BSSO surgery has proven to improve any abnormalities of the face significantly.
Bilateral Sagittal Split Osteotomy (BSSO) is a type of orthognathic surgery in which the lower jaw is separated from the rest of the face and is repositioned-
In BSSO, the lower jaw can be set forward (if it is too far back), backward (if it is too far forward), or set straight (if tilted to one side). Since it is an intraoral surgery, there is no visible scar on the patient's face. With the advent of the BSSO procedure, a complex range of lower face deformities can be corrected. The reassembly of the entire facial complex is possible with the help of the BSSO procedure.
BSSO surgery has proven to improve any abnormalities of the face significantly. It requires proper diagnosis & planning by the operating surgeon. From treating misaligned bite defects to traumatic cases, an individual can improve his/her facial profile by corrective jaw surgery.
This is a corrective jaw surgery for conditions of the lower jaw or lower face related to structure, growth, and airway issues including
In severe deformities of the face, it can be combined with Le Fort Osteotomy. When BSSO is combined with LeFort Osteotomy, it is called Bi Jaw/Bi Max surgery.
BSSO is routinely combined with chin surgery/genioplasty.
Preoperative surgical planning is the key to successful surgery
Out of all the mentioned investigations, Cephalometric X-rays are very important as it reveals abnormal growth patterns of the upper and lower jaws concerning the cranial base.
Then a detailed analysis of the skeletal, dental, and soft tissue findings is done by Dr. Amit Agarwal and the orthodontist. Dental models are made and a mock surgery is performed on the model and acrylic occlusal splints are fabricated. These occlusal splints are used intraoperatively to accurately reposition the cut (osteotomized) mandible.
In many cases, pre-surgical orthodontic treatment for about 7 to 10 months is required, which may be continued after the surgery depending on the case requirement.
The jaws are not wired & shut for long, and the segments are fixed rigidly.
The patient is wheeled out of the operation theatre in stable condition and kept in the post-operative recovery room for overnight monitoring. Facial swelling and bruising are common after this surgery which surely subsides within a week. Ice packs may be applied in the early postoperative period to minimize swelling.
The main role of postsurgical orthodontics is to settle teeth into their final occlusion. The length of postoperative orthodontic treatment will vary, depending on the presurgical setup, the accuracy of planned surgical movements, and the final occlusal result. A general goal by most orthodontists is to complete all postsurgical orthodontics within 9 months.
As the swelling subsides, the patient can move his/her jaw to a greater degree. Rubber Band Therapy may also be advised to guide the lower jaw into the upper jaw.
Patients with significantly underdeveloped mandibles like in craniofacial microsomia undergo two staged Bilateral Sagittal Spit Osteotomy (BSSO) with Distraction Osteogenesis. Patients who require the advancement of more than a centimeter to improve their facial profile and to correct their alignment of teeth, greatly benefit from distraction. Chances of relapse are very less in distraction osteogenesis as compared to single-stage BSSO advancement.
The majority of patients with severe mandibular hypoplasia are considered for BSSO with Distraction Osteogenesis. In such cases, BSSO is done and the mandible is separated from the native bones but is not advanced. An internal or external distractor is fixed to both the segments to gradually bring the lower jaw (mandible) forwards daily after the surgery.
Bilateral Sagittal Split Osteotomy is a safe and reliable surgery but can lead to few complications which are described below-
Best plastic surgeon, Dr. Amit Agarwal is an American Board Certified, extensively trained, and best Plastic & Aesthetic surgeon in Lucknow. He is the Chief Plastic Surgeon heading the Department of Plastic, Microvascular, and Craniofacial surgery at Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, U.P, India. He maintains a busy practice at Avadh and Nishat Hospital and his own center - Kayakriti Plastic Surgery & Dental Center. He was formerly a Consultant in the Department of Plastic Surgery and Burns at the prestigious SGPGI, Lucknow.
We believe your experience with us should be comfortable and hassle-free to make it one of your best lifetime experiences for yours. We, here at the clinic, take full precautions to maintain your privacy in any manner. We also provide a staff who will receive you from the gate and take you to the chamber directly if you demand.
Our Surgeon is highly qualified and internationally certified with a team of skilled staff to perform any surgical or non-surgical treatment on your body.
When you plan to undergo any surgery you should always keep in mind that it's your body and it's a surgery. We, here always keep your safety a priority and will never recommend you to undergo any such procedure which is not safe for you. We also provide you with a detailed description of the complications which may occur after the surgery during the consultation as it's a surgical procedure so there may be some complications depending on the way your body reacts.
If you have flat or small breast and you want to improve your breast and hip contour ratio then you are a good candidate for it. The answer will be best provided after the first consultation with Dr Amit Agarwal.
Acute pain will be there for almost a week which gradually reduces and there will be soreness and swelling which may take up to 3 weeks to subside.
You can join your work and daily routines after a week of the procedure and can start exercising after 3 weeks of it.
Yes, you have to wear it round the clock unless we suggest you to remove it.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
D-43, Near Punjab National Bank, Rajajipuram, Lucknow, Uttar Pradesh - 226017, India
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