Skip to content
  • (281) 681-1118
  • New Patient Exam
Hughes & Cozad Orthodontics logo with owl mascot representing orthodontists in The Woodlands and Spring, TX
  • Our Practice
    • Who We Are
    • How We Are Different
    • Meet Our Doctors
    • Meet Our Team
    • Our Technology
    • Patient Reviews
    • Sponsorship Requests
  • Treatments
        • Braces
          • Types of Braces
          • Braces For Kids
          • Braces For Teens
          • Braces For Adults
          • Braces FAQ
        • Invisalign
          • About Invisalign
          • Invisalign for Kids
          • Invisalign for Teens
          • Invisalign for Adults
          • Invisalign FAQ
        • Other Treatments
          • Palatal Expanders
          • Airway Orthodontics
          • Surgical Orthodontics
          • Emergency Orthodontics
          • Retainers
          • Two-Phase Treatment
  • Patient Resources
    • Your First Visit
    • Patient Forms
    • Financial Info
    • Retainers
    • Patient Rewards
    • Patient Portal
    • Make A Payment
    • Products
  • Contact Us
    • Contact Info
    • The Woodlands
    • Spring
Book Online

The Woodlands

  • (281) 681-1118
Call
Text

Spring

  • (281) 466-1414
Call
Text
  • Our Practice
    • Who We Are
    • How We Are Different
    • Meet Our Doctors
    • Meet Our Team
    • Our Technology
    • Patient Reviews
    • Sponsorship Requests
  • Treatments
    • Braces
      • Types of Braces
      • Braces For Kids
      • Braces For Teens
      • Braces For Adults
      • Braces FAQ
    • Invisalign
      • About Invisalign
      • Invisalign for Kids
      • Invisalign for Teens
      • Invisalign for Adults
      • Invisalign FAQ
    • Other Treatments
      • Palatal Expanders
      • Airway Orthodontics
      • Surgical Orthodontics
      • Emergency Orthodontics
      • Retainers
      • Two-Phase Treatment
  • Patient Resources
    • Your First Visit
    • Patient Forms
    • Financial Info
    • Retainers
    • Patient Rewards
    • Patient Portal
    • Make A Payment
    • Products
  • Contact Us
    • Contact Info
    • The Woodlands
    • Spring
  • New Patients
  • Call / Text (281) 681-1118
  • Existing Patients
  • Call / Text (281) 466-1414
  • Payment Calculator
  • Patient Forms
  • Make A Payment
Request Free Consult
  • Facebook
  • Instagram
  • twitter
  • YouTube

Orthognathic Surgery: When It’s Recommended and What to Expect

We Give a Hoot About Your Smile

  • Main WP
  • January 2, 2026

Orthognathic surgery may sound intimidating, but it can be a life-changing procedure that enhances both your appearance and your oral health. If you’ve been struggling with jaw alignment or other related issues, understanding when this surgery is recommended can help you navigate your options more confidently.

In this text, we’ll investigate into the aspects of orthognathic surgery, what conditions it addresses, and guide you through the process from preparation to recovery.

Understanding Orthognathic Surgery

What Is Orthognathic Surgery?

Orthognathic surgery, often referred to as jaw surgery, involves the realignment of the jaw and other facial structures. It aims to correct issues related to bite, jaw position, and facial aesthetics. This type of surgery is performed by oral and maxillofacial surgeons and may involve one or more of the jawbones: the upper jaw (maxilla), lower jaw (mandible), or both.

Conditions That Indicate the Need for Orthognathic Surgery

Several conditions may indicate the need for orthognathic surgery, including:

  • Severe malocclusion: This includes overbites, underbites, and crossbites, which can affect your ability to chew or speak.
  • Facial asymmetry: If your jaw or chin appears uneven, it can impact facial harmony, and surgery can help restore balance.
  • Sleep apnea: Misaligned jaws can contribute to obstructive sleep apnea, and correcting this may improve your breathing during sleep.
  • Jaw joint disorders: Conditions like TMJ dysfunction may warrant surgical intervention to alleviate pain and discomfort.
  • Growth discrepancies: Some individuals may experience abnormal jaw growth, requiring surgical correction once facial development is complete.

