Revision Orthognathic Surgery

This is truly the last time.

Revision surgery begins by listening more deeply than the first time.

Because we understand the concerns that have weighed on you for so long, we are with you through your final surgery with expertise built since our university hospital days.

SEOULFACE21Revision Surgery

CASE 01

Revision two-jaw surgery after two-jaw surgery

CASE 02

Two-jaw surgery after facial contouring surgery (cheekbones, square jaw, chin)

CASE 03

Two-jaw surgery after protruding mouth surgery

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The confidence that this is truly the end—SeoulFace21 is with you.

Revision two-jaw surgery requires a high level of expertise, precise planning, and sophisticated surgical techniques.

Based on extensive clinical experience and data, SeoulFace21 carefully assesses the necessity and feasibility of surgery through thorough consultation and diagnosis, and stays with you every step of the way to give you confidence that this will be the last time.

Causes of Revision Surgery

- Inappropriate diagnosis

Insufficient understanding of the patient's needs

Inadequate equipment and facilities for data acquisition

- Surgical errors (functional dissatisfaction)

Results caused by the previous provider's insufficient functional understanding of occlusion and the temporomandibular joint,

as well as limited surgical experience

- Insufficient results (aesthetic dissatisfaction)

When surgical planning and communication during consultation

were inadequate

SEOULFACE21 POINT

POINT. 01

Accurate data acquisition and thorough analysis

POINT. 02

SeoulFace21's efforts and expertise to minimize errors

POINT. 03

Meticulous one-on-one personalized consultations with the chief director, based on extensive consultation experience and placing importance on actively reflecting each patient's aesthetic preferences

Why Revision Two-Jaw Surgery Is Difficult

- Altered anatomical structures

Because the initial surgery may alter facial anatomy and change the location of nerves and blood vessels, the risk of nerve injury, dental injury, and bleeding during revision surgery increases.

- Limited bone structure and insufficient fixation points

Insufficient understanding of the patient's needs

Inadequate equipment and facilities for data acquisition

- Extended recovery period

Because tissue response is difficult to predict in revision surgery, recovery may be delayed, with more severe swelling or pain.

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SeoulFace21 can handle even such difficult revision surgery.

SeoulFace21's technical expertise anticipates even the variables of revision surgery.

With the resolve that this is the last time, we take a precise approach again from the beginning.

SEOULFACE21

Revision Two-Jaw Surgery Procedure

- Surgery duration

2–3 hours

※ Individual results may vary depending on the patient.

- Anesthesia

General anesthesia

- Hospital stay

2 nights, 3 days

- Suture removal

After 2 weeks

- Follow-up visits

3–4 visits

- Recovery period

Approximately 2 weeks to 1 month

| Precise diagnosis and surgical planning

· The current jawbone structure and occlusal status are accurately analyzed using 3D CT and facial scanning.

· Past surgical records and the current condition are compared to identify issues and establish the need for and goals of revision surgery.

· A customized surgical plan considering both functional and aesthetic aspects is established through multidisciplinary consultation among medical specialists.

| Preoperative preparation and orthodontic treatment

· Surgery is performed under general anesthesia, and new osteotomy lines are planned in consideration of the existing osteotomy sites.

· The positions of the maxilla and mandible are readjusted to balance occlusion and facial appearance.

· Fixation devices are used to stably maintain the new jawbone position.

| Revision surgery

· Surgery is performed under general anesthesia, and new osteotomy lines are planned in consideration of the existing osteotomy sites.

· The positions of the maxilla and mandible are readjusted to balance occlusion and facial appearance.

· Fixation devices are used to stably maintain the new jawbone position.

| Postoperative care and recovery

· Medication and cold compresses are used to manage postoperative swelling and pain.

· A liquid diet is recommended initially through dietary management, followed by a gradual transition to regular meals.

· Regular follow-up examinations are performed to check the stability of the surgical site and occlusal status.

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Cases Requiring SeoulFace21 Two-Jaw Surgery

- When postoperative occlusion is misaligned, causing problems with chewing function

- When there is temporomandibular joint pain or difficulty opening the mouth

- When facial asymmetry remains

- When satisfaction with changes in appearance is low

- When abnormal sensation or pain persists at the surgical site

Revision Two-Jaw Surgery FAQ

Q. When should revision two-jaw surgery be considered?

In general, revision surgery is considered about 6 months to 1 year after the first surgery.

This is when tissues have stabilized and swelling has subsided, allowing the surgical outcome to be assessed accurately.

Q. Do the pins or plates inserted during the previous surgery need to be removed during revision surgery?

It depends on the case. If the existing fixation devices are not problematic and do not interfere with the revision plan, they may be left in place.

