Who is a good candidate for double-jaw surgery?

Good candidates include adults with significant skeletal discrepancies—such as severe overbite, underbite, open bite, or facial asymmetry—that cannot be corrected with orthodontics alone. Ideal patients are in good overall health, have completed facial growth (usually age 18+), and have realistic expectations. Contraindications include uncontrolled systemic diseases (e.g., severe diabetes or heart conditions), active infection, bleeding disorders, or psychological instability. A thorough evaluation by an oral and maxillofacial surgeon is essential before proceeding.