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Orthognathic Surgery in Thailand Your guide to cost, top dentists & hospitals

Correcting jaw alignment changes how everything works: your bite, your breathing, your profile. The difference is structural.

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What Is Orthognathic Surgery?

Also known as: Jaw Surgery · Orthognathic Osteotomy

Orthognathic surgery is corrective jaw surgery that repositions the upper jaw, the lower jaw, or both by cutting the bone, moving it into a planned position, and fixing it with small titanium plates and screws. It treats skeletal problems braces alone cannot fix, such as a severe underbite or overbite, a jaw that sits too far forward or back, difficulty chewing or closing the lips, and sometimes obstructive sleep apnoea linked to a narrow airway. The bone heals in place, so the change lasts for life, and every cut is made inside the mouth, leaving no external scars.

Your jaw is yours alone, so the plan is built around your exact bite, profile and airway. A 3D scan simulates every movement on screen before surgery, and your surgeon walks you through it so you can see what is changing and why.

It helps to know this is the middle step of a longer journey. Braces usually come first, with your orthodontist at home, and fine-tuning continues afterwards. Whether it suits you is confirmed once your imaging and bite plan are reviewed.

It can address a range of concerns, including:

Protruding or receding upper or lower jaw affecting facial balance and profile
Severe overbite, underbite, or open bite that orthodontics alone cannot correct
Difficulty chewing, speaking, or closing the lips comfortably at rest
Obstructive sleep apnoea linked to jaw position and airway restriction
Quick Facts
Cost from $5,000
Anaesthesia General
Procedure 2–4 hours
Hospital stay 2–3 nights
Recovery 4–6 weeks
Minimum stay 14–21 days

Am I a Good Candidate for Orthognathic Surgery?

Jaw surgery suits adults with a confirmed skeletal discrepancy beyond orthodontic correction, once growth is complete and the preparation work is done.

Jaw position must be stable before it is surgically repositioned, so timing matters more here than for almost any dental procedure.

Growth completed: Surgeons operate only once jaw growth has finished, typically from age 18. Repositioning a jaw that is still growing risks the result shifting.

A confirmed skeletal problem: Imaging must show the discrepancy sits in the bone, not just the teeth. Cases orthodontics can finish alone do not need surgery.

No upper age cut-off: Healthy adults are assessed on fitness for general anaesthesia and bone healing rather than on age itself.

Surgery is the middle step of a longer plan, and surgeons will not operate until the orthodontic groundwork is in place.

Pre-surgical braces completed: Teeth are aligned within each jaw over 12-18 months with your orthodontist at home, so the bite fits once the jaws are repositioned.

A finalised bite plan: Every millimetre of movement is simulated with virtual surgical planning before you travel. Cutting the preparation short compromises the bite result.

Follow-up commitment: Orthodontic fine-tuning continues with your home orthodontist for months after surgery, and the result depends on seeing it through.

This is major surgery under general anaesthesia, so your medical picture is reviewed as closely as your bite.

Fit for general anaesthesia: Good general health is a baseline requirement for a 2-4 hour operation with a hospital stay.

Conditions under control: Uncontrolled diabetes or autoimmune disease can slow bone healing and needs medical management before surgery is scheduled.

Medications reviewed: Blood thinners are stopped two weeks before surgery only with your prescriber's approval, and bleeding disorders need review first.

Smoking stopped: Surgeons ask you to quit at least four weeks before surgery to protect bone healing.

The result is permanent and often transformative, but the recovery asks a lot of you for several weeks.

A demanding diet phase: Liquids for the first two weeks, then pureed and soft foods through week six. You need to be genuinely ready to manage that.

Swelling hides the result: The new profile emerges as swelling resolves over three months, with final soft-tissue settling taking six to twelve.

A long stay: Plan for 14-21 days in Thailand covering planning, two to three nights in hospital, and follow-up before you fly home.

Who is not suitable for orthognathic surgery?

Jaw growth not yet complete, typically under age 18
Pre-surgical orthodontics unfinished or a bite plan not yet finalised
A bleeding disorder or anticoagulant use not reviewed by your prescriber
Uncontrolled diabetes or autoimmune disease until brought under control
Smoking, unless stopped at least four weeks before surgery
Not ready to manage a liquid and pureed diet for several weeks

Pricing

How Much Will Orthognathic Surgery Cost in Thailand?

