Banobagi Plastic Surgery

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바노바기 20주년 since 2000
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Jaw occlusion correction: now safer and easier

Two Jaw Surgery

Jaw function recovery and smaller/sharper face at the same time

  • #JawFunctionImprovement
  • #AestheticEnhancement

Two jaw surgery corrects your jaw structure

If there is a malocclusion between the upper jaw and the lower jaw, the patient experiences daily difficulties such as not being able to chew properly or lisping. The repeated abnormal muscle use may also create health problems (e.g., accelerated facial asymmetry or jaw joint damage). Two jaw surgery was designed to address all of these occlusion-related issues.

One benefit of two jaw surgery is that it can be applied to almost all issues pertaining to the two jaws (e.g., overbite, underbite, asymmetrical jaws, etc.) because it is a procedure that severs and moves the jawbones themselves.

In addition, correcting the malocclusion in the jaws through surgery can also yield aesthetic enhancements. Recently, the surgery is used for not only functional improvements but also to create a smaller and sharper face.

banobagi plastic surgery model
Common Two Jaw Surgery Candidates
  • Facial asymmetry
    Facial asymmetry
  • Jutting chin or lantern jaw
    Jutting chin or lantern jaw
  • Overbite or underbite
    Overbite or underbite
  • Excessive gum exposure when smiling
    Excessive gum exposure when smiling

The jawbones must change, but the facial balance and expressions must remain natural

Two jaw surgery is a relatively complex operation that severs and moves the bones themselves and, therefore, requires immaculate designing and extensive skills. Since founded in 2000, BANOBAGI’s facial contouring specialist team has been continuously accumulating knowledge and experience in two jaw surgery.
We plan the surgery by understanding your jaw structure and facial expressions—using precision 3D facial CT scanner and through detailed consultations—and provide safer, more precise surgery by collaborating with anesthesiology specialists and oral and maxillofacial surgeons. This means that our two jaw surgery has less risk of complications (e.g., nerve damage, jaw asymmetry, etc.) and gives natural-feeling results in facial balance and expressions.

banobagi plastic surgery model
BANOBAGI’s two jaw surgery considers your overall facial balance and expressions
  • Extensive knowledge and experience in two jaw surgery
    Extensive knowledge and experience in two jaw surgery

    Near-perfect occlusion improvements and maintenance

  • Diagnosis from precision 3D facial CT scanner and detailed consultations
    Diagnosis from precision 3D facial CT scanner and detailed consultations

    Natural-feeling facial expressions and balance

  • Collaboration with anesthesiology specialists and oral and maxillofacial surgeons
    Collaboration with anesthesiology specialists and oral and maxillofacial surgeons

    Almost no post-surgery complications

BANOBAGI’s two jaw surgery does not require second surgery for pin removal

Even though BANOBAGI has been accumulating knowledge and experience in two jaw surgery, we did not settle for the status quo. We continued our research to create even better results, so our patients can rest a bit easier from the worries of surgery and potential side effects. Fixing the bones into place using OSTEOTRANS* was our answer.

Because a two jaw surgery severs and moves the jawbones, plates and pins that attach the severed bones together are necessary. Existing two jaw surgeries have opted to used pure metallic materials, such as stainless steel or titanium. Because of this, once the bones have settled, second surgery was needed to remove the pins.

OSTEOTRANS*, BANOBAGI’s material of choice, is a bio-friendly mixture of synthetic polymer and bone matter. It is as strong as titanium and is absorbed into the bones over time.

This means that our two jaw surgery is more stable, and that it leaves no traces to X-ray or CT scans. Moreover, the unnecessity of the second pin removal surgery means less cost for you and one less surgery for you to deal with.

banobagi plastic surgery model
  • OSTEOTRANS*

    OSTEOTRANS is an FDA/KFDA-approved mixture of synthetic polymer (PLLA) and hydroxyapatite. It is as strong as titanium, and it is absorbed into the bones afterward, assisting bone generation and provides support. It is effective in bone-readjusting surgeries.

Comparison between the old titanium attachment and OSTEOTRANS
Non-absorbed (Titanium)
Non-absorbed (Titanium)
  • Requires a second, pin removal surgery
  • Relatively strong attachment
  • Traces visible through CAT scan or X-ray
Absorbed (OSTEOTRANS)
Absorbed (OSTEOTRANS)
  • No second, pin removal surgery required:
    less pain, cost, and schedule conflict
  • Fairly strong attachment plus material absorbed into bone provides more support: almost no complications
  • Untraceable through CT scan or X-ray: more confidence

Intermaxillary fixation causes great discomfort: BANOBAGI’s two jaw surgery is safer than this

Intermaxillary fixation means binding the upper and lower teeth together so the relocation upper/lower jaws stay in place. The length required differs by individual, but it usually takes more than three weeks—within which the patients go through difficulties in breathing, eating, and hygiene maintenance. In particular, the difficulty in breathing causes great psychological discomfort, as well as a risk of the airway becoming obstructed.

