Corrective Jaw Surgery

Orthognathic surgery to correct jaw alignment, improve bite function, restore facial symmetry, and clear nasal obstruction.

LIFE-CHANGING SURGERY

Better breathing, chewing, confidence, and quality of life.

This is one of the most life-changing surgeries we do. Patients usually come from an orthodontist or a sleep medicine clinic, and many look better, chew better, and breathe better for the rest of their lives after surgery.


Patients no longer need to travel to Portland or Eugene for single- or double-jaw surgery - we offer sub-specialty level expertise right here in Bend, OR!

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I can’t believe this is what it feels like to breathe out of my nose.

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I’ve never felt self-confident until now. I finally feel like I look like myself.

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I’ve never been able to bite into a salad or pizza in my life until now.

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This is the first time I’ve slept in the same room as my wife since we were married.

See real results from real patients

Every case is different. Browse our before-and-after gallery to see real outcomes from real Bluebird patients and get a clearer picture of what surgery can achieve for you.

View Patient Examples

Jaw surgery overview

At Bluebird Oral Surgery, our approach to corrective jaw (orthognathic) surgery combines advanced surgical skill, personalized care, and a focus on both function and beauty — improving your bite, breathing, sleep, and facial harmony. We work closely with orthodontists across Central Oregon throughout planning and recovery.

At Bluebird Oral Surgery, our approach to corrective jaw (orthognathic) surgery combines advanced surgical skill, personalized care, and a focus on both function and beauty — improving your bite, breathing, sleep, and facial harmony. We work closely with orthodontists across Central Oregon throughout planning and recovery.

How jaw surgery helps

Corrective jaw surgery is used when the upper jaw, lower jaw, or chin position creates problems with chewing, speech, breathing, facial balance, or jaw joint comfort. Planning often combines orthodontics, 3D imaging, bite analysis, and surgical simulation to move the jaws into a more stable relationship. Conditions such as overbite, underbite, open bite, facial asymmetry, and airway restriction may benefit from coordinated orthodontic and surgical treatment.

Corrective jaw surgery is used when the upper jaw, lower jaw, or chin position creates problems with chewing, speech, breathing, facial balance, or jaw joint comfort. Planning often combines orthodontics, 3D imaging, bite analysis, and surgical simulation to move the jaws into a more stable relationship. Conditions such as overbite, underbite, open bite, facial asymmetry, and airway restriction may benefit from coordinated orthodontic and surgical treatment.

Planning and treatment details

Corrective Jaw Surgery details

Overbite correction

Surgery may reposition one or both jaws when the lower jaw sits too far back or the upper jaw relationship creates functional bite problems. Treatment is usually coordinated with orthodontics.

Surgery may reposition one or both jaws when the lower jaw sits too far back or the upper jaw relationship creates functional bite problems. Treatment is usually coordinated with orthodontics.

Underbite correction

An underbite can affect chewing, speech, tooth wear, and facial balance. Corrective surgery can reposition the jaws into a healthier relationship when growth or skeletal structure is the main cause.

An underbite can affect chewing, speech, tooth wear, and facial balance. Corrective surgery can reposition the jaws into a healthier relationship when growth or skeletal structure is the main cause.

Facial asymmetry

Jaw asymmetry can shift the bite, chin, lips, or facial midline. 3D planning helps evaluate the skeletal pattern and plan movements that improve both function and balance.

Jaw asymmetry can shift the bite, chin, lips, or facial midline. 3D planning helps evaluate the skeletal pattern and plan movements that improve both function and balance.

Nasal obstruction

Certain jaw movements can improve nasal airflow or airway space when anatomy contributes to obstruction. Evaluation may include imaging, bite analysis, and coordination with medical providers when needed.

Certain jaw movements can improve nasal airflow or airway space when anatomy contributes to obstruction. Evaluation may include imaging, bite analysis, and coordination with medical providers when needed.

Fellowship-Level Expertise

Our surgeons have completed advanced training in corrective jaw surgery, with deep experience across the full range of procedures. Dr. Azari is the only fellowship trained orthognathic (jaw) surgeon in Central Oregon and is the primary surgeon for most of Bluebird's jaw surgeries.

We perform the following operations routinely in our office-based surgical suite:

Our surgeons have completed advanced training in corrective jaw surgery, with deep experience across the full range of procedures. Dr. Azari is the only fellowship trained orthognathic (jaw) surgeon in Central Oregon and is the primary surgeon for most of Bluebird's jaw surgeries.

