What is Revision Jaw Surgery?

At the practice of Dr. Derek Steinbacher, our patients with specific facial surgery needs can obtain the care they require. This includes those who have had jaw surgery in the past and require revision orthognathic treatment. We treat patients from all over the country and the world in need of revision or “redo” orthognathic jaw surgery.  We are glad to speak with you about revision jaw surgery, continue reading to learn more about this procedure and determine if you could benefit.

What is revision orthognathic jaw surgery?

In some cases the jaw will “relapse” or move back toward the original position and undo some of the correction achieved at the original jaw surgery.  New onset growth or shifting can also account for this (such as a late onset growth spurt, or a TMJ condylar new growth – condylar hyperplasia during adulthood).  Additionally, jaw surgery can at times lead to a result that is less aesthetically / cosmetically favorable as initially anticipated, and needs to be redone or repositioned to optimize the form and function.  At times hardware may be palpable or cause irritation, and needs to be removed.  Asymmetry or residual defects or deformities can also be corrected via revision or redo jaw surgery.  

Dr. Steinbacher is one of the few surgeons who has written extensively on, and has a population of patients traveling to see him to have their jaw surgery redone, or performed again to optimize position, cosmetics, occlusion, airway, TMJs, and function.  

As with anything in the human body – it is a biologic system, and not everything turns out exactly as planned, and cannot always be predicted.  It is important to know that it is not necessarily because the procedure was done incorrectly the first time, but that things can move, shift, and change, and tissue can respond differently in some humans compared to others.  

For whatever the reason, Dr. Steinbacher is uniquely qualified to perform revision jaw surgery and optimize your outcome and result.  Revision jaw surgery, or revision orthognathic surgery, is performed to correct problems that occur after initial jaw surgery. These problems can include:

  • Persistent/residual, or new onset mis-alignment of the jaws
  • Malocclusion, including difficulty chewing or biting
  • Persistent pain
  • TMJ issues
  • Sleep apnea
  • Asymmetry
  • Cosmetic concerns

Dr. Steinbacher is also extremely well-versed and understands the intricacies of the naso-maxillary complex, and nasal changes that occur following LeFort-I (maxillary / upper jaw) orthognathic procedures.  He performs rhinoplasty and nasal procedures to optimize the nasal appearance, nasal breathing, and correct and adverse findings that occur to the nose following orthognathic surgery.  

Why might I consider revision jaw surgery?

If you have any of the above findings, residual deformities, or irregularities, or are dissatisfied with the final results of your initial jaw surgery, revision jaw surgery can help improve your appearance and function. Revision surgery aims to achieve a harmonious balance between your facial bones and soft tissues, resulting in improved function and aesthetics.  It is more complex than the initial jaw surgery due to previous manipulation and scar tissue, presence of existing hardware (that may be embedded in bone), alteration of anatomy, amongst other reasons.  We will discuss your specific case with you in detail, and optimize your plan, and 3D planning will help us achieve the very best results we can.  

What can I expect during my first appointment?

During your consultation, Dr. Steinbacher will perform a thorough examination of your face, mouth, teeth, and jaws and take x-rays and photographs. He will also ask you about your surgical history and what problems you are experiencing. He will develop a treatment plan to address your specific needs based on this information.

Revision jaw surgery is a complex procedure that requires careful planning. Dr. Steinbacher works closely with you to develop a treatment plan that meets your individual needs and goals. If you are considering revision jaw surgery, it is important to choose a surgeon who is experienced in performing this type of surgery.

Dr. Steinbacher is also very experienced with primary and revision rhinoplasty, and rhinoplasty in concert with or following orthognathic surgery.  

Request an appointment with Dr. Derek Steinbacher

Dr. Steinbacher is exceptionally trained and has artistic vision to achieve great facial balance, and harmonize your results.  He is both a plastic surgeon, facial plastic surgeon, craniofacial surgeon, rhinoplasty surgeon, and oral and maxillofacial surgeon with extensive talent and experience performing revision jaw surgery. He will work directly with you to develop a treatment plan that meets your specific needs and goals while addressing the issues that brought you to the office. To learn more about revision jaw surgery or schedule a consultation, please contact the office by calling (203) 785-2571 and visiting the office at 800 Howard Avenue, 4th Floor in New Haven, CT.