How Orthognathic Surgery Can Help

Orthognathic surgery can provide transformative benefits, both functionally and aesthetically. Once the procedure is performed, many patients notice significant improvements in their:

  • Chewing function: Realigning the jaw enables more effective biting and chewing, improving digestion and nutrition.
  • Speech clarity: Correct positioning of the jaw can lead to clearer speech, especially in cases where misalignment affects the tongue’s movement.
  • Facial aesthetics: Proper jaw alignment enhances facial symmetry and can boost self-esteem and confidence.
  • Overall health: By alleviating conditions such as sleep apnea or chronic jaw pain, orthognathic surgery can enhance your overall quality of life.

The Orthognathic Surgery Process

Preparing for Orthognathic Surgery

Before undergoing orthognathic surgery, careful planning and preparation are necessary. Here’s what to expect during this phase:

  1. Consultation and Evaluation: You will meet with your surgeon to discuss your symptoms, undergo X-rays, and develop a personalized treatment plan.
  2. Pre-Operative Instructions: You may be given specific guidelines about diet, medication, and lifestyle adjustments to prepare your body for surgery.
  3. Orthodontic Treatment: Often, you’ll need to undergo orthodontic treatment to align your teeth properly before surgery. This may take several months to complete.

What Happens During Orthognathic Surgery?

The surgery is typically performed under general anesthesia and can last several hours. Here’s an overview of the procedure:

  • Incisions and Adjustments: Your surgeon will make incisions inside your mouth to access the jawbones. They will then reposition the bones and secure them using plates, screws, or wires.
  • Realignment: Depending on your specific needs, the upper jaw, lower jaw, or both will be repositioned to achieve optimal alignment.

Post-Surgery: What to Expect

Recovery Timeline and Expectations

After your orthognathic surgery, it’s essential to follow your surgeon’s instructions closely:

  • Immediate Post-Op: You will spend some time in recovery as your anesthesia wears off. Expect swelling and discomfort.
  • First Week: Swelling peaks within the first few days. Soft foods and plenty of fluids are recommended during this time.
  • Two to Six Weeks: Most patients begin to feel better within a few weeks. You can gradually reintroduce solid foods as tolerated.
  • Full Recovery: Complete recovery may take several months, but follow-up appointments will help ensure your jaw is healing correctly and functioning as intended.

Managing Discomfort and Risks

Like any surgical procedure, orthognathic surgery comes with risks and potential post-operative discomfort. Here are some tips on how to manage:

  • Pain Management: Your surgeon will prescribe medication to help control pain and swelling. Ensure you follow the dosage guidelines closely.
  • Dietary Adjustments: Sticking to a soft diet will minimize discomfort while getting used to your new jaw alignment. Gradually introduce solid foods as healing takes place.
  • Emotional Support: It’s normal to experience a range of emotions post-surgery. Engage with friends, family, or a support group to help you cope.

Conclusion

Orthognathic surgery can significantly impact your life by improving your bite, enhancing your facial appearance, and alleviating various health issues. If you find yourself struggling with any of the conditions outlined in this text, it may be time to consult with a qualified oral surgeon. Understanding what to expect during the process can help ease your anxiety and prepare you for your journey toward better health and improved confidence.

Frequently Asked Questions

When is orthognathic surgery recommended?

Orthognathic surgery is recommended for conditions like severe malocclusion, facial asymmetry, sleep apnea, jaw joint disorders, and growth discrepancies, especially when these issues affect chewing, speech, or overall health.

What should I expect during the orthognathic surgery process?

You can expect a thorough consultation, orthodontic treatment prior to surgery, and the procedure itself, which involves repositioning the jaw bones under general anesthesia, lasting several hours.

How does orthognathic surgery improve facial aesthetics?

By correcting jaw alignment, orthognathic surgery enhances facial symmetry, leading to improved facial aesthetics and increased self-esteem after recovery.

What is the recovery timeline after orthognathic surgery?

Recovery can vary but typically involves swelling and discomfort initially, with gradual improvement over two to six weeks, and complete recovery may take several months.

Can orthognathic surgery help with sleep apnea?

Yes, orthognathic surgery can alleviate obstructive sleep apnea caused by misaligned jaws, improving breathing during sleep and overall health.

What dietary adjustments should I make post-orthognathic surgery?

After surgery, a soft food diet is recommended initially to minimize discomfort, with a gradual reintroduction of solid foods as healing progresses.