How Thailand compares on cost, quality and reliability against leading destinations for orthognathic surgery.

Is it better value in Thailand than in the USA?

Yes, comparable results at a fraction of the cost

Thailand's leading hospitals are internationally accredited and its specialists highly experienced, so for most patients the results are comparable to those at home, at a fraction of the price. Here's how the cost breaks down by hospital tier.

Cost comparison by hospital level

Hospital levelYour price in ThailandTypical USA costYou save
StandardAccredited hospital, experienced specialist from ~$5,000 from ~$15,000 ~67%
PremiumLeading hospital, senior specialist from ~$7,500 from ~$22,500 ~67%
LuxuryTop specialist, private concierge from ~$10,000 from ~$30,000 ~67%

Prices are indicative and shown in your local currency. You pay the hospital directly, with no markup.

How Thailand comparesHospital and surgeon standards

Accreditation

🇹🇭 ThailandInternationally accredited hospitals and clinics; leading hospitals hold JCI accreditation (Bumrungrad was the first in Asia, in 2002)
🇺🇸 USAVaries by clinic; look for Joint Commission International or a recognised national accreditor

Specialist credentials

🇹🇭 ThailandBoard-certified specialists, registered with Thailand's national medical or dental councils
🇺🇸 USACheck your specialist is on the recognised national register where you live

International experience

🇹🇭 ThailandBumrungrad alone treats around 520,000 international patients a year, from 190+ countries
🇺🇸 USAAsk how many international patients the clinic treats each year

Thailand's advantages

  • Save thousands on the same treatment and standard of care
  • JCI-accredited hospitals and board-certified specialists
  • Airport transfers and aftercare included, with hotels arranged nearby
  • Little to no waiting list, so you plan around your travel
  • A dedicated coordinator from first enquiry to flight home

Considerations

  • Travel and time off work to factor in
  • Follow-up care needs planning once you are back home
  • Choosing the right hospital and surgeon matters most
Bottom line: For most international patients, Thailand offers the strongest balance of price and quality for orthognathic surgery: internationally accredited hospitals and experienced specialists at a fraction of Western prices, with savings that comfortably cover the trip.Internationally accredited hospitals and experienced surgeons, with transparent, itemised pricing.

Is it better value in Thailand than in the USA?

Yes, comparable results at a fraction of the cost

Thailand's leading hospitals are internationally accredited and its specialists highly experienced, so for most patients the results are comparable to those at home, at a fraction of the price. Here's how the cost breaks down by hospital tier.

Cost comparison by hospital level

Hospital levelYour price in ThailandTypical USA costYou save
StandardAccredited hospital, experienced specialist from ~$5,000 from ~$15,000 ~67%
PremiumLeading hospital, senior specialist from ~$7,500 from ~$22,500 ~67%
LuxuryTop specialist, private concierge from ~$10,000 from ~$30,000 ~67%

Prices are indicative and shown in your local currency. You pay the hospital directly, with no markup.

How Thailand comparesHospital and surgeon standards

Accreditation

🇹🇭 ThailandInternationally accredited hospitals and clinics; leading hospitals hold JCI accreditation (Bumrungrad was the first in Asia, in 2002)
🇺🇸 USAHospitals accredited by The Joint Commission; clinics by recognised national accreditors

Specialist credentials

🇹🇭 ThailandBoard-certified specialists, registered with Thailand's national medical or dental councils
🇺🇸 USABoard-certified through the American Board of Medical Specialties (ABMS) or the relevant dental board

International experience

🇹🇭 ThailandBumrungrad alone treats around 520,000 international patients a year, from 190+ countries
🇺🇸 USACaseloads are mostly domestic

Thailand's advantages

  • Save thousands on the same treatment and standard of care
  • JCI-accredited hospitals and board-certified specialists
  • Airport transfers and aftercare included, with hotels arranged nearby
  • Little to no waiting list, so you plan around your travel
  • A dedicated coordinator from first enquiry to flight home

Considerations

  • Travel and time off work to factor in
  • Follow-up care needs planning once you are back home
  • Choosing the right hospital and surgeon matters most
Bottom line: For most international patients, Thailand offers the strongest balance of price and quality for orthognathic surgery: internationally accredited hospitals and experienced specialists at a fraction of Western prices, with savings that comfortably cover the trip.Internationally accredited hospitals and experienced surgeons, with transparent, itemised pricing.

