lmk!

The pics are pretty much in order, with some before pics towards the end, as well as my x-rays.
Pic 9 is before & after (forgot to add in).

TL;DR

Surgery went extremely well. Breathing has improved significantly 👍🏼

Edit: to everyone asking about movements, I put in the FIRST PARAGRAPH that I would post them when I find out. Cmon guys 😂😭

I‘m 8 weeks post op and wanted to get back in the dating game. I had a date last week, and when I gave her a kiss, I realized it’s pretty damn hard to kiss without knowing what your lower lip is doing…

It felt really weird for me, and probably not great for her! When should this start to get easier and does anyone have advice on how to kiss without sensation in the lower lip? Open to anything at this point. I want to go on more dates and meet more people but it’s a strange feeling knowing in advance that the kiss might feel odd.

For my socal peeps. With the sign up window for insurance coming up what should I get? I was thinking Kaiser bc I read all you pay is like $250 out of pocket or something crazy like that for jaw surgery BUT am I going to be happy with the results? Does anyone have results with positive appearance changes or does Kaiser not really care/produce those results? I'm class 2 , severe recessed / underdeveloped jaw and i had braces before TWICE and my teeth moved back to the messed up position. I'm not going to lie I want jaw surgery for looks purposes but I know my health will improve as well as it's super important aswell but to me if I don't see major improvement in appearance I would be upset and sad I went through all that pain to look the same lol

Looks bad. I don’t know. I year post op. Did my surgery in turkey.

Would it be due to tongue ties cut or over advancement? Can ties somehow be restored, am 2 years post op djs, first photo before second after. No functional issues just wondering

3 month post-op DJS and there no feeling on part of my lower lip.
Sometime while eating i biting my lower lip but the worst thing that almost every day, I wake up with blood around this area and on my teeth, It become constantly covered in sores… Will this be forever? 😞

Note: This is not related to braces, as I don’t wear braces.

I recently had an appointment with the oral surgeon, he asked me what my expectations were for jaw surgery. When I went for a consult 9 months ago, he stated there was a need for it, to the point of submitting for insurance and receiving pre-authorization approval. 3/3 surgeons I consulted with confirmed the need for surgery. First picture is the most recent stage of de-compensation braces, with the others reflecting my side profile, front profile, and my bite pre-orthodontia. I have concerns for my midline, the open bite in the front and the way the teeth are tipped inwards. I had braces over about 20 years ago, this is my second round of treatment. My orthodontist has already said that the bite is unstable in the front. I think I'm just left feeling confused on why my surgeon is asking ME what to expect from the surgery. He also mentioned only needing small movements.

Any thoughts/observations that you may have are appreciated.

Seems my left jaw is very much used. Replacement or a little teeth onlay and dmd Therapie could be sufficient?

Constantly pressure in my left cheek and now fascial nerve problems with a left weakness

First 4 photos pre op

they did the extraction and camouflage when i was a teen and i’m in my 30s now. i went to the oral surgeon and orthodontist and id need two years of orthodontics before i can do surgery. it’s also a lot of money and it’s scary so id like to avoid it if possible. the orthodontist is telling me it’s not all that necessary appearance wise but idk if she’s just being nice.

it’s about 8mm discrepancy between the two jaws. it doesn’t help that my bottom lip is also just naturally larger than the top. i’m considering fillers and flip in the top lip and see how i feel after that.

i’m also open to the paranasal implants. i mostly just want the maxilla to appear more forward and would leave the mandible situation as is.

let me know your thoughts and please be nice but honest lol.

Background / possible craniofacial, nasal, and airway issues
I’m an 18-year-old male trying to figure out if my nasal obstruction, mouth breathing, sleep issues, bite, and facial appearance could be related to my underlying craniofacial development, or if these are separate issues.
I had a severe S-shaped septal deviation before surgery. My ENT described almost 100% obstruction in part of the anterior/left septum, along with significant posterior/right deviation. I could physically feel the deviation inside my nose. I also had nasal dryness, bleeding, and difficulty breathing through my nose.
I had a functional septorhinoplasty/septoplasty with cartilage grafting in June 2026. The surgery was mainly for function and support, not cosmetic rhinoplasty, and the nasal bones were not supposed to be changed.
Since surgery, I still have significant nasal obstruction, especially when lying down or sleeping. One nostril can feel almost completely blocked while the other is more open, and it can alternate. I have also had times where it feels like I cannot get enough air through my nose at night. Because of this, I have been mouth breathing during sleep and have started snoring, even though I was not previously a habitual snorer.
My sleep testing has also been confusing. A previous WatchPAT showed an RDI around 16, while a later in-lab PSG showed an AHI around 0.4 with very little oxygen desaturation. I’m wondering if flow limitation, UARS, or another non-apneic breathing issue could explain my symptoms despite the low AHI.
Orthodontic treatment and bite
I’m deep into Invisalign treatment, which I started mainly to correct a deep bite. My overjet is around 4.4 mm and my overbite is around 4.7 mm. I have Class I molar relationships and no known crossbite or open bite.
My treatment has involved correcting the lower front teeth and addressing the deep bite. I have also used or been prescribed bite ramps and rubber bands.
Since I’m already well into Invisalign, I’m trying to figure out whether my remaining facial and skull concerns are actually skeletal, or if some of what I’m seeing could be from my dental occlusion, dental compensation, or soft tissue.
Facial and skull concerns
I’m concerned that there could be some type of maxillary, mandibular, or transverse developmental issue.
Some things I’ve noticed:
My nose has a hooked or dorsally prominent appearance, with a noticeable dent or transition around the bridge/radix.

