别名
上颌突出矫正术

项目介绍
上颚前突,又称之为天包地,是指上颚的牙齿始终包住下颚的牙齿,下巴凹下去的现象;上颚前突手术,是通过锯除、磨削上颚突出的部分,一步到位显出小脸美态;其手术分为,口内入口法、口外入口法、口内口外联合入口法;目前多采取口内入口法,虽然其方式比口外切口复杂,恢复得也略为慢一些,但脸颊基本无明显人工痕迹。

项目特色
能使整个轮廓线变柔和,脖子变修长,五官变美。

功效
改善突嘴,脸型美化,改脸型,面部不对称矫正

适合人群特征
上颚牙弓狭窄,上前牙倾斜前伸,深覆合

适合人群
上唇短,上前牙倾斜前伸者; 上颚牙弓狭窄者; 牙冠颈缘的舌隆突者。

关注度
⭐⭐⭐✩✩

安全度
⭐⭐⭐✩✩

复杂度
⭐⭐⭐⭐⭐

项目优点
术后可取得良好效果,容貌即可改观; 不需要二次手术; 对于脸型,改变明显。

项目缺点
手术风险大; 费用较高; 对医生的技术要求较高。

禁忌人群
妊娠期或月经期者; 有心理障碍者; 心脏病、高血压、糖尿病或其他重要脏器病变者。

留疤

治疗时长
3小时左右

麻醉方式
全麻

治疗周期
单次

操作方式
手术

效果持续
持久

恢复时间
6个月

操作人员资质
医疗美容科或整形科执业医师

疼痛感
轻度疼痛

术前必读

  1. 术前一周停止饮酒,停用阿司匹林、维生素E及其他扩血管药物;
  2. 术前应确定身体健康情况,无传染性疾病或其他身体炎症;
  3. 术前不应化妆。

0天~3天严重肿胀期
恢复提示:
肿胀比较严重,皮肤淤青,有疼痛感,术后一天伤口少许渗血。

护理方法:

  1. 面部加压包扎;
  2. 注意保持清洁干燥,7天内伤口不能沾水;
  3. 可进食半流食,多喝冬瓜排骨汤等,多吃水果。

4天~6天快速消肿期
恢复提示:
肿胀逐渐吸收,轻度疼痛。

护理方法:

  1. 拆线前不能沾水;
  2. 忌辛辣刺激性食物,多吃水果,蔬菜,注意补充蛋白质;
  3. 减少活动,严禁用手碰触手术切口;
  4. 保证手术部位清洁,防止感染;
  5. 如果伤口上有血痂或分泌物,可用无菌盐水擦拭。

7天~7天拆线日
恢复提示:
7天到院拆线(因为术式不同,需按医嘱时间,到院拆线)。

护理方法:

  1. 保持伤口清洁,防止感染;
  2. 拆线后24小时内,伤口不能沾水;
  3. 不可用力揉搓伤口;
  4. 注意饮食清淡,禁食辛辣刺激性食物。

8天~15天持续消肿期
恢复提示:
肿胀逐渐吸收,伤口愈合发痒,形态等待恢复。

护理方法:

  1. 禁用任何可能影响伤口,愈合的补品、药品;
  2. 禁烟酒、辛辣、海鲜等刺激性食物,尽量半流食。

16天~30天组织恢复期
恢复提示:
肿胀逐渐吸收,成型固定,形态慢慢恢复固定,双侧相对对称。

护理方法:

  1. 不可挤压、按摩术区;
  2. 不能做啃、撕咬等动作。

31天~180天效果稳定期
恢复提示:
肿胀逐渐吸收,组织恢复,效果慢慢明显,较佳效果在6个月后。

护理方法:

  1. 术后3个月内尽量避免,用力咬较硬东西;
  2. 术后3个月内,不得做面部美容按摩,不得搓揉手术区域;
  3. 术后3个月内,最好配合戴颈颌套,以预防皮肤的松弛或下垂。

温馨提醒
以上术后护理仅供参考。因个体差异、采用术式不同,恢复周期、拆线时间及护理方法均会有所不同。具体护理方案,建议遵医嘱执行。

FAQ 常见问答题

Patients in Western countries generally do orthodontic correction first, do jaw surgery after tooth shape adjustment, and then make secondary adjustments to tooth morphology after surgery recovery to achieve relatively perfect results; But many patients in China, hope that their facial contours, in a short period of time to be improved, unwilling to spend a year or two to do orthodontic correction, in this case, as long as the teeth do not affect the operation, such as the root of the tooth does not affect the alveolar bone, osteotomy line, etc., can directly lower the jaw surgery, and then carry out orthodontic treatment, which saves time, and the orthodontics after surgery is simpler, which is more in line with China’s national conditions.

西方国家的患者,一般是先做正畸矫正,牙齿形态调整好后做下颚手术,手术恢复好后,再对牙齿形态进行二次的调整,以达到相对完美的效果;但我国的许多患者,希望自己的面部轮廓,在短时间内得到改善,不愿意花一两年先做正畸矫正,这种情况下只要牙齿不影响手术,譬如牙根不影响牙槽骨、截骨线等,可以直接下颚手术,然后再进行正畸治疗,这样又省时间,术后的正畸又简单些,比较符合中国的国情。

For simple malocclusion, not accompanied by obvious jaw deformity, such as crowded teeth, dentition gaps, etc., simple orthodontic treatment can be used to achieve satisfactory correction results through tooth movement; However, for skeletal occlusal facial deformity, orthodontic treatment of tooth movement is far from enough, and can only be corrected through the combination of orthodontics and orthognathic surgery.

对于简单的错颚畸形,不伴有明显的颚骨畸形,如牙列拥挤、牙列缝隙等,可采用单纯的正畸治疗,通过牙齿移动,取得满意的矫正效果;但对于骨骼型的牙合面畸形,仅仅进行牙齿移动的正畸治疗,是远远不够的,只能通过正畸、正颚手术的联合治疗,才能得到矫正。

If orthodontic treatment has been done before the operation, the teeth are arranged neatly, and the dental space left after the operation is normal or close to normal, you can not do orthodontic; In fact, we found that a considerable number of patients, even if there is a certain gap in the teeth after surgery, but because it is hidden in the mouth, it is not easy to find, and they do not have orthodontics; Of course, for those who have not done orthodontics before surgery, the postoperative tooth spacing is too large or uneven, and the patients have high cosmetic requirements, and orthodontic adjustment is still needed.

如果手术前已经做过正畸治疗,牙齿排列很整齐,术后遗留的牙间隙,又正常或接近正常,可以不做正畸;实际上,我们发现有相当部分的患者,即使术后牙齿有一定的间隙,但因为隐藏在口腔内,不容易发现,也没有做正畸;当然对于术前没有做过正畸,术后牙齿齿距过大或排列不齐,患者美容要求高,仍然需要正畸调整。

The bones, nerves, muscle tissue, and blood vessels of the face make for the complexity of the maxillary protrusion surgery, which requires a highly skilled doctor to perform; If nerve tissue is damaged, it can lead to things like numbness in the jaw after surgery; Some may even cause facial paralysis without expression, which is a possible sequelae of maxillary protrusion surgery.

脸部的骨骼、神经、肌肉组织、血管,对于上颚前突手术来说,造成其复杂性,需要进行手术的医生需要非常熟练;如果损伤了神经组织,可能会导致手术后,出现下巴麻木等情况;有些甚至会造成面瘫无表情,都是上颚前突手术,可能导致的后遗症。

Anterior maxillary osteotomy, can be said to be a commonly used method to improve the protrusion of the mouth, mainly suitable for the teeth are not convex, only the gum protrusion; Double jaw surgery (double jaw surgery) refers to the incision of the upper and lower jaw bones, the operation of the upper and lower jaw bones at the same time, the incision between the joints of the upper and lower jaw bones, and then the upper and lower jaw bones, at the same time to correct the position of the operation

上下颚前部骨切开术,可以说是常用改善突嘴的方法,主要适合牙齿不外凸,仅牙床凸出的情况;而两颚手术(双鄂手术),指是把上下颚骨切开,上颚骨和下颚骨同时进行手术,从上颚骨和下颚骨的关节之间切开,然后把上颚骨和下颚骨,同时进行位置矫正的手术。

What treatments are you interested in?

Explore some of the best treatments around the city from our authorized partners.