Dr. Alireza SadighiFacial & Jaw Surgery Specialist

Jaw & Chin Surgery

Comprehensive Guide to Protruding Lower Jaw (Mandibular Prognathism) Surgery: Everything You Need to Know

Lower jaw (mandibular) surgery for prognathism is a specialized procedure in jaw and facial surgery performed to correct lower jaw irregularities. This approach not only improves facial aesthetics but also restores proper chewing, speech, and breathing function.

راهنمای جامع جراحی فک پایین جلو آمده: هر آنچه باید بدانید
3 min readLast updated May 7, 2025

Lower jaw (mandibular) surgery for prognathism is a specialized procedure in jaw and facial surgery performed to correct lower jaw irregularities. This approach not only improves facial aesthetics but also restores proper chewing, speech, and breathing function.

What is a protruding lower jaw?

A protruding lower jaw refers to a condition in which the lower jawbone sits abnormally forward relative to the upper jaw. This condition may be hereditary or the result of developmental disorders.

Causes of a protruding lower jaw

Genetics and heredity

Bone growth disorders

Incorrect childhood habits such as thumb-sucking

Lack of timely orthodontic treatment

Signs and complications of a protruding lower jaw

Jaw misalignment and an unbalanced facial appearance

Difficulty chewing and swallowing food

Speech and pronunciation difficulties

Temporomandibular joint (TMJ) pain

Premature tooth wear or decay

Benefits of protruding lower jaw surgery

Full improvement of oral and jaw function

Enhanced facial beauty and symmetry

Improved speech and breathing

Reduced jaw pain and headaches

Increased self-confidence and quality of life

Steps of protruding lower jaw surgery

1. Initial assessment and 3D imaging

The specialist analyzes the condition of the jaws and teeth through detailed examinations and CBCT imaging.

2. Pre-surgical orthodontic treatment

In most cases, orthodontic treatment is performed first to bring the teeth into their correct position.

3. Performing the jaw surgery (orthognathic surgery)

This procedure is performed under general anesthesia; through intraoral incisions, the jawbone is repositioned and stabilized in its correct location.

4. Fixation with specialized plates and screws

The jawbone is held in place using specialized medical fixation devices.

Aftercare following lower jaw surgery

Eating soft or liquid foods for the first few weeks

Full rest and avoiding strenuous activity

Maintaining oral hygiene and using mouthwash

Visiting the doctor to monitor recovery progress

Taking prescribed medication to control pain and inflammation

How long does the recovery period take?

It usually takes between 2 to 6 weeks for the jawbone to fully heal, but complete recovery of jaw function and appearance may continue for several months.

Who is a good candidate for this surgery?

People with a severely protruding lower jaw

Those who suffer from jaw misalignment

Patients with significant speech or chewing difficulties

People who wish to improve their facial appearance

Conclusion

Protruding lower jaw surgery is one of the effective solutions for improving appearance, oral function, and jaw health. By choosing a specialist surgeon and following the treatment steps, you can achieve a beautiful appearance and natural function. If you're suffering from a lower jaw irregularity, consulting an experienced jaw and facial surgeon can be the first step on your treatment path.

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