Is it better value in Thailand than in the UK?

Yes, comparable results at a fraction of the cost

Thailand's leading hospitals are internationally accredited and its specialists highly experienced, so for most patients the results are comparable to those at home, at a fraction of the price. Here's how the cost breaks down by hospital tier.

Cost comparison by hospital level

Hospital levelYour price in ThailandTypical UK costYou save
StandardAccredited hospital, experienced specialist from ~$5,000 from ~$15,000 ~67%
PremiumLeading hospital, senior specialist from ~$7,500 from ~$22,500 ~67%
LuxuryTop specialist, private concierge from ~$10,000 from ~$30,000 ~67%

Prices are indicative and shown in your local currency. You pay the hospital directly, with no markup.

How Thailand comparesHospital and surgeon standards

Accreditation

🇹🇭 ThailandInternationally accredited hospitals and clinics; leading hospitals hold JCI accreditation (Bumrungrad was the first in Asia, in 2002)
🇬🇧 UKHospitals, clinics and dental practices regulated by the Care Quality Commission (CQC)

Specialist credentials

🇹🇭 ThailandBoard-certified specialists, registered with Thailand's national medical or dental councils
🇬🇧 UKOn the GMC specialist register, or the GDC register for dental care

International experience

🇹🇭 ThailandBumrungrad alone treats around 520,000 international patients a year, from 190+ countries
🇬🇧 UKPrivate caseloads are mostly domestic, with long NHS waiting lists for many procedures

Thailand's advantages

  • Save thousands on the same treatment and standard of care
  • JCI-accredited hospitals and board-certified specialists
  • Airport transfers and aftercare included, with hotels arranged nearby
  • Little to no waiting list, so you plan around your travel
  • A dedicated coordinator from first enquiry to flight home

Considerations

  • Travel and time off work to factor in
  • Follow-up care needs planning once you are back home
  • Choosing the right hospital and surgeon matters most
Bottom line: For most international patients, Thailand offers the strongest balance of price and quality for orthognathic surgery: internationally accredited hospitals and experienced specialists at a fraction of Western prices, with savings that comfortably cover the trip.Internationally accredited hospitals and experienced surgeons, with transparent, itemised pricing.

Is it better value in Thailand than in Australia?

Yes, comparable results at a fraction of the cost

Thailand's leading hospitals are internationally accredited and its specialists highly experienced, so for most patients the results are comparable to those at home, at a fraction of the price. Here's how the cost breaks down by hospital tier.

Cost comparison by hospital level

Hospital levelYour price in ThailandTypical Australia costYou save
StandardAccredited hospital, experienced specialist from ~$5,000 from ~$15,000 ~67%
PremiumLeading hospital, senior specialist from ~$7,500 from ~$22,500 ~67%
LuxuryTop specialist, private concierge from ~$10,000 from ~$30,000 ~67%

Prices are indicative and shown in your local currency. You pay the hospital directly, with no markup.

How Thailand comparesHospital and surgeon standards

Accreditation

🇹🇭 ThailandInternationally accredited hospitals and clinics; leading hospitals hold JCI accreditation (Bumrungrad was the first in Asia, in 2002)
🇦🇺 AustraliaHospitals and day surgeries accredited to the NSQHS Standards (e.g. by ACHS)

Specialist credentials

🇹🇭 ThailandBoard-certified specialists, registered with Thailand's national medical or dental councils
🇦🇺 AustraliaAHPRA-registered specialists; specialty titles are protected and college-accredited

International experience

🇹🇭 ThailandBumrungrad alone treats around 520,000 international patients a year, from 190+ countries
🇦🇺 AustraliaCaseloads are mostly domestic

Thailand's advantages

  • Save thousands on the same treatment and standard of care
  • JCI-accredited hospitals and board-certified specialists
  • Airport transfers and aftercare included, with hotels arranged nearby
  • Little to no waiting list, so you plan around your travel
  • A dedicated coordinator from first enquiry to flight home

Considerations

  • Travel and time off work to factor in
  • Follow-up care needs planning once you are back home
  • Choosing the right hospital and surgeon matters most
Bottom line: For most international patients, Thailand offers the strongest balance of price and quality for orthognathic surgery: internationally accredited hospitals and experienced specialists at a fraction of Western prices, with savings that comfortably cover the trip.Internationally accredited hospitals and experienced surgeons, with transparent, itemised pricing.