However, they may be removed or replaced if there is infection, malposition, or a functional issue.

Q. How long is the recovery period after revision surgery?

Recovery may take longer after revision surgery because tissue response is difficult to predict.

Initial recovery generally takes about 2 to 4 weeks, while full recovery may take several months.

Q. Can revision surgery resolve all problems?

Although revision surgery aims to improve issues from the first surgery, not all problems may be resolved completely.

It is important to have realistic expectations and establish a surgical plan through thorough consultation with medical specialists.

Before surgery, precise 3D facial analysis helps prevent the risks of facial bone surgery in advance.

SeoulFace21 uses a high-performance 3D diagnostic system and 3D virtual surgery program to systematically simulate everything from precise preoperative analysis to the surgical process and anticipated postoperative facial changes.

This enables customized surgical plans that reflect each patient's skeletal structure and individual characteristics, providing more sophisticated surgery.

STEP 01 | 3D Diagnosis

The patient's actual face is scanned and three-dimensionally superimposed on CT images to analyze facial soft tissue and skeletal hard tissue together

STEP 02 | 3D Analysis and Planning

A surgical plan is established through precise three-dimensional analysis of the facial hard tissues

STEP 03 | 3D Virtual Surgery and Postoperative Facial Appearance Prediction

High-precision scanning enables immediate visualization of the three-dimensional face after surgery

STEP 04 | 3D Simulated Surgery

Digital simulated surgery is performed on CT images, and feedback is used to identify any gaps in the surgical plan and establish a refined surgical plan

STEP 05 | 3D Device Fabrication and Surgery

After producing patient-specific surgical devices through a 3D process, surgery is performed precisely according to plan, potentially reducing operating time

Why should you choose SeoulFace21 for two-jaw surgery?

#01 Performed by an Oral and Maxillofacial Surgery Specialist

Intraoral incision surgery is the domain of oral and maxillofacial surgery.

Jaw surgery is not simply a procedure of cutting and fixing bone. It requires precise management of complex intraoral structures, including the temporomandibular joint, nerves, blood vessels, mucosa, teeth, and gums—an area of expertise for oral and maxillofacial surgery specialists.

At SeoulFace21, oral and maxillofacial surgery specialists perform procedures based on a deep understanding of intraoral anatomy, minimizing postoperative complications such as malocclusion, nerve injury, gingival recession, and scarring.

#02 Sincere One-on-One Personalized Care

SeoulFace21 listens to patients first.

SeoulFace21 performs subnasal osteotomy, which preserves the position of the nasal bones, maintains the preoperative structure, and osteotomizes the inner nasal bones to prevent deviation of the septal cartilage.

In addition, double-layer closure using proven absorbable sutures minimizes nasal widening.

#03 Stable Results Through Exceptional Expertise

The chief director's sophisticated expertise and technical skills create stable surgical results.

SeoulFace21 combines precise technical expertise with the chief director's exceptional surgical know-how to deliver more refined and stable procedures.

Based on the chief director's extensive clinical experience at Seoul National University Dental Hospital and Chung-Ang University Hospital's Department of Dentistry, as well as a deep understanding of facial bone structure, we carefully design surgical plans that satisfy both function and aesthetics.

#04 Natural Results Without an Operated Look

We create a natural smile without an operated look.

Through nasal cinch sutures to prevent nasal widening, V-Y closure of the upper lip, and subnasal osteotomy, SeoulFace21 minimizes postoperative thinning of the lips after two-jaw surgery, creating a beautiful, natural-looking smile.

Preoperative Internal Medicine Co-management System

In addition to routine preoperative blood tests, a range of items including electrocardiography, chest X-rays, urinalysis, and oxygen saturation testing are carefully evaluated.

Through co-management with an internal medicine specialist, health risks are identified and addressed in advance to improve surgical safety.

Anesthesiology Specialist Co-management System

An anesthesiology specialist directly manages maintenance of anesthesia, airway management, and monitoring of cardiovascular responses during surgery, supporting stable anesthesia and surgery.

Real-Time Patient Status Monitoring

A centralized patient monitoring system monitors vital signs, including blood pressure, oxygen saturation, and heart rate, for a period following surgery to detect abnormalities early and respond quickly.

Sterile Air Handling Systems in All Operating Rooms

All operating rooms are equipped with high-performance sterile air handling systems that block airborne bacteria and dust, providing a clean surgical environment that minimizes the risk of infection.

Meticulous hygiene management down to the smallest details enables safer surgery.

Comprehensive Emergency Response System

The chief director, qualified in basic life support and advanced cardiac life support, responds promptly in the event of an emergency.

We are fully equipped with systems and equipment for immediate emergency response, including an automated external defibrillator (AED) and emergency airway management equipment.