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Surgical Instructions

After Orthognathic Surgery

Immediately Following Surgery

Swelling

Swelling is normally expected after surgery and can be around the mouth, cheeks, eyes and sides of the face. This is the body’s normal reaction to surgery and eventual repair. The swelling may not be apparent until the day following surgery and will not reach its maximum until two to three days post-operatively. Ice packs should be applied to the sides of the face where surgery was performed. The ice packs should be left on continuously while you are awake for the first 24 hours only. Even though the swelling and stiffness may persist for several days, do not reapply ice after the first 24 hours. In some cases, discoloration of the skin follows swelling. This is a normal postoperative occurrence and will fade over time.

Pain

If the jaws are wired or banded together, liquid pain medication will be needed. For moderate pain, over-the-counter liquid Tylenol or ibuprofen (Motrin or Advil) may be taken as directed on the bottle. For severe pain, you will be prescribed a liquid pain medication which should be taken as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. Do not drive an automobile or work around machinery.

Antibiotics

If antibiotics have been prescribed, take the liquid as directed. Antibiotics help prevent infection. Discontinue antibiotic use in the event of a rash or other unfavorable reaction. Call the office if you have any questions.

Nausea & Vomiting

Occasionally nausea and/or vomiting following surgery can be caused from the prescription pain reliever. In the event of vomiting, lean forward to allow the vomit to expel. Wire cutters should be carried at all times; however, should be used to cut the wires only in a breathing emergency.

Liquid Diet

Often the upper and lower jaws are wired or banded together after orthognathic surgery or jaw fractures. These patients will need to adhere to a liquid diet while their jaw is wired or banded together.

The patient will need to eat frequent meals such as liquid nutritional supplements or foods prepared in a blender with added liquid. The patient will be able to drink thin liquids through their teeth. They may also use a straw or syringe with a tube placed behind their molars to drink thicker blended foods. There are many website that can be searched for recipe ideas. However, many patients make fruit smoothies, milkshakes, blend soup, add baby food to thin mashed potatoes, and add milk or broth to many foods.

Patients who are wired or banded together should not consume any alcoholic beverages.

Keep The Mouth Clean

The day after surgery, you should begin rinsing at least five to six times a day with a cup of warm water mixed with a teaspoon of salt. You should brush your teeth and gums two to three times a day. Using a water pik device will also help remove food between your teeth and wires or bands.