Medically reviewed and authored by Larry M. Wolford, DMD — Board-Certified Oral & Maxillofacial Surgeon, Dallas, TX. Last reviewed: June 2026.
Deciding to undergo jaw surgery is a significant step, and knowing what to expect can make the entire experience far less daunting. While every patient’s plan is individual, the overall path — from the first consultation through recovery — follows a recognizable arc. This guide walks through what generally happens before and after jaw surgery so you can prepare with confidence.
The Initial Consultation
The process begins with a thorough evaluation. A comprehensive consultation is detailed and often lengthy, because the surgeon is building an accurate diagnosis and a complete treatment plan, not just confirming a procedure. Expect an in-depth examination of your jaws, bite, joints, and facial structure, along with a careful review of your symptoms and medical history. Three-dimensional cone-beam imaging is typically taken to assess your anatomy, and if jaw joint problems are suspected, an MRI of the joints may be recommended. A current set of dental models — which your dentist or orthodontist can provide — is often important for planning. Bringing relevant records, such as prior surgical reports, sleep studies, imaging, and a list of medications, helps make this visit as productive as possible.
After the evaluation, you should receive a clear explanation of your diagnosis, the recommended treatment, alternatives, and the risks and benefits, so you can make an informed decision.
Planning and Pre-Surgical Orthodontics
Many corrective jaw surgeries require orthodontic preparation. Braces or aligners position the teeth correctly within each jaw beforehand, so that when the jaws are repositioned, the teeth fit together accurately. This phase is coordinated between your surgeon and orthodontist. Meanwhile, the surgery itself is planned in detail — increasingly with virtual, three-dimensional surgical planning that maps the exact movements in advance for precision and predictability. If surgery is recommended, the office typically prepares a pre-authorization letter for your insurance company as well.
Getting Ready for Surgery Day
As surgery approaches, you’ll receive specific preoperative instructions. General guidance usually includes not eating or drinking after midnight before surgery (since the procedure is performed under general anesthesia), taking any approved morning medications with only a small sip of water, and arranging for someone to accompany you. The anesthesia team will manage your breathing safely throughout the operation. Stocking your home in advance — with soft and liquid foods, a thermometer, prescribed medications, ice packs, and a comfortable place to rest with your head elevated — makes the first days home much smoother.
What to Expect Right After Surgery
Jaw surgery is commonly followed by a short hospital stay. Swelling is normal and typically peaks within the first few days before steadily improving over the following weeks. Modern techniques stabilize the jaws internally with small plates and screws, so most patients are not wired shut, though a soft or liquid diet is required during early healing. Temporary numbness of the lips or chin is common as the nerves recover, and sensation generally returns over time. Discomfort is managed with medication and usually improves quickly in the early days.
The Recovery Timeline
Recovery is gradual and unfolds in stages. The first week or two centers on rest, swelling reduction, gentle oral hygiene, and a liquid or very soft diet. Over the following weeks, swelling continues to subside, energy returns, and the diet slowly advances as healing allows. Jaw physical therapy may be prescribed to rebuild range of motion, particularly after joint procedures. Final settling of the bite and complete healing occur over several months, often with continued orthodontic fine-tuning. Patients who travel from a distance are usually asked to remain near the surgical center for early follow-up before being monitored by their local providers, with additional check-ins commonly recommended at a few months, six months, and one year.
Setting Yourself Up for Success
The best outcomes come from preparation and partnership: following preoperative and postoperative instructions closely, keeping follow-up appointments, maintaining good oral hygiene, easing back into activity, and communicating with your surgical team about any concerns. Patience matters too — the most dramatic improvements often become apparent only after swelling fully resolves and the tissues settle.
Questions About Your Procedure?
If you’re preparing for jaw surgery and want to understand your specific plan, the team can walk you through what to expect at every stage. To reach the office of Dr. Larry M. Wolford in Dallas, Texas, call (214) 828-9115.
Educational disclaimer: This article is for general informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always follow the specific instructions provided by your own surgical team.
