A maxillary reduction surgery is carried out on the upper jaw when the facial bones and the upper jaw are malpositioned with respect to each other. Maxillary reduction may also be required in the cases where there is extra maxillary growth. As a result of excessive vertical maxillary growth, the patients tend to have a gummy smile.   A maxillary reduction surgery is a corrective jaw surgery and is different from the surgery of the mandible. A maxillary reduction surgery requires the jaw and the bones to be cut and repositioned to correct the deformity.

Why is a maxillary reduction surgery necessary?

If a person is suffering from a problem or deformity in the upper jaw, then he/ she may have to undergo a maxillary reduction surgery. A maxillary reduction surgery allows the surgeon to move the upper jaw with respect to the lower jaw. Orthodontics in isolation cannot help in reduction of the maxilla or the upper jaw if the problems in the jaw are severe.  A maxillary reduction surgery involves the removal of the extra part of the bone and then repositioning of the jaw. Simply put, in a maxillary reduction surgery the top jaw and the bone segments are cut and repositioned. Anterior open bite is one of the most common problems that occur because of maxillary malposition. A maxillary reduction surgery is done under the broad scope of le fort osteotomy.

How is a maxillary reduction surgery performed in India?

One of the top things to remember about a maxillary reduction surgery is that it should be performed by the best maxillofacial surgeon. A maxillofacial surgeon is trained specifically for treating the defects as well as injuries of the face, jaw, neck and head. An improperly executed maxillary reduction surgery can do irreparable damage with no possible treatment thereafter.

Before a surgeon decides to perform a maxillary reduction surgery on a patient he makes a detailed treatment plan so as to pre- determine the new position where the maxillary repositioning will take place. For performing the maxillary reduction, the surgeon reaches the bones and jaw through the incisions inside the mouth. This approach makes the incisions invisible on the outside after the maxillary reduction is completed. Then to be able to target the bone in the jaw, a cut is made in the gums. Then, according to the post- surgery treatment plan, the surgeon moves the jaw in to the new position. After the maxillary reduction surgery is completed, the incisions are closed with soluble stitches.

What are surgical steps involved in a maxillary reduction?

Following are the steps which briefly describe a maxillary reduction surgery for improving the appearance of a prognathic upper jaw:-

  • Surgery is mostly performed under local anesthesia
  • To approach the underlying maxillae, the incision is made intraorally
  • Thereafter, the maxillae is cut horizontally above the level of tooth apices and it is then mobilized.
  • According the maxillary reduction which is desired, this maxillae can be pushed back.
  • In case of excessive prognathism, premolar teeth can be extracted and a strip of maxilla removed from the region to aid in pushing the maxilla back.

 What can be expected after the maxillary reduction surgery?

The maxillary reduction is a major surgery and it is done under general anesthesia. After the surgery is completed to maintain the new position of the jaws, sometimes elastic bands may be placed inside the patient’s mouth. Patient is not able to move his mouth fully due to the restriction and soreness inside the mouth. As the bone has been broken and then repositioned, after the surgery most patients feel pain in their mouth and on their face. But mostly ever patient is given painkillers after the maxillary reduction surgery. After the maxillary reduction the patients are not able to eat solid food for a few days. However within a few weeks of maxillary reduction surgery, chewing and swallowing can be done normally.

Maxillary reduction surgery and post treatment services in India:-

Maxillofacial surgery is a specialty that deals with the diseases and deformities of the face, head, jaws, mouth and the overall maxillofacial region. In India, the scope of this specialty is increasing very rapidly. But a large population in India is still unaware of the importance of this top specialty. To become a maxillofacial surgeon in India, one needs to have an undergraduate medical degree which is followed by another three years of strenuous studies in maxillofacial surgery. Over the years in India, the spectrum of defects treated under this specialty has also broadened. The importance of this top specialty cannot be underestimated, still in India not many people know about maxillofacial surgery. The top reason that awareness needs to be spread about this specialty is to ensure that patients know about the right person to do the job. The visibility of maxillofacial surgery needs to increase so that the patients can know the best person to contact when they encounter a maxillofacial issue.

One of the best facial plastic, oculoplastic and maxillofacial surgeons in India who practices in Mumbai is Dr. Debraj Shome. Dr. Shome completed his fellowship in cranio- maxillofacial surgery from one of the top most reputed institutions in the world. Maxillofacial surgery also deals with cancers of the face and the orbital area and in India Dr. Debraj Shome is one of the best surgeons for these surgeries. He has been practicing for nearly two decades in Mumbai where he also co- founded a chain top specialty cosmetic clinics known as The Esthetic Clinics which has several branches all over Mumbai. Dr. Debraj Shome pays significant attention to details during the treatment for maxillary reduction on his patients in Mumbai. The treatment has tremendous scope of going wrong and hence the maxillary reduction treatment should only be performed by the best in India. Dr. Debraj Shome definitely has enviable credentials and unmatched reputation in Mumbai. Post treatment reviews from his patients in Mumbai are a clear indication of his proficiency in maxillary reduction treatment. He is a consultant surgeon to some of the best hospitals in Mumbai. In Mumbai, he is known for his professionalism and caliber which he has demonstrated through some very complicated cases and treatments in Mumbai. He is a prominent figure in maxillofacial treatments in Mumbai and is known for his high standards of treatment in entire India. Patients from all over India travel to Mumbai with the sole purpose of getting treatment from the best surgeon of Mumbai. His august presence is often beckoned by some of the best schools and colleges in Mumbai so that he can inspire the young minds. His growing stature in the field of facial plastic, oculoplastic and maxillofacial surgery is not because of luck but his sheer passion and drive to provide best treatment to people in Mumbai. So, if you want maxillofacial treatment for maxillary reduction in Mumbai, consult Dr. Debraj Shome.

About Dr. Debraj Shome

Dr. Debraj Shome- Facial Plastic Surgeon in Mumbai, India

Dr. Debraj Shome – Founder, The Esthetic Clinics, is a top facial plastic surgeon. Dr. Shome is currently a Consultant at the best Mumbai hospitals like Saifee Hospital, Breach Candy Hospital, Nanavati Hospital & Apollo Spectra Hospital in Mumbai, India. He has 40+ research papers in the best international journals, numerous presentations at conferences & many awards such as “Best Plastic Surgeon in Mumbai”, “Best Plastic Surgeon in India”, Best Cosmetic Surgeon in India”, “Best Cosmetic Surgeon in Mumbai”, “Breakthrough Innovator in Facial Plastic Surgery” etc. A celebrity plastic surgeon, Dr. Shome believes plastic, reconstructive & cosmetic face surgery can allow you to lead a more fulfilled life….Read more

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