Jaw surgery Case

Cristian Alejandro has had an incredible change after his bimaxillary surgery at the hands of Prof. Hernandez Alfaro which consisted of:
- advancement, centering and counterclockwise rotation of the jaw
-advancement and expansion of the maxilla with segmentation between 2-3

[@Cicelyize]

Enhorabuena a este chico y felicidades al equipo- qué cambio tan maravilloso. Está estupendo.

[@InstitutoMaxilofacialBarcelona]

Muchas gracias!

[@iDTecKt]

This the most dramatic change i think ive ever seen

[@SyedUbaidHassan]

nope. Gustavo is still the masterpiece of Alfaro. This is a pretty average result. nothing compares to gustavo's transformation. From a worm looking kid to teen chad

[@llll3816]

Muchas gracias. Estoy de acuerdo en que la diferencia es asombrosa.

[@kvin007]

Joder, qué buen trabajo

[@InstitutoMaxilofacialBarcelona]

Gracias, Kevin

[@kmerjohnpacnis4374]

Im from Philippines. Hoping someday somehow Dr. Alfaro and team will do the surgery for me. I have long and assymetric face and excess vertical growth of the maxilla . Hope you can help me to improve my confidence and appearance. Thanks

[@christian_99]

Cuánto tiempo pasó desde la cirujía hasta la grabación del vídeo?

[@krazyman9938]

Are braces necessary? Where would I have to go first to get this done for myself?

[@InstitutoMaxilofacialBarcelona]

Braces are necessary in most cases, but not all. Your surgeon will decide this after your consultation. You can either visit an orthodontist first and they will refer you to a surgeon, or the other way around. If you wish a consultation with us, you can write to [e-mail]

[@krazyman9938]

@@InstitutoMaxilofacialBarcelona Can I go to an ENT instead or nah

[@InstitutoMaxilofacialBarcelona]

@@krazyman9938 no, it should be either a maxillofacial surgeon or an orthodontist

[@carlosfaustocruzfarromeque7790]

Podrian decir almenos el rango de precio de este tipo de cirugia por favor😢😢 , haceis financiacion?

[@InstitutoMaxilofacialBarcelona]

Hola Carlos, en este artículo puedes encontrar un rango estimado de precios para cirugía ortognática: www.institutomaxilofacial.com/es/2019/06/28/cuanto-cuesta-una-cirugia-ortognatica/ para el financiamiento, estudiamos cada caso particular a ver qué opciones podemos ofrecer

[@andressimon4814]

Cuanto ronda el precio de esa cirugía? Soy clase II también.

[@InstitutoMaxilofacialBarcelona]

Hello Andres, in this link you can find a price range for orthognathic surgery: www.institutomaxilofacial.com/en/2019/06/28/cuanto-cuesta-una-cirugia-ortognatica/

[@ahzootube]

I am wondering if having dental implants cause any issues for having this operation

[@InstitutoMaxilofacialBarcelona]

Not at all.

[@SyedUbaidHassan]

@@InstitutoMaxilofacialBarcelona Life fuel

[@dirtylittledoe]

Im wondering if invisilign will be ok instead braces before having this done 😮

[@EthanDBG]

Braces will bring better results so it’s worth it. I just got mine on a couple weeks ago and it doesn’t affect me as negatively as I expected.

[@InstitutoMaxilofacialBarcelona]

Yes, not a problem

[@SyedUbaidHassan]

its not that important honestly. in fact its probably better to leave orthodontics until after orthognathic correction is complete. using braces before jaw surgery is likely to force the teeth to move more than they need to. not good

[@dirtylittledoe]

@SyedUbaidHassan believe me I'd rather have this surgery done enjoying results without the braces or invisilign but this place and every other says that it needs to be done beforehand

[@loppyhandford]

Does the segmentation of the maxilla allow patients to avoid having jaw expanders and sarpe procedures?

[@InstitutoMaxilofacialBarcelona]

It depends on the amount of the expansion needed. If it's a small expansion yes, if not, both surgeries might be required.

[@loppyhandford]

My maxilla is not wide enough. I’ve had orthodontics to move the upper and lower teeth to fit together (angled lower molars inwards and .upper molars outwards). Really I should have had an expansion. Do I need to decompensate the teeth first to undo this orthodontic work I had before I can have this surgery or can I have the surgery and then fit it together with orthodontics afterwards?

[@InstitutoMaxilofacialBarcelona]

@@loppyhandford We would need to study your case with clinical images, to see if you're a candidate for Surgery First.

[@SyedUbaidHassan]

@@loppyhandford Thers a method i thought of expanding the jaws without surgery. Place a small dental implant at the end of each arch. It should stimulate new jawbone creation. the opposite of what happens when a tooth is extracted. just a shower thought I had. try it

[@RS54321]

Is he able to close his mouth comfortably now? He seems to have resting open mouth posture

[@InstitutoMaxilofacialBarcelona]

A slight lip incompetence is desirable and planned for, as with aging lips tend to descend.

[@RS54321]

​@@InstitutoMaxilofacialBarcelona Seriously? The lips should come together comfortably at rest. Lip incompetence is not good at all (dry mouth, gum disease, unsightly, etc.) Yes, with ageing, the philtrum will lengthen, but this doesn't help anyone who is young. Waiting 30-40 years for the philtrum to lengthen to finally allow the lips to close is bonkers.

[@InstitutoMaxilofacialBarcelona]

@@RS54321 In a true resting face with relaxed lips, lips should be slightly open.

[@SyedUbaidHassan]

@@InstitutoMaxilofacialBarcelona Mike mew said the lip seal is essential for proper craniofacial development in kids.

[@InstitutoMaxilofacialBarcelona]

@@SyedUbaidHassan Michael Mew was discredited as orthodontist.

[@jennyhanna01]

PLEASE I NEED THE SAME SURGERY I AM WILLING TO FLY FROM SYDNEY- What is the email address please to send Dr photo's?

[@InstitutoMaxilofacialBarcelona]

Please write to [e-mail]

[@abdelcontreras731]

I want to do the same procedure what are the method of payment ?

[@InstitutoMaxilofacialBarcelona]

@@abdelcontreras731 Bank transfer