We perform the following operations routinely in our office-based surgical suite:

  • LeFort osteotomies (upper jaw surgery) — including segmental osteotomies for widening

  • Bilateral sagittal split osteotomies (BSSO) for the lower jaw

  • Genioplasty (chin augmentation) including osseous genioglossus advancement

  • SARPE (surgically assisted rapid palatal expansion)

  • SAME (surgically assisted maxillary expansion)

  • Maxillo-mandibular advancement for sleep apnea treatment

Airway-Focused, Health-Driven Care

Our surgical plans always consider nasal breathing and airway health. For many patients, jaw surgery can significantly improve chronic mouth breathing, obstructive sleep apnea, and poor sleep quality with daytime fatigue. By correcting the underlying bone position that narrows the airway, orthognathic surgery offers a long-term solution rather than the temporary relief of removable devices or soft-tissue adjuncts.

Our surgical plans always consider nasal breathing and airway health. For many patients, jaw surgery can significantly improve chronic mouth breathing, obstructive sleep apnea, and poor sleep quality with daytime fatigue. By correcting the underlying bone position that narrows the airway, orthognathic surgery offers a long-term solution rather than the temporary relief of removable devices or soft-tissue adjuncts.

Orthodontics or No Orthodontics — We’re Flexible

For patients with a healthy bite and good alignment, surgery can often be performed without braces or aligners. When orthodontics is needed, we coordinate your care with any orthodontist in Central Oregon, using braces or clear aligners such as Invisalign®, and work closely together on communication and surgical timing — so you can choose what fits your lifestyle and provider preferences.

For patients with a healthy bite and good alignment, surgery can often be performed without braces or aligners. When orthodontics is needed, we coordinate your care with any orthodontist in Central Oregon, using braces or clear aligners such as Invisalign®, and work closely together on communication and surgical timing — so you can choose what fits your lifestyle and provider preferences.

Aesthetic and Functional Results

We balance facial aesthetics with functional improvements, enhancing the harmony of your profile, jawline, bite, and breathing. Our goal is a natural, balanced look that improves both how you feel and how you function.

We balance facial aesthetics with functional improvements, enhancing the harmony of your profile, jawline, bite, and breathing. Our goal is a natural, balanced look that improves both how you feel and how you function.

Digital Surgical Planning for Predictable Results

We use Virtual Surgical Planning (VSP) and advanced 3D imaging to meticulously plan your surgery. You’ll see simulated outcomes beforehand and benefit from greater precision, shorter operating time, more predictable healing, and custom titanium plates for select cases designed to fit your anatomy.

We use Virtual Surgical Planning (VSP) and advanced 3D imaging to meticulously plan your surgery. You’ll see simulated outcomes beforehand and benefit from greater precision, shorter operating time, more predictable healing, and custom titanium plates for select cases designed to fit your anatomy.

Comprehensive, All-in-One Care

When appropriate, we combine other procedures during your jaw surgery to reduce overall recovery time and improve results, including wisdom teeth removal, nasal turbinate reduction to improve airflow, rhinoplasty to refine nasal shape or function, and cervicoplasty for chin and neck contouring.

Surgery Provided in Our Office

For most patients, surgery is performed on-site at our office — avoiding the hassle and cost of a hospital stay — in a fully equipped, comfortable, and private setting. Anesthesia is personalized for less bleeding, reduced nausea and grogginess, and faster recovery, with multimodal pain management that keeps you comfortable without relying heavily on narcotics.

We're able to do this because we have extensive experience in orthognathic surgery allowing for reduced time spent in surgery and under anesthesia, and minimally invasive surgical technique.

Understanding the Risks

  • Swelling and bruising are normal and can last several weeks; most patients need 2–4 weeks off school or work depending on the surgery and recovery.

  • Temporary numbness in the lips or chin is common after lower jaw surgery and usually improves over time; permanent numbness in a small patch is a rare possibility.

  • A soft-food diet is important during healing — typically for about one month after surgery.

  • Surgical risks such as infection, bleeding, or the need for revision are rare but possible, and we are equipped to handle them.

  • Recovery takes time — you’ll likely feel better within a few weeks, but full healing and final results take several months.

Are the jaws wired shut afterward? For almost all patients, no — this is a rare measure used only in very specific circumstances.

WHAT TO EXPECT

Thoughtful care at every step

Your visit is planned around clarity, comfort, and a recovery path that feels manageable before you ever sit in the chair.

Specialist-led planning

Treatment details are reviewed with the surgical team so timing, anesthesia, and next steps are clear.

Clear preparation

You’ll know what to bring, what to avoid, and how to plan your day around the procedure.

Guided recovery

Post-op instructions focus on comfort, swelling control, and knowing when to reach out.