The decision to undergo jaw surgery, or orthognathic surgery, is a major step toward improving your health, function, and quality of life. While the results can be transformative, feeling prepared for the procedure is key to a smooth and successful experience. Knowing what to expect can reduce anxiety and empower you to take an active role in your healing journey.
This step-by-step guide will walk you through the essential aspects of jaw surgery preparation, from initial consultations to the day of the procedure itself.
The Foundation: Pre-Surgery Consultations and Planning
Your preparation begins long before your surgery date. This initial phase is all about creating a precise and personalized surgical plan.
- Comprehensive Evaluation: Your oral and maxillofacial surgeon will conduct a thorough examination. This includes a physical assessment of your jaw function, facial structure, and bite. Advanced imaging, such as X-rays and 3D CT scans, will be used to create a detailed map of your facial bones.
- Collaborating with Your Orthodontist: Jaw surgery is a team effort. Your surgeon will work closely with your orthodontist to coordinate your treatment. Most patients require braces for 12-18 months before surgery to align the teeth properly. This ensures that once your jaws are repositioned, your bite will fit together perfectly.
- Asking Questions: Your consultations are the perfect time to ask questions. Don’t hesitate to discuss your concerns, the expected outcomes, and the recovery process. A clear understanding of the plan is a crucial part of your mental preparation.
Two to Four Weeks Before Surgery: The Pre-Surgery Checklist
As your surgery date approaches, it’s time to focus on practical preparations. Use this pre-surgery checklist to stay organized and ensure you have everything you need.
1. Medical Clearances and Pre-Op Appointments
Your surgeon will require you to get medical clearance from your primary care physician to ensure you are healthy enough for general anesthesia. This may involve a physical exam and blood work. You will also have a final pre-operative appointment with your surgeon to review the plan and sign consent forms.
2. Arrange for Time Off and Support
Plan to take adequate time off from work or school. Most patients need at least two to three weeks to recover from the initial phase, though this can vary. Arrange for a trusted friend or family member to drive you to and from the hospital and stay with you for the first few days post-surgery. Having support is not just helpful—it’s essential for a safe recovery.
3. Stock Your Kitchen for a Liquid Diet
For the first several weeks after surgery, you will be on a strict liquid or no-chew diet. Go shopping ahead of time to stock your pantry and freezer.
Essential items to have on hand:
- A quality blender for making smoothies and soups.
- Protein powder, meal replacement shakes (like Ensure or Boost), and Greek yogurt to ensure you get enough calories and protein.
- Broths, smooth soups, and juices.
- Applesauce, pudding, and Jell-O.
Preparing for this dietary change in advance will make your initial jaw surgery recovery much less stressful.
4. Prepare Your Recovery Space
Set up a comfortable space where you can rest and recover. An adjustable recliner can be more comfortable than a flat bed for the first few nights, as sleeping in an elevated position helps reduce swelling.
Gather these helpful items:
- Plenty of pillows for elevation.
- Ice packs or gel packs designed for facial swelling.
- Lip balm to combat dry, chapped lips.
- A notepad and pen for communication, as talking may be difficult at first.
- Entertainment options like books, movies, or podcasts.
One Week Before Surgery: Final Preparations
With just a week to go, your focus will be on your health and finalizing last-minute details.
- Confirm Your Ride and Support: Double-check your arrangements with the person who will be taking you home and assisting you after surgery.
- Stop Certain Medications: Your surgeon will instruct you to stop taking any medications or supplements that can increase bleeding, such as aspirin, ibuprofen, and some herbal supplements.
- Focus on Nutrition and Hydration: Eat well-balanced meals and drink plenty of water. A healthy body is better prepared for surgery and healing.
- Prioritize Rest: Aim to get plenty of sleep in the days leading up to your procedure. Good rest helps bolster your immune system.
- Avoid Smoking and Alcohol: Both smoking and alcohol can impair healing and increase the risk of complications. You should stop using them at least a week before surgery and continue to avoid them during your recovery.
The Day Before Surgery: Rest and Relax
Your main job the day before surgery is to rest.
- Follow Fasting Instructions: Your surgeon will provide strict instructions about when to stop eating and drinking. Typically, you should not have any food or drink (including water) after midnight. This is critical for anesthesia safety.
- Pack Your Hospital Bag: Have a small bag ready with comfortable, loose-fitting clothes to wear home, your toothbrush, and any personal items you might need.
- Relax: Try to engage in a calming activity. Read a book, listen to music, or practice deep breathing exercises. Managing your stress is an important part of your mental preparation.
The Day of Surgery: What to Expect
On the day of your jaw surgery, you’ve done all the preparation, and now you can hand things over to your surgical team.
- Arrive on Time: Arrive at the hospital or surgical center at your scheduled time.
- Anesthesia: You will meet with the anesthesiologist, who will review your medical history and explain the general anesthesia process.
- The Procedure: The surgery itself usually takes several hours. Your surgeon will make incisions inside your mouth to access and reposition your jawbones, securing them with tiny plates and screws.
- Waking Up: You will wake up in a recovery room, where nurses will monitor you closely. You can expect to feel groggy and have significant facial swelling. Elastic bands may be placed on your braces to guide your jaw into its new bite.
- Hospital Stay: Most patients stay in the hospital for one to three days for monitoring. Your care team will manage your pain and ensure you are stable before you go home.
Final Thoughts: Embrace the Journey
Preparing for jaw surgery is a comprehensive process that involves medical, logistical, and mental readiness. By following this step-by-step guide and working closely with your surgical team, you can approach your procedure with confidence. Remember that this is a journey toward a healthier future. Your thorough preparation is the first and most important step in ensuring a smooth recovery and enjoying the lifelong benefits of a well-aligned jaw.
