Facial Plastic Surgery

Orthognathic surgery in Madrid

Orthognathic surgery in Madrid: the procedure that corrects the position of the upper and lower jaw to improve the bite, function and harmony of the face.

Orthognathic surgery (corrective jaw surgery) repositions the jaw bones when they are not properly aligned with each other. It corrects mandibular prognathism (protruding lower jaw, class III), retrognathia or a receding chin (class II), open bite and facial asymmetry. Beyond the appearance of the profile, it improves chewing, breathing and, in many cases, sleep apnoea.

The price of orthognathic surgery in Madrid depends on whether one jaw or both are treated (bimaxillary surgery) and whether it is combined with genioplasty or other procedures. It is a core procedure of maxillofacial surgery: in your first consultation with Dr. Barreno de Castro, a maxillofacial surgeon, your case is studied with imaging, the plan is coordinated with your orthodontist and you receive a written quote.

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How orthognathic surgery works

Orthognathic surgery is planned together with the orthodontist: orthodontic treatment before and after surgery is usually needed, and the operation is designed with 3D virtual planning. It is performed in the operating theatre under general anaesthesia and takes two to four hours. Incisions are inside the mouth, leaving no visible scars on the face, and the bones are fixed with titanium mini-plates.

After surgery you stay in hospital for one or two nights. Swelling is significant for the first two or three weeks, and a liquid and then soft diet is followed for several weeks. Most patients return to work within two to four weeks.

The final result of orthognathic surgery is seen between six and twelve months, once the swelling has resolved and post-operative orthodontics is complete. It is a permanent change that improves the bite, function and balance of the profile.

FAQ about orthognathic surgery

How much does orthognathic surgery cost in Madrid?

It depends on whether one or both jaws are treated and whether it is combined with other procedures. After studying your case in consultation you receive a closed written quote.

What is recovery from orthognathic surgery like?

It involves one or two nights in hospital, a liquid and soft diet for several weeks and marked swelling for the first two or three weeks. Most people return to work after two to four weeks.

Does orthognathic surgery leave scars?

Not on the face. The incisions are made inside the mouth, so there are no visible scars.

Is orthodontics necessary for orthognathic surgery?

In the vast majority of cases, yes: orthodontics before surgery places the teeth in the right position and orthodontics afterwards fine-tunes the bite.

Can orthognathic surgery correct facial asymmetry?

Yes, when the asymmetry is caused by the position of the jaw bones. In consultation the origin of the asymmetry is studied to decide on the right treatment.

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