Is it better value in Thailand than in Singapore?

Yes, comparable results at a fraction of the cost

Thailand's leading hospitals are internationally accredited and its specialists highly experienced, so for most patients the results are comparable to those at home, at a fraction of the price. Here's how the cost breaks down by hospital tier.

Cost comparison by hospital level

Hospital levelYour price in ThailandTypical Singapore costYou save
StandardAccredited hospital, experienced specialist from ~$5,000 from ~$15,000 ~67%
PremiumLeading hospital, senior specialist from ~$7,500 from ~$22,500 ~67%
LuxuryTop specialist, private concierge from ~$10,000 from ~$30,000 ~67%

Prices are indicative and shown in your local currency. You pay the hospital directly, with no markup.

How Thailand comparesHospital and surgeon standards

Accreditation

🇹🇭 ThailandInternationally accredited hospitals and clinics; leading hospitals hold JCI accreditation (Bumrungrad was the first in Asia, in 2002)
🇸🇬 SingaporeJCI-accredited private hospitals such as Mount Elizabeth and Gleneagles; licensed by the Ministry of Health (MOH)

Specialist credentials

🇹🇭 ThailandBoard-certified specialists, registered with Thailand's national medical or dental councils
🇸🇬 SingaporeOn the Singapore Medical or Dental Council specialist register

International experience

🇹🇭 ThailandBumrungrad alone treats around 520,000 international patients a year, from 190+ countries
🇸🇬 SingaporeAlso a well-established international medical hub

Thailand's advantages

  • Save thousands on the same treatment and standard of care
  • JCI-accredited hospitals and board-certified specialists
  • Airport transfers and aftercare included, with hotels arranged nearby
  • Little to no waiting list, so you plan around your travel
  • A dedicated coordinator from first enquiry to flight home

Considerations

  • Travel and time off work to factor in
  • Follow-up care needs planning once you are back home
  • Choosing the right hospital and surgeon matters most
Bottom line: For most international patients, Thailand offers the strongest balance of price and quality for orthognathic surgery: internationally accredited hospitals and experienced specialists at a fraction of Western prices, with savings that comfortably cover the trip.Internationally accredited hospitals and experienced surgeons, with transparent, itemised pricing.

Is it better value in Thailand than in the UAE?

Yes, comparable results at a fraction of the cost

Thailand's leading hospitals are internationally accredited and its specialists highly experienced, so for most patients the results are comparable to those at home, at a fraction of the price. Here's how the cost breaks down by hospital tier.

Cost comparison by hospital level

Hospital levelYour price in ThailandTypical UAE costYou save
StandardAccredited hospital, experienced specialist from ~$5,000 from ~$15,000 ~67%
PremiumLeading hospital, senior specialist from ~$7,500 from ~$22,500 ~67%
LuxuryTop specialist, private concierge from ~$10,000 from ~$30,000 ~67%

Prices are indicative and shown in your local currency. You pay the hospital directly, with no markup.

How Thailand comparesHospital and surgeon standards

Accreditation

🇹🇭 ThailandInternationally accredited hospitals and clinics; leading hospitals hold JCI accreditation (Bumrungrad was the first in Asia, in 2002)
🇦🇪 UAEMany JCI-accredited hospitals, especially in Dubai Healthcare City; regulated by the DHA, DOH or MOHAP by emirate

Specialist credentials

🇹🇭 ThailandBoard-certified specialists, registered with Thailand's national medical or dental councils
🇦🇪 UAELicensed by the DHA, DOH or MOHAP; many clinicians hold Western board certification

International experience

🇹🇭 ThailandBumrungrad alone treats around 520,000 international patients a year, from 190+ countries
🇦🇪 UAEA fast-growing destination for international patients

Thailand's advantages

  • Save thousands on the same treatment and standard of care
  • JCI-accredited hospitals and board-certified specialists
  • Airport transfers and aftercare included, with hotels arranged nearby
  • Little to no waiting list, so you plan around your travel
  • A dedicated coordinator from first enquiry to flight home

Considerations

  • Travel and time off work to factor in
  • Follow-up care needs planning once you are back home
  • Choosing the right hospital and surgeon matters most
Bottom line: For most international patients, Thailand offers the strongest balance of price and quality for orthognathic surgery: internationally accredited hospitals and experienced specialists at a fraction of Western prices, with savings that comfortably cover the trip.Internationally accredited hospitals and experienced surgeons, with transparent, itemised pricing.
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The complete guide to Orthognathic Surgery in Thailand

Everything below is for readers who want the full detail: costs broken down, types and techniques, recovery, risks and safety, and planning your trip.

