The following conditions are generally treated by Orthognathic Surgery, always in combination of Orthodontic Treatments, which sometimes must be performed before the surgery and on other subsequent occasions after Orthognathic Surgery:

  1. Difficulty when chewing and swallowing.
  2. Dolores faciales cr贸nicos o de la articulaci贸n temporo mandibular y dolores de cabeza.
  3. Chronic facial or temporomandibular joint pain and headaches.
  4. Excessive dental wear
  5. Under-bite (lack of fit between the upper and lower teeth when the mouth is closed).
  6. Inadequate proportions of the face (in profile or from the front).
  7. Birth defects including facial deformities observed from birth or develop in the early years of life.
  8. When the mandible or chin are very small.
  9. When the mandible is very large
  10. Difficulty or impossibility of effortlessly sealing the lips.
  11. Chronic breathing through mouth.
  12. Sleep apnea (difficulty breathing during sleep manifested by severe snoring or choking episodes).
  13. Unsuccessful Orthodontic treatments or not easily completed
  14. Abnormalities caused by cleft lip and palate.

Dr. Briceno will perform a proper analysis of the dental and facial condition to determine whether you require this type of treatment. In addition, Dr. Briceno will conduct a multidisciplinary management with specialists in orthodontics, oral rehabilitation etc., to provide the best solution to your problem, and determine a teamwork schedule in order to achieve the objectives.


  • The maxillary bones can be relocated to the desired correct position and maintained by screws and plates, without leaving the patient immobilized. This allows the patient to open and close the mouth from the moment he/she leaves the surgery room and is able to start regular diet few hours after the procedure
  • It can usually be completely performed inside the mouth without leaving any external scars.
  • Orthognathic Surgery should be performed in a hospital that has the technology and resources needed to ensure adequate safety and results. Some patients are managed on an outpatient basis and others require an overnight hospital stay.
  • Complete recovery usually takes 20 days to a month, and the disability is also approximately 15- 20 days. The disability in each case can vary and should be determined in accordance with the surgery progress and results.
  • In most cases, the patient must have an Orthodontic treatment performed before the surgery, the duration of the Orthodontic treatment varies according to each case and must be analyzed and determined between the Orthodontist and Dr. Briceno; The Orthodontic treatments may be accelerated and their duration markedly reduced by using innovative resources applied to our patients.


Surgery may be performed in the maxilla, upper maxillary or both; surgery may also be performed in the chin, lips, cheeks, eyelids, ears and nose, as an additional complement to Orthognathic surgery.

Upper Maxillary Surgery
This procedure may be performed to correct the following alterations:聽
  1. Upper Maxillary very regressed.
  2. Cross-bite.
  3. Little or excessive dental when smiling.
  4. Open-bite
These surgeries are performed inside the mouth, the maxillary bone is cut as a unit and moves into the new desired position, once realigned, it is fixed with small titanium screws and plates to keep it stable in the new position.
Maxillary Surgery:
  1. This procedure may be performed to correct the following alterations:
  2. Regressed maxillary
  3. Prognathism or very large maxillary
  4. Under-bite
  5. Deviations of the mandible
  6. Facial asymmetries
Maxillary surgery is also done inside the mouth, proper fixation with screws and/or plates, allows patients to mobilize their mouth from the first day after the surgery.

A deficiency in chin size (very large or very small), may be corrected by a cut on the chin bone, after its relocation, it is fixed with screws to ensure healing and change the appearance of the chin.