Surgery First Orthognathic Approach Without Presurgical Orthodontic Treatment: Questions and Answers

"Surgery-First" for patients with malocclusion and skeletal disharmony is a new process of employing bony corrective surgery (first) without removal of dental compensations followed by orthodontic finishing (second). This process breaks with the time-tested principles of traditional orthognathic surgery. Not unexpectedly, there is slow adoption of this new process, particularly in the West. Ten frequently asked questions regarding Surgery First are asked and answered in this report in an attempt to provide an increased level of comfort for Plastic and Maxillofacial Surgeons in instituting this process in their practice.