Top Orthognathic Surgeons & Clinics

Orthognathic surgery demands a specialist surgeon, a hospital-grade facility, and digital planning technology. Here is what to look for.

Leading Hospitals in Bangkok

Our partner hospitals, including JCI-accredited institutions with dedicated maxillofacial departments, have operating theatres equipped for orthognathic surgery, in-house 3D planning suites, and post-operative care units with experienced nursing staff. These are not clinics; they are full-scale hospitals that handle complications in-house.

Experienced Maxillofacial Surgeons

Our partner surgeons are board-certified by the Thai Board of Oral and Maxillofacial Surgery. Many have trained internationally (fellowships in South Korea, Japan, or the US) and returned to Thailand where surgical volume is high. The combination of international training and high case volume produces reliable, consistent outcomes.

What to Look for in a Surgeon

Board certification in oral and maxillofacial surgery is non-negotiable. Ask specifically about their orthognathic case volume and whether they use 3D virtual surgical planning with custom guides. Review before-and-after photos of cases similar to yours: same jaw problem, similar skeletal type. A surgeon who walks you through the virtual plan on screen is one who takes precision seriously.

Typical Results Over Time

Orthognathic surgery produces permanent structural changes. Here is what a realistic outcome looks like.

Typical Orthognathic Surgery Results

The bite aligns properly, the facial profile balances, and functional problems resolve. Patients with severe underbite see the lower jaw brought back into harmony. Those with receding chins gain projection and proportion. Sleep apnoea patients experience measurable airway improvement. The changes are skeletal and permanent. The jaws do not move back.

What Results Can You Expect?

Visible improvement emerges as swelling resolves over the first three months. The final facial shape is apparent by six months. Bite alignment is typically excellent from the immediate post-operative period, with orthodontic fine-tuning completing the detail. The combination of functional improvement and facial balance is what makes this procedure genuinely transformative for patients who have lived with severe malocclusion.

Orthognathic Surgery Cost in Thailand

Average Cost of Orthognathic Surgery

Orthognathic surgery in Thailand typically costs between $5,000 and $10,000, depending on whether one or both jaws are involved and the complexity of the case. Single-jaw procedures sit at the lower end. Bimaxillary osteotomy with virtual surgical planning sits at the higher end. The price includes the surgeon's fee, hospital stay, anaesthesia, and fixation hardware.

Cost Breakdown

The total cost covers the maxillofacial surgeon's fee, general anaesthesia, hospital stay with nursing care, 3D imaging and virtual surgical planning, custom cutting guides and pre-bent plates, titanium fixation hardware, post-operative medications, and follow-up appointments. Pre-surgical orthodontic treatment is separate and typically completed at home.

What Affects the Price?

The main variables are single-jaw versus bimaxillary surgery, the complexity of the virtual surgical plan, and the hospital chosen. Bimaxillary surgery costs more because it is a longer operation involving two jaw segments. Cases requiring segmental osteotomy or genioplasty (chin surgery) alongside the main procedure add to the total.

Cost by Orthognathic Surgery Type

Pricing varies by the complexity and scope of the procedure. Typical ranges at our partner hospitals in Thailand:

  • Single-jaw surgery (maxilla or mandible): $5,000–$6,500: repositioning of one jaw to correct bite misalignment
  • Bimaxillary surgery (both jaws): $7,000–$8,500: simultaneous repositioning of upper and lower jaws
  • Bimaxillary surgery with genioplasty: $8,500–$10,000: double-jaw correction combined with chin repositioning for facial harmony

Exact pricing is confirmed after your consultation and treatment plan are finalised.

Thailand vs International Price Comparison

Orthognathic surgery in Thailand costs 60–80% less than the same procedures in the US ($15,000–$30,000), Australia (A$14,000–A$27,500), and UK (£12,500–£25,000). Even after adding flights, accommodation, and a three-week stay, patients typically save $10,000–$20,000 on a bimaxillary case.

Jaw Surgery vs Orthodontics Alone

The main alternative to jaw surgery is orthodontic camouflage: using braces or clear aligners on their own to tilt the teeth and disguise a mild skeletal discrepancy without moving the jaws. For a small overbite or underbite, this can deliver a good bite and a result that holds, with no surgery, no general anaesthetic, and no hospital stay.

