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Corrective Jaw Surgery · Orthognathic (Corrective Jaw) Surgery Indianapolis

Can Surgery Fix a Bite That Braces Alone Cannot?

Corrective jaw surgery in Indianapolis to fix severe bite, breathing, and facial balance problems that braces alone cannot. Board-certified oral and maxillofacial surgeons at Oral Surgeons of Indiana.

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Patient Journey

What Corrective Jaw Surgery Is Actually Like

Six chapters that follow a real orthognathic patient from the orthodontist's referral to the day they see their new profile in the mirror.

Chapter 1 · Years before the referral

Before — A Bite That Never Worked Right

[PLACEHOLDER] Describe the lived experience of a severe bite discrepancy: chewing fatigue, jaw pain or clicking, sleep disrupted by airway issues, headaches, self-consciousness about a recessed chin or open bite. End on the orthodontist saying braces alone won't fix it.

5%of adults have a jaw discrepancy severe enough to warrant surgery
Chapter 2 · 90-minute appointment

Consultation — Surgical Planning in 3D

[PLACEHOLDER] Walk through the joint workup with the orthodontist and surgeon: cone beam CT, photographs, virtual surgical planning that previews the new bite and profile on screen, and a candid conversation about timeline (typically 12–18 months of pre-surgical orthodontics first).

Chapter 3 · 2–4 hours under general anesthesia

Surgery Day — In the Hospital, Asleep, Done in Hours

[PLACEHOLDER] Step through the surgical day in an accredited hospital OR: morning admission, general anesthesia, the surgeon repositioning the upper jaw, lower jaw, or both via incisions hidden inside the mouth, titanium plates securing the new position, and waking up in recovery with no external scars.

Chapter 4 · Days 1–14

Immediate Recovery — One Night In, Two Weeks Home

[PLACEHOLDER] Set realistic expectations: typically one overnight hospital stay, significant facial swelling that peaks days 3–4, liquid then soft diet for 4–6 weeks, sleeping upright, light guided jaw exercises, school or desk work usually possible by week 2–3.

1 nightTypical hospital stay before going home to recover
Chapter 5 · Weeks 2 through month 9

Healing Timeline — Bones Knitting, Bite Settling

[PLACEHOLDER] Explain bone healing in plain language: the osteotomies fuse over 6–8 weeks while the patient progresses through soft to regular foods, returns to the orthodontist for final bite refinement, and watches the swelling continue to resolve through month 6 and beyond.

Chapter 6 · From month 9 forward

The Result — A Bite, A Profile, A Full Breath

[PLACEHOLDER] Describe the day the braces come off and the year that follows: chewing without thinking about it, the new profile in family photos, sleeping through the night without airway interruptions, the quiet realization that this changed more than just the jaw.

REPLACE: Profile portrait of a patient (late teens to 30s) showing a clear underbite, overbite, or recessed chin; natural lighting, not posed.
Chapter 1 · Years before the referral

Before — A Bite That Never Worked Right

[PLACEHOLDER] Describe the lived experience of a severe bite discrepancy: chewing fatigue, jaw pain or clicking, sleep disrupted by airway issues, headaches, self-consciousness about a recessed chin or open bite. End on the orthodontist saying braces alone won't fix it.

5%of adults have a jaw discrepancy severe enough to warrant surgery
REPLACE: Surgeon and patient reviewing a 3D virtual surgical plan on a large monitor — before/after profile renderings side by side.
Chapter 2 · 90-minute appointment

Consultation — Surgical Planning in 3D

[PLACEHOLDER] Walk through the joint workup with the orthodontist and surgeon: cone beam CT, photographs, virtual surgical planning that previews the new bite and profile on screen, and a candid conversation about timeline (typically 12–18 months of pre-surgical orthodontics first).

REPLACE: Patient in pre-op gown with family member, calm, hospital admission area.6:30 AM — Hospital admission
REPLACE: OR with full surgical team, anesthesia equipment visible; no graphic intra-operative imagery.8:00 AM — General anesthesia
REPLACE: 3D illustration showing a Le Fort I osteotomy repositioning the upper jaw forward, with the new bite alignment highlighted.9:00 AM — Upper jaw repositioned
REPLACE: 3D illustration of bilateral sagittal split osteotomy on the lower jaw, secured with titanium plates and screws.10:30 AM — Lower jaw set & plated
REPLACE: Patient in PACU bed with mild facial swelling, eyes open, IV fluids running, no external bandages.12:30 PM — Awake in recovery
Chapter 3 · 2–4 hours under general anesthesia

Surgery Day — In the Hospital, Asleep, Done in Hours

[PLACEHOLDER] Step through the surgical day in an accredited hospital OR: morning admission, general anesthesia, the surgeon repositioning the upper jaw, lower jaw, or both via incisions hidden inside the mouth, titanium plates securing the new position, and waking up in recovery with no external scars.

