Orthognathic Surgery (Corrective Jaw Surgery) in St. Augustine, FL

Advanced surgical correction for jaw misalignment, facial asymmetry, and functional improvement

Jaw misalignment affects more than just appearance—it impacts your daily comfort, function, and overall health. Discover how orthognathic surgery can transform both how you look and how you feel.

What Is Orthognathic Surgery?

Orthognathic surgery, commonly called corrective jaw surgery, is a specialized set of procedures designed to reposition and realign the upper jaw (maxilla), lower jaw (mandible), or both to achieve proper functional relationship and improved facial balance. This sophisticated surgery addresses skeletal discrepancies that cannot be corrected through orthodontics alone, creating harmony between the jaws and facial features while significantly improving function.

Unlike cosmetic procedures that focus primarily on appearance, orthognathic surgery addresses fundamental structural issues that affect essential daily functions like chewing, speaking, and breathing. By precisely repositioning the jaw bones and securing them with specialized plates and screws, these procedures create lasting improvements in both function and appearance.

Orthognathic surgery requires exceptional precision and extensive specialized training. As a board-certified oral and maxillofacial surgeon, Dr. Johnson has completed years of hospital-based surgical residency specifically focused on these complex procedures. His comprehensive approach includes detailed pre-surgical planning using advanced 3D imaging and computer modeling to precisely plan jaw movements for optimal functional and aesthetic outcomes.

Orthognathic Surgery (Top)

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Orthognathic Surgery (Bottom)

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Dr. Douglas L. Johnson, DMD

With over 25 years of specialized experience, Dr. Johnson provides exceptional care using the latest techniques and technology.

Dr. Johnson is a board-certified oral and maxillofacial surgeon who completed his education at the University of Pittsburgh School of Dental Medicine and advanced training through fellowships at prestigious institutions. His extensive training and experience allow him to perform complex procedures with precision and care.

At our state-of-the-art facility, we prioritize your comfort and results. Dr. Johnson and his specially trained staff are committed to providing you with the highest standard of care in a welcoming environment.

What are the Benefits of Orthognathic Surgery?

Orthognathic surgery offers life-changing benefits that extend far beyond improved appearance. The functional improvements include significantly enhanced bite function and chewing efficiency, allowing you to eat a wider variety of foods with greater comfort. Many patients report dramatic reduction in jaw joint (TMJ) pain and associated headaches after proper jaw alignment is achieved, substantially improving daily comfort and quality of life.

For patients with breathing difficulties related to jaw position, orthognathic surgery can create transformative improvements in breathing function, particularly during sleep. The procedure often resolves or significantly reduces sleep apnea symptoms by expanding the airway dimensions through jaw advancement. This improved breathing can enhance sleep quality, increase energy levels, and potentially reduce dependence on CPAP therapy for some patients.

The aesthetic transformation that accompanies orthognathic surgery can have profound psychological benefits. Patients often experience significant improvements in self-confidence and social comfort following correction of visible jaw discrepancies. The balanced facial proportions created through precise jaw repositioning can enhance overall facial harmony while maintaining your natural appearance and ethnic characteristics.

From a dental health perspective, correcting severe malocclusion through orthognathic surgery often improves oral hygiene access, reduces abnormal tooth wear, and creates a more stable long-term outcome than orthodontics alone could achieve for significant skeletal discrepancies. This comprehensive correction establishes the foundation for lifelong oral health and function.

Our Reviews

Why Patients Choose Us

Care and Commitment

From the front office to the exam room, our practice is made up of professionals who take your oral health very seriously. Using state-of-the-art equipment designed with safety and efficiency in mind, we are able to offer top-notch care. As you walk through our office, you will notice that everything is clean, comfortable and thoroughly sterilized. Your safety and comfort are our priority.

Honesty and Affordability

We know that the cost of care can be confusing. In addition to offering a number of in-office payment options to fit your budget, we also give you up-front cost information on your treatment ahead of time. We are in network with a variety of insurance plans, and we offer dental financing with credit available in time frames that fit your needs. We are happy to help you navigate your dental insurance and alternative payment options.

Comprehensive Oral Surgery Care in One Location

At our practice, we are qualified to handle all aspects of your oral and maxillofacial care, so you are always surrounded by people that you trust. If we must refer out, we promise to send you to carefully vetted colleagues who apply the same professional principles in their office that we do in ours.

Orthognathic Surgery Presentation

To provide you with a better understanding of orthognathic surgery, we have provided the following multimedia presentation. Many common questions pertaining to orthognathic surgery are discussed.

Frequently Asked Questions

Am I a Candidate for Orthognathic Surgery?

Orthognathic surgery is typically considered for patients with moderate to severe jaw discrepancies that cannot be adequately corrected through orthodontics alone. Good candidates include individuals with significant underbites, overbites, open bites, or facial asymmetry that affects both appearance and function. The procedure is generally performed after skeletal growth is complete, typically age 16-18 for females and 18-21 for males, though exceptions exist for certain functional problems. Candidates should be in good general health and committed to the complete treatment process, including pre-surgical orthodontics and recovery protocols.

How Long Is the Entire Orthognathic Treatment Process?

The complete orthognathic process typically spans 18-24 months, though this varies based on individual needs. Pre-surgical orthodontics usually requires 12-18 months to properly align your teeth in preparation for surgery. The surgical phase and initial recovery period spans approximately 4-6 weeks, followed by 3-6 months of post-surgical orthodontic refinement. While this represents a significant time commitment, patients consistently report that the life-changing results justify the investment of time. During your consultation, Dr. Johnson will provide a more specific timeline based on your particular situation and treatment needs.

Will My Appearance Change Dramatically After Surgery?

Orthognathic surgery creates meaningful improvements in facial balance and harmony, but the changes are designed to enhance your natural features rather than create an unrecognizable appearance. The degree of visible change depends on the severity of your initial jaw discrepancy and the specific movements planned. Most patients experience positive aesthetic changes that complement their natural facial features while maintaining their fundamental appearance and ethnic characteristics. During the planning process, Dr. Johnson uses sophisticated imaging technology to show you projections of your expected results, helping you understand the anticipated changes before proceeding with surgery.

Visit Us in St. Augustine

St. Augustine Oral & Facial Surgical Center is ideally situated at 1301 Plantation Island Dr. Suite #101, St. Augustine, FL 32080, making us easily accessible for patients throughout St. Augustine and surrounding communities.