What it cannot do is change where the jaw bones actually sit. Orthodontics moves teeth, not the skeleton, so it does not correct a protruding or receding jaw, restore facial balance in profile, or open a restricted airway. Pushed too far on a genuine skeletal case, camouflage can leave teeth over-tilted and unstable, and any aesthetic improvement is limited to the smile rather than the jawline.

When imaging confirms the discrepancy sits in the bone rather than the teeth, as covered earlier on this page, orthognathic surgery is the route that lastingly corrects the bite, the profile, and the airway together. Braces still play a part either side of it, but the jaws themselves can only be repositioned surgically, and that is what the rest of this page covers.

Types of Orthognathic Surgery

Which jaw moves, and in which direction, depends on where the skeletal problem sits. Virtual surgical planning determines the precise movements needed before you enter the operating room.

Le Fort I Osteotomy (Upper Jaw)

The maxilla is separated from the skull base through a horizontal bone cut above the upper teeth roots. It is repositioned forward, backward, upward, or downward and secured with titanium plates. All incisions are intraoral: no external scars. Can include segmental widening if needed.

  • Corrects upper jaw excess, deficiency, or asymmetric cant
  • Can widen a narrow upper jaw simultaneously with a segmental approach
  • All incisions inside the mouth with no visible external scarring
  • Best for: midface deficiency, gummy smile, open bite, or upper jaw asymmetry

Bilateral Sagittal Split Osteotomy (Lower Jaw)

The mandible is split along its natural planes behind the last molar on each side. The tooth-bearing segment is advanced or set back to its correct position and fixed with titanium plates. The most common procedure for correcting lower jaw underbite or recession.

  • The standard approach for lower jaw advancement or setback
  • Computer-planned movements ensure precise, predictable bite correction
  • Performed entirely through intraoral incisions with no visible scars
  • Best for: underbite, receding chin, lower jaw asymmetry, or mandibular excess

Bimaxillary Osteotomy (Both Jaws)

Both the upper and lower jaws are repositioned in a single surgery. This is the approach for complex cases where moving one jaw alone would compromise the result. It produces the most dramatic improvement in both function and facial aesthetics.

  • Achieves optimal balance when a single-jaw procedure would not be sufficient
  • Standard approach for severe class III malocclusion and obstructive sleep apnoea
  • Combined surgery avoids a second operation and consolidates recovery
  • Best for: complex skeletal discrepancies affecting both jaws, or sleep apnoea treatment

Genioplasty (Chin Osteotomy)

The chin point is separated through a horizontal cut along the lower jaw and repositioned forward, backward, upward, or sideways, then fixed with a titanium plate. It refines chin projection and facial proportion and is frequently combined with jaw repositioning in the same operation, since correcting the bite does not always bring the chin into balance on its own. Like the other osteotomies, every incision is intraoral.

  • Repositions the chin point to balance the lower face and profile
  • Commonly added to single-jaw or bimaxillary surgery to complete facial harmony
  • Performed through intraoral incisions with a low-profile titanium plate
  • Best for: a recessed or asymmetric chin alongside jaw correction, or for profile balance

Orthognathic Surgery Techniques

The precision of modern orthognathic surgery depends on digital planning and custom surgical hardware. Thailand's maxillofacial units use the same systems as leading centres globally.

3D Virtual Surgical Planning

Cone-beam CT data is loaded into planning software that creates a three-dimensional model of the skull. The surgeon simulates jaw movements on screen, adjusting position until the bite, profile, and airway are optimal. Custom cutting guides and pre-bent plates are manufactured from the plan and shipped to the hospital before surgery.

  • Every millimetre of jaw movement is planned digitally before the operating room
  • Custom surgical guides eliminate freehand guesswork during bone cutting
  • Pre-bent titanium plates fit precisely to the planned position
  • Best for: all orthognathic cases. Digital planning is the current standard of care

Titanium Fixation and Rigid Stabilisation

The repositioned jaw segments are secured with titanium miniplates and screws that hold the bone in its new position while it heals. The plates are low-profile, biocompatible, and rarely need removal. They provide rigid fixation that allows earlier jaw function during recovery.

