Recovery After Jaw Surgery: What to Expect - Plastic Surgery

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Regarding the recovery period for bone reduction surgery?


My colleague underwent a mandibular angle resection and chin augmentation surgery.
It has been four days post-operation.
The facial swelling has decreased somewhat, but it seems that talking too much may have caused some issues.
Yesterday, the lower lip suddenly swelled to the point where it was difficult to close.
Today, there has been some reduction in swelling, but the lower lip and chin still feel swollen and numb.
The cheeks, aside from the swelling, appear quite normal, with no pain or numbness.
Is this situation with the chin normal? How long will it take for it to return to a more normal state (referring to just swelling without numbness or tightness)? In this case, should I apply ice or heat? Thank you for your response.

Miao, 20~29 year old female. Ask Date: 2005/03/08

Dr. Lu Daokuan reply Plastic Surgery


Swelling and numbness can occur for 3 to 4 weeks post-surgery.
Ice packs should be applied to the facial wounds for a longer duration, approximately one week, before switching to heat therapy.

Reply Date: 2005/03/08

More Info


Recovery after jaw surgery, such as a mandibular angle resection and chin augmentation, can be a complex process, and it is common for patients to experience swelling, numbness, and discomfort in the days following the procedure. Here’s a detailed overview of what to expect during recovery, particularly focusing on the symptoms you mentioned.


Normal Post-Operative Symptoms
1. Swelling: It is entirely normal to experience swelling after jaw surgery. The swelling typically peaks around 48 to 72 hours post-surgery and can take several days to weeks to subside. The fact that you have noticed some reduction in swelling by the fourth day is a positive sign. However, localized swelling, especially around the lower lip and chin, can persist longer due to the surgical manipulation of tissues.

2. Numbness: Numbness in the lower lip and chin area is also a common occurrence after such surgeries. This is often due to temporary nerve irritation or damage during the procedure. While it can be concerning, most patients experience gradual improvement in sensation over time. Full recovery of sensation can take several weeks to months, depending on the extent of the surgery and individual healing rates.

3. Pain and Discomfort: While you mentioned that your cheeks feel normal and are not painful, it is important to monitor any discomfort in the surgical area. Mild pain can be managed with prescribed medications, and it is crucial to follow your surgeon's recommendations regarding pain management.


Management of Symptoms
- Ice vs. Heat: In the initial days following surgery, ice packs are typically recommended to help reduce swelling and numb the area, which can alleviate discomfort. Apply ice for 15-20 minutes every hour as needed. After the first few days, once the swelling begins to decrease, you may switch to warm compresses to promote blood flow and healing. Always consult your surgeon for personalized advice on when to switch from ice to heat.

- Activity Level: It’s advisable to limit talking and other activities that may strain the jaw during the early recovery phase. Overexertion can exacerbate swelling and discomfort. Try to communicate less and rest your jaw as much as possible.


Timeline for Recovery
- Initial Recovery: The first week post-surgery is crucial for healing. Expect swelling to gradually decrease over this period. Most patients see significant improvement in swelling and discomfort within the first week.

- Long-Term Recovery: Full recovery, including the resolution of numbness and return to normal sensation, can take several weeks to months. It is essential to have follow-up appointments with your surgeon to monitor your healing process and address any concerns.


When to Seek Help
If you notice any of the following, it is essential to contact your surgeon:
- Increased swelling or redness, which could indicate an infection.

- Severe pain that is not relieved by medication.

- Any signs of complications, such as fever or unusual discharge from the surgical site.

In summary, while the symptoms you are experiencing are common after jaw surgery, it is crucial to manage them properly and maintain open communication with your healthcare provider. Following their post-operative care instructions will help ensure a smoother recovery process. If you have any concerns or if your symptoms worsen, do not hesitate to reach out to your surgeon for further evaluation.

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