Orthognathic Surgery | Advanced Treatment for Complex Cases

When Braces Alone Aren’t Enough

Orthognathic Surgery, also known as orthodontics surgery, is sometimes required when jaw alignment or skeletal irregularities cannot be corrected with braces or aligners alone. This type of treatment is typically recommended for patients with moderate to severe bite issues, jaw asymmetry, or improper jaw positioning that affects both function and appearance.


At Dr. Norma W. Chou Orthodontist, surgical cases are carefully evaluated through digital imaging and comprehensive orthodontic records. If surgery is indicated, we coordinate closely with experienced oral and maxillofacial surgeons to ensure a collaborative treatment plan that meets both your aesthetic and functional goals.

What Conditions Require Orthognathic Surgery?

Orthognathic surgery may be necessary for patients with:


  • A misaligned jaw that causes chewing, speaking, or breathing difficulties
  • Severe overbite, underbite, or open bite that cannot be corrected with orthodontics alone
  • Facial imbalance or asymmetry due to jaw positioning
  • Obstructive sleep apnea related to skeletal structure
  • Failure of prior orthodontic treatment due to underlying jaw issues


Surgical orthodontics is usually recommended for adult patients, as jaw growth must be complete before surgery can be performed.

What to Expect from the Process

The orthognathic surgery process typically begins with orthodontic preparation. Braces are worn for several months to align the teeth in each arch. Once this is complete, the surgical procedure is scheduled with a partnering oral surgeon. After surgery, orthodontic treatment continues to refine the bite and ensure long-term stability.


The surgery itself is performed under general anesthesia in a hospital or surgical center. Recovery time varies by case but often includes a few weeks of healing, during which we provide detailed aftercare instructions and regular check-ins.

Personalized Care and Surgical Coordination

Dr. Chou is experienced in diagnosing and managing cases that involve surgical orthodontics and will work closely with your surgical specialist to provide detailed treatment planning and follow-up. Throughout the process, we’ll make sure you understand each step and feel confident in your care.



If you’ve been told you may need surgery as part of your orthodontic plan, or if you’re concerned that braces alone won’t resolve your issues, we’re here to help guide you toward the right solution.