  • Rigid fixation eliminates the need for wired-shut jaws in most cases
  • Titanium is biocompatible and integrates without causing rejection
  • Low-profile plates are not visible or palpable through the skin
  • Best for: every orthognathic procedure. Rigid fixation is the standard

Maxillomandibular Advancement for Sleep Apnoea

Both jaws are advanced forward by 8–12mm to permanently enlarge the airway behind the tongue. This is the most effective surgical treatment for obstructive sleep apnoea, with success rates exceeding 85%. It eliminates the need for CPAP in most patients who undergo it.

  • Permanently enlarges the airway by advancing the skeletal framework
  • Success rates above 85% for eliminating moderate to severe sleep apnoea
  • Eliminates CPAP dependence for most patients
  • Best for: obstructive sleep apnoea patients who have failed CPAP or oral appliance therapy

Orthognathic Surgery Recovery Timeline

Days 1–3

You remain in hospital with IV fluids, antibiotics, and pain management. Facial swelling is significant and peaks around day three. Light elastic bands guide the new bite position. A liquid diet begins immediately and progresses to pureed foods as tolerated.

Weeks 1–2

Swelling reduces noticeably. Follow-up appointments monitor healing and adjust elastic bands. Gentle jaw exercises may begin to improve opening range. Continue pureed and soft foods. Most patients feel well enough for short outings by the end of week one.

Weeks 3–6

Swelling continues settling and new facial contours become visible. Transition gradually to a soft-chew diet. Light work or study can resume. Avoid contact sports and heavy lifting throughout this phase.

Months 3–6

Bone healing is well advanced and the jaws are stable in their new position. Orthodontic fine-tuning continues with your home orthodontist. The last traces of swelling fade. Bone remodelling carries on quietly for 9–12 months total.

Permanent Jaw position is stable for life
Balanced Profile Harmonious facial proportions
Better Function Improved chewing and breathing

When Can You Fly After Orthognathic Surgery?

Plan to stay in Thailand for at least two to three weeks after jaw surgery. Swelling is significant in the first week, and your surgeon needs to monitor bone stability, wound healing, and jaw function through several follow-up appointments before clearing you to fly. Cabin pressure is not a concern, but you need to be well enough to manage a long flight comfortably.

When Can You Eat and Drink Normally?

You will be on a liquid-only diet for the first two weeks while the jaw heals in its new position, progressing to soft blended foods over weeks three to six. Chewing resumes gradually as your surgeon confirms bone stability, typically around six to eight weeks post-surgery. Full, unrestricted eating usually returns within three to four months.

When Will You See Final Results?

The jaw is repositioned during surgery, so the structural change is immediate: but swelling obscures the result for the first several weeks. Most swelling resolves by three months, giving a clear sense of the new profile. Final soft-tissue settling and full functional adaptation take six to twelve months.

Anaesthesia for Jaw Surgery

Orthognathic surgery is always performed under general anaesthesia, so you are fully asleep and feel nothing during the operation. Because the surgeon works inside the mouth and repositions the jaw bones, a breathing tube is used to keep the airway protected throughout. A consultant anaesthetist stays with you for the whole procedure and monitors you continuously, which is standard at the JCI-accredited hospitals we work with.

This is hospital surgery, not a dental-clinic procedure, so before you are cleared you have a full pre-operative assessment: blood tests, a review of your medical history and any medication, and the cone-beam imaging that already forms part of your surgical plan. Your anaesthetist confirms you are fit for a general anaesthetic and a two to three night hospital stay before the date is set.

You feel nothing while the jaws are moved and fixed. When you wake, discomfort is controlled with IV pain relief in hospital and oral medication once you are back at your hotel. Most patients find the swelling, numbness, and weeks of liquid and soft food harder to live with than actual pain, which is usually well managed throughout recovery.

Risks and Safety of Orthognathic Surgery

Orthognathic surgery is major surgery performed under general anaesthesia. Complication rates are low when performed by experienced maxillofacial surgeons with proper 3D planning, but understanding the risks is essential.

  • Temporary lip or chin numbness from nerve stretching (most common, resolves in weeks to months)
  • Prolonged facial swelling lasting several weeks
  • Post-operative infection at the surgical site (rare with antibiotic prophylaxis)
  • Minor jaw relapse over time (minimised by rigid fixation and proper planning)
  • Temporary limited mouth opening during the early healing phase
  • Titanium plate requiring removal due to irritation (uncommon)

Every case-specific risk is identified through the pre-surgical assessment (3D imaging, medical history review, and bite analysis) and discussed fully before surgery is scheduled.