Schedule With Hughes & Cozad Orthodontics

Hughes & Cozad Orthodontics supports patients in The Woodlands and Spring, TX with thorough evaluations, clear treatment planning, and coordinated care when complex bite concerns require a higher level of orthodontic expertise. Consultations focus on clarity and next steps, so decisions feel informed, not rushed. Schedule a visit now to secure a preferred appointment time.

request appointment

Don’t Wing it...
Get Started Today!

Ready to love your smile? Our process is proven to be successful and we’ll be there for you at every step.

Book Online
CTA Image
Our Reviews

We Give a Hoot
About 5-Star Care

Don’t just take our word for it — check out some great 5-star reviews from so many of our happy patients over the years.

Team member smiling with young patient
I had such an amazing experience with Hughes & Cozad... Orthodontics throughout my entire Invisalign journey! From the very first consultation to my final appointment, the entire team made me feel so comfortable, informed, and cared for every step of the way. The staff is incredibly friendly, welcoming, and always willing to answer any questions.My Invisalign treatment went so smoothly, and I could not be happier with my results!read more
Breanna K.
Very efficient first exam for both kids in an about an hour... with same day start! Kids are excited and looking forward to their orthodontics ahead. Enjoyable experience for all!read more
Amy P.
Love the team here always friendly and every appointment... has gone smoothly for my son! Brianna has been super patient and kind with him. He was so excited to get his first set of braces off today and looking forward to working with Hughes & cozad for the rest of his orthodontic journey!read more
Alina F.
My daughter’s teeth look amazing! Thank you Hughes and... Cozad Orthodontistread more
Brent D.
We came in for consultations for both of my daughters about... a month ago, and I truly appreciated the care, communication, and attention we received during our visit. The team was very transparent and honest, which made us feel comfortable and informed throughout the process.Today, we officially started treatment, and once again, I was very pleased with the thorough contract discussion beforehand. Everything was explained clearly, and I appreciated the professionalism and openness.read more
JESSICA M.
They are so sweet and patient. Both my kids have have used... them.read more
Jennifer P.
I had an amazing experience from the time I brought my son... in for a consultation all the way to start his treatment. Nicole has been beyond amazing and extremely helpful. My son got his braces today and April has been such a HUGE help and relief to make my son feel comfortable.I truly believe that I picked the best orthodontist for my son’s treatment!Hughes & cozad goes above and beyond!read more
Teresa L.
Teeth look amazing and straight once braces came off.... Friendly, professional, clean staff. Highly recommend!read more
Christina F.
They were absolutely amazing from day one until the braces... came off on my daughter. She never had any issues and was really happy with everyone she met. We’ll be back for sure for our youngest.read more
Matthew W.
I 100% recommend, very nice people, clean and they take... care of you well in my case of my daughter. Is one of the best. They helped me with everything explaining everything too very much appreciate their help.read more
Elena C.
‹
›
js_loader
Reviews
Waiting room

Our locations

Give Us a Chirp

With two locations in The Woodlands and Spring, we would love to show you around our offices. So, come on in and see what we’re ‘owl’ about!

The Woodlands, TX

Spring, TX

Locations

The Woodlands

  • 10393 Kuykendahl Rd
    The Woodlands, TX 77382

Spring

  • 2827 Waterbend Cove #300
    Spring, TX 77386

Phone Number

The Woodlands:

  • (281) 681-1118

Spring:

  • (281) 466-1414

Contact Hours

Monday 8:00am – 5:00pm
Tuesday 8:00am – 5:00pm
Wednesday 8:00am – 5:00pm
Thursday 8:00am – 5:00pm
Friday 8:00am – 4:00pm
Whimsical footer artwork with rabbit and squirrel, used on orthodontist site in The Woodlands and Spring, TX
Hughes & Cozad Orthodontics logo
request Book Online

Quick Links

  • Our Practice
  • Treatments
  • Patient Resources
  • Sponsorship Requests
  • Contact Us
  • Our Practice
  • Treatments
  • Patient Resources
  • Sponsorship Requests
  • Contact Us

Contact Us

  • The Woodlands, TX
  • Spring, TX
  • Click to Call / Text

Follow Us

© Copyright 2026 Hughes & Cozad Orthodontics | Sitemap | Privacy Policy | Accessibility Statement