REPLACE: Patient at home in a recliner, propped upright with pillows, blender and protein smoothies on side table, soft afternoon light.
Chapter 4 · Days 1–14

Immediate Recovery — One Night In, Two Weeks Home

[PLACEHOLDER] Set realistic expectations: typically one overnight hospital stay, significant facial swelling that peaks days 3–4, liquid then soft diet for 4–6 weeks, sleeping upright, light guided jaw exercises, school or desk work usually possible by week 2–3.

1 nightTypical hospital stay before going home to recover
REPLACE: Calendar overlay marking 'Week 2 — major swelling subsiding, returning to light activity'.Week 2 — Back to light activity
REPLACE: Patient back in the orthodontist's chair, braces being adjusted to refine the new bite, smiling.Month 3 — Orthodontic refinement
REPLACE: Cross-section illustration of fully healed osteotomy site, titanium plates integrated, bone fully remodeled.Month 9 — Bone fully healed
Chapter 5 · Weeks 2 through month 9

Healing Timeline — Bones Knitting, Bite Settling

[PLACEHOLDER] Explain bone healing in plain language: the osteotomies fuse over 6–8 weeks while the patient progresses through soft to regular foods, returns to the orthodontist for final bite refinement, and watches the swelling continue to resolve through month 6 and beyond.

REPLACE: Authentic before/after profile pair of a real OSOI orthognathic patient (with signed release).BeforeAfter
Chapter 6 · From month 9 forward

The Result — A Bite, A Profile, A Full Breath

[PLACEHOLDER] Describe the day the braces come off and the year that follows: chewing without thinking about it, the new profile in family photos, sleeping through the night without airway interruptions, the quiet realization that this changed more than just the jaw.

Ready to take the first step?

A consultation is the only way to know what your specific journey looks like — and there's no obligation.

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Key Facts

  • 5%

    of adults have a jaw discrepancy severe enough to benefit from orthognathic surgery.

    American Association of Oral and Maxillofacial Surgeons (AAOMS), 2023

  • 12–18 months

    of pre-surgical orthodontics typically precedes the operation.

    JOMS, 2022

  • 2–4 hours

    typical operative time, performed in an accredited hospital under general anesthesia.

    OSOI internal data, 2025

  • 1 night

    typical inpatient stay before recovering at home.

    OSOI internal data, 2025

  • 6–8 weeks

    until the osteotomies have healed enough for return to most normal activity.

    IJOMS, 2023

Who Needs This Procedure

Adults and older teens with a jaw discrepancy that orthodontics alone cannot correct — including significant underbite, overbite, open bite, or crossbite; a small or asymmetric jaw; sleep-disordered breathing tied to a small lower jaw; and certain TMJ or facial-balance concerns. Patients are typically referred by an orthodontist after a course of evaluation.

Risks and Complications

Reported risks include temporary or, rarely, permanent altered sensation of the lower lip or chin (most commonly with lower-jaw surgery), bleeding, infection, hardware-related issues requiring later removal, and minor relapse over time. Serious complications are uncommon in healthy patients operated on by an experienced orthognathic team. — JOMS, 2023.

How OSOI Does This Differently

Every orthognathic case at OSOI is co-planned with the referring orthodontist using 3D virtual surgical planning and a custom surgical splint, so the surgical movement and the orthodontic finishing line up exactly. Surgery is performed in an accredited hospital by a board-certified oral and maxillofacial surgeon with subspecialty experience in orthognathic and reconstructive cases.

Cost and Insurance

Because orthognathic surgery treats functional problems (bite, chewing, breathing, jaw pain), it is generally billed to medical insurance rather than dental. Coverage varies by plan; our team handles the medical necessity letter and pre-authorization on your behalf. Out-of-pocket costs typically include surgical, hospital, and anesthesia fees and depend on your plan's deductible and coinsurance. Financing is available through CareCredit, Cherry, and Sunbit — see /oral-surgery-cost-financing.

Frequently Asked Questions

Related Procedures

See also our cost and financing guide and IV sedation options.