OrthoFacial Surgery

OrthoFacial Surgery in Chicago NorthShore | NorthShore MedSpa Aesthetics & Star Facial Plastic Surgery

You’re in the best of hands at NSSFPS Functional-Cosmetic Facial Surgery Pioneers and experts in minimally invasive surgery techniques and orthofacial approach, which considers the face as a whole, to maximize aesthetic results. We offer a unique Team of Maxillofacial and Facial Plastic Surgeons Located in NSSFPS Clinic in Deerfield, Il.

If you are ready to meet with us for your friendly and informative consultation, we invite you to contact us online today to learn more. We are located in Deerfield, IL, and proudly serve patients from Chicago,  Highland Park, Northbrook, Gurnee, Lake Forest, Lake Bluff, Winnetka, Glencoe, Wilmette, Buffalo Grove, Wheeling, and Arlington Heights.

Orthognathic Surgery Vs Orthofacial Surgery

The term “orthofacial surgery” is becoming more and more common in the specialized and informative media. Although orthognathic surgery and orthofacial surgery can be used to refer to the same procedure, the difference is in the approach:

Orthognathic surgery is a surgical procedure that focuses mainly on achieving the correct function of the maxillo-mandibular complex, while orthofacial surgery involves a holistic approach in which function and aesthetics go hand in hand, and where the face as a whole is taken into consideration.

This Paradigm Shift is Mainly Due to Medical Advances and New Technologies

  • The development of minimally invasive surgical techniques(MIOS), which are less traumatic for the patient and allow for shorter surgical times
  • The technological advances applied to the planning of surgeries (3D planning software, virtual models,piezoelectric scalpel, etc.) allow a more precise and predictable planning and a quick and more accurate execution.


In summary, orthognathic surgery is a functional procedure, and orthofacial surgery goes one step further, seeking the ideal balance between function and aesthetics. To do this, in ortho-facial surgery, in addition to addressing the maxilla and mandible of the patients, in the planning process, the surgeon also studies the changes that will occur in other parts of the face as a result of the intervention.

Complementary Procedures

Complementary procedures are considered to attenuate them (in case of being undesired) or harmonize the ‘new’ lower third of the face with the rest of the facial features with procedures such as:

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NorthShore MedSpa Aesthetics & Star Facial Plastic Surgery, located in Chicago’s North Shore with offices in Gurnee and Deerfield, specializes in Facial Implants, Genioