How Do I Prepare for Orthognathic Surgery?

Proper preparation is key to a smooth recovery. Here is a checklist of what to do before jaw surgery.

Preparing for orthognathic surgery involves medical, practical, and lifestyle steps. Here is what you need to do:

  • Medical preparation (3–6 months before):
  • Complete pre-surgical orthodontic treatment (braces to align teeth)
  • Get X-rays, photographs, and 3D CT scan for surgical planning
  • Have a medical evaluation (blood work, EKG if needed)
  • See your general dentist for a checkup and cleaning
  • Discuss all medications and supplements with your surgeon
  • Lifestyle preparation (2–4 weeks before):
  • Quit smoking β€” smoking significantly increases complication risk
  • Stop taking blood thinners (aspirin, ibuprofen, vitamin E, fish oil) as directed
  • Reduce alcohol consumption
  • Start eating a healthy diet to support healing
  • Arrange time off work (plan for 2–4 weeks)
  • Practical preparation (1–2 weeks before):
  • Stock your kitchen with liquid and soft foods (soup, yogurt, smoothie ingredients, protein powder)
  • Prepare a comfortable recovery area with pillows for elevation
  • Fill all prescriptions before surgery day
  • Buy ice packs or a facial ice mask
  • Prepare oral care supplies (soft toothbrush, children's toothpaste, water flosser)
  • Arrange for someone to drive you home and stay with you for the first 24–48 hours
  • Day before surgery:
  • Follow your surgeon's fasting instructions (usually no food after midnight)
  • Shower and wash your hair (you may not feel up to it for a few days)
  • Remove nail polish and jewelry

Clinical Guidance

Good preparation makes recovery easier. Focus on stocking soft foods, arranging help, quitting smoking, and completing all pre-surgical appointments. Your surgeon will provide specific instructions based on your procedure.