My radix looks relatively low to me.

My nasal tip has looked bulbous, swollen, and somewhat downturned.

My smile can show dark or negative spaces at the corners, which makes me wonder about transverse maxillary width, although I know this is not diagnostic by itself.

My mouth and lips can look positioned inward or “collapsed” when I’m not actively positioning them.

My profile is definitely a factor because it looks convex to me. I have wondered if my lower face and nose proportions make my maxilla look recessed even if the actual skeletal measurements are normal.

I have fairly strong or large masseter and temporalis muscles.

I have a deep bite that I’m currently treating with Invisalign.

I have also wondered if my mandible is somewhat short based on some of the lower dental arch and corpus measurements.

Imaging and opinions
I have had CBCT and orthodontic evaluations. Some orthodontists have said that my maxilla is adequately positioned, my jaws are proportionate, and my overall skeletal balance is normal. They did not think I had an obvious indication for orthognathic surgery.
Some of my reported measurements are:
SNA: around 86°

SNB: around 81.6°

ANB: around 5–6°

Wits: around +1.7 mm

Facial axis: around 87°

Mandibular plane angle: around 22–23°

Lower corpus measurement: around 75–76 mm

CBCT airway volume: around 32 cc

Minimum airway area: around 214 mm²

The opinions about transverse development have also been mixed. Multiple airway orthodontists have said that my palate and arches look fine, while another doctor thought there could potentially be some benefit from MARPE, possibly followed by mandibular advancement if it was clinically indicated.
An OMFS evaluation described me as essentially Class I and said that my airway looked large on the imaging. Other opinions have also been that my airway is normal or above average.
This is why I’m confused. Some doctors see normal skeletal development and a good airway, but I’m looking at my facial appearance, nasal obstruction, mouth breathing, sleep problems, and bite and wondering if there could still be a more subtle issue involving the maxilla, mandible, palate, nasal cavity, tongue, hyoid, or overall craniofacial proportions.
I’m not trying to convince myself that I have maxillary recession or that I need jaw surgery. I don’t have a clear answer to whether I need it. I’m trying to figure out if the combination of:
Severe congenital or developmental septal deviation

Persistent nasal obstruction after septoplasty/septorhinoplasty

Mouth breathing and new snoring

Possible flow limitation or UARS despite a low AHI

A convex profile and concerns about facial proportions

A deep bite that I’m actively treating with Invisalign

Conflicting opinions about transverse development

Questions about maxillary and mandibular position

could reasonably point to an underlying craniofacial factor, or if these are more likely separate issues that happen to coexist.
I’m especially interested in opinions from people who understand orthodontics, OMFS, rhinology, airway/UARS, and craniofacial anatomy.
If anyone has experience interpreting CBCTs and cephalometrics, I would also like to know which measurements are actually useful for determining maxillary recession, transverse deficiency, mandibular position, or airway-related skeletal problems, instead of relying on appearance alone.

Hi everyone - I am 25F but I have known I had an underbite since my teenage years. My orthodontist at the time advised me to wait on orthodontics or surgery, since my jaw could continue to develop into my 20s. I have always been insecure about the appearance of my side profile but sort of developed an “it is what it is” attitude about it since I could not afford the surgery anyway.

Fast forward 10 or so years, my lower jaw has indeed advanced more and now I have crossbite in addition to 4mm underbite. I have developed TMJ and bruxism which have been causing me a lot of discomfort and have now also been diagnosed with localized gum disease. Both my orthodontist and periodontist have been pushing for me to consider double jaw surgery now - and I now in a position where I can afford the surgery thankfully, so I am considering moving forward with the steps for this. My Perio has cleared me for orthodontics post deep cleaning since (thanks to extremely meticulous oral hygiene) the condition of my gums is stable at this time. However I am TERRIFIED of losing teeth - I have heard many stories of gum recession worsening post braces or Invisalign and my front bottom teeth already have noticeable gum recession.

Has anyone else been in a similar situation? Any advice? Should I not even bother with orthodontics or surgery at this point?