However, BANOBAGI’s two jaw surgery does not require intermaxillary fixation.

This is due to our immaculate planning and calculation that allows us to precisely move the bones into their appropriate locations and guide their settling. Therefore, BANOBAGI’s two jaw surgery is less risky and facilitates patients’ faster recovery.

banobagi plastic surgery model
Benefits of not needing intermaxillary fixation
  • More comfortable recovery
    More comfortable recovery

    Patients can talk and eat more freely, giving them more energy to focus on the recovery

  • Safer
    Safer

    After the surgery, the insides of the mouth and the nose become swollen, and intermaxillary fixation may cause the airway to become obstructed. Without it, breathing is easier after the surgery, and the recovery becomes safer.

  • Lesser chance of infection or inflammation
    Lesser chance of infection or inflammation

    Intermaxillary fixation gets in the way of oral hygiene: without it, there is less chance of infection or inflammation.

There are many other ways in which two jaw surgery can be carried out that do not involve intermaxillary fixation. Unfortunately, not every patient can undergo them. In some cases—depending on the preexisting bone structure, pre-surgery occlusion, distance the bones move during surgery, post-surgery occlusion, and soft-tissue adaptability—intermaxillary fixation may be necessary. However, even in such inevitable scenarios, BANOBAGI aims to reduce the fixation period and better assist your recovery.

More satisfying results and quicker recovery: the key is post-surgery care

Even with surgery creates a perfect occlusion, what is shown outward is your skin and facial expressions. This is why, when discussing the final results of two jaw surgery, the changes that have been made to the muscle and the skin are important as well. Two jaw surgery, involving complex incisions and osteotomies, leads to relatively heavy post-surgery swelling—prolonged swelling of such severity may lead to sagging skin.
Therefore, in two jaw surgery, recovery and swelling care have as great impact on the results as the success of the surgery itself. At BANOBAGI, you can take full advantage of our aftercare knowledge, built on extensive clinical experience and as systemized as our surgeries. We have created a treatment manual for every step and stage throughout the recovery, and we offer intensive treatment—such as Elastone Therapy*—using our post-surgery care equipment. More natural facial impressions and more effective facial structure improvement: they are the sources of our confidence.

Elastone Therapy

Ultrasound, stone therapy, and radiofrequency are used to reduce swelling, fortify immunity, and increase skin elasticity. An effective post-surgery care treatment is also provided, following square jaw reduction, cheekbone reshaping, two jaw surgery, and other facial contouring procedures.

  • Ultrasound
    Ultrasound

    Ultrasound, once in contact with the skin and the body, expands blood vessels and increases blood flow with micro-vibration and heat. This increases blood and lymph circulation, facilitating quicker recovery from swelling.

  • Stone Therapy
    Stone Therapy

    This thermotherapy uses heat-retaining native rock to increase immunity as well as relax the tense nerves and muscles. The treatment facilitates blood circulation, which rapidly cleanses the body of toxins and waste, leading to effective swelling prevention.

  • Radiofrequency Machine
    Radiofrequency Machine

    Radiofrequency is delivered into the deep tissues, creating deep heat. Deep heat stimulates collagen in the dermal layer, strengthens cell functions, and increases blood circulation and metabolism: effective for skin elasticity.

Read Elastone Therapy

Surgery Information

  • Operation Time

    About 3 hr. ~ 4 hr.

  • Anesthesia

    General Anesthesia

  • Stitch Removal

    About 14 days after

  • Hospitalization

    About 1~4 days

  • Follow-up

    About 2 times

  • Recovery

    Resume daily routine in 7~14 days

Post-op Pain Level
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As the anesthetics wear off, patients may experience pain, but it will diminish over time.
The pain level during stitch removal or sterilization is that of a mild pinch.
Feverish sensations and pain caused by swelling can be addressed with the prescribed painkillers, and icing helps as well.
Without intermaxillary fixation, there will be no great discomfort.
Pain and swelling will be kept under control through a systemized and continuous aftercare.

* Consensus based on the actual patients’ response to questionnaire.

* Not a strict standard, and patients’ experiences may differ.

Click here to see the before and after photos

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BEFORE & AFTER

Before
2 Months After
Before
6 Months After
Before
3 Months After
Before
After 3 months
Before
After 3 months
Before
After 3 months

※ This image may look different from the real look depending on the shooting conditions, and was posted under the agreement of patient himself/herself