Is Orthognathic Surgery Safe in Thailand?

Yes, when performed at a JCI-accredited hospital by a board-certified maxillofacial surgeon with 3D virtual planning. Our partner hospitals maintain the same surgical standards, infection-control protocols, and anaesthesia monitoring as leading centres in the US, UK, and Australia. They have ICU backup and handle orthognathic cases regularly.

How to Reduce Your Risk

Choose a JCI-accredited hospital with a dedicated maxillofacial unit, not a dental clinic. Verify your surgeon is board-certified in oral and maxillofacial surgery specifically. Confirm that 3D virtual surgical planning with custom guides is part of the surgical protocol. Complete your pre-surgical orthodontic preparation thoroughly before travelling: cutting this short compromises the bite result.

What About Nerve Numbness?

Temporary numbness of the lower lip and chin is the most common side effect of lower jaw surgery, affecting a significant percentage of patients. It occurs because the inferior alveolar nerve runs through the bone that is cut. In the vast majority of cases, sensation returns fully within three to six months. Permanent numbness is rare with experienced surgeons and proper technique.

Planning Your Trip to Thailand for Orthognathic Surgery

Orthognathic surgery requires the longest stay of any dental procedure. Here is how to plan for it.

How Long to Stay in Thailand

Plan for 14–21 days. This covers pre-operative imaging and consultation, two to three nights in hospital after surgery, and multiple follow-up appointments to monitor healing, adjust elastic bands, and confirm you are safe to fly home. A longer stay gives more recovery time and greater confidence before a long-haul flight.

What Is Included in a Medical Trip

Your care coordinator manages hospital booking, surgeon communication, pre-operative scheduling, and all post-operative follow-up. The surgical quote covers the surgeon's fee, anaesthesia, hospital stay, 3D planning and custom hardware, titanium plates, post-operative medications, and follow-up appointments. Flights, accommodation, and pre-surgical orthodontics are separate.

Recovery in Bangkok

The first week is dedicated to recovery: hospital stay followed by rest at your hotel near the hospital. Swelling peaks around day three and then progressively improves. By week two, most patients manage short outings. Staying close to the hospital for the full duration is important because follow-up visits are frequent and your surgeon needs access to you if anything requires attention.

Alternatives to Orthognathic Surgery

Other procedures that address similar goals or conditions. Compare before deciding which approach suits you.

Common Questions About Orthognathic Surgery

Everything you need to know before your procedure

Jaw surgery in Thailand typically costs $5,000–$10,000, compared with $15,000–$30,000 in the United States and £12,500–£25,000 in the UK. The two things that move the price most are whether one jaw or both are operated on and whether a chin procedure (genioplasty) is added. Pre-surgical orthodontics is a separate cost, usually done with your orthodontist at home. Request a free quote for a figure matched to your case.

Yes. Orthognathic surgery at our partner hospitals is performed by board-certified maxillofacial surgeons at JCI-accredited hospitals with dedicated maxillofacial units, ICU backup, and the same anaesthesia monitoring and infection-control standards as leading centres in the US, UK, and Australia. Every case is planned with cone-beam CT and 3D virtual surgical planning before you enter the operating room. This is hospital surgery, not a procedure done in a dental clinic.

Usually yes, and this is the honest catch with treating jaw surgery abroad. Pre-surgical orthodontics aligns the teeth within each jaw so the bite fits once the jaws are repositioned, and it typically takes 12–18 months of fixed braces with in-person adjustments. That part is almost always done with an orthodontist at home, before you travel, and orthodontic fine-tuning continues with them for months afterwards. Thailand handles the surgery itself; the long orthodontic phase happens locally either side of it.

Plan for 14–21 days. This covers pre-operative imaging and consultation, two to three nights in hospital after surgery, and several follow-up appointments to monitor swelling, healing, and jaw function before your surgeon clears you to fly. Swelling is significant in the first week, so the longer end of that range gives more recovery time before a long-haul flight.
Nick Peplow

Nick Peplow

EDITORIAL REVIEW

Patient Care Director

Last reviewed: June 26, 2026

Medical disclaimer: This information is for educational purposes only and does not replace professional dental advice. Individual results, recovery times, and suitability vary. Always consult a qualified dentist before making decisions about treatment.

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