This methodology is carried out whenever possible, as it has many benefits for the patient; it allows the harmony and balance of the patient’s facial features to be achieved in an extraordinarily short time.
For this reason, it is very important that the specialists, both the orthodontists and the maxillofacial surgeons, always assess whether the patient is a suitable candidate for the Surgery First procedure.
One of the most recent articles published by Dr. Federico Hernández Alfaro, On a definition of the appropriate timing for surgical intervention in orthognathic surgery, defines six protocols for action, or “time categories”, depending on when the surgical intervention is carried out: Surgery First, Surgery Early, Surgery Last, Surgery Late, Surgery Only, Surgery Never.
The maxillofacial surgeons at the Maxillofacial Institute, pioneers in orthognathic surgery, have been applying the Surgery First methodology for many years now and have had hugely successful results. Some more articles recently published by Prof. Hernández Alfaro and his team on this innovative protocol are: Surgery first in orthognathic surgery: A systematic review of the literatura and Surgery First in Orthognathic Surgery: What Have We Learned? A Comprehensive Workflow Based on 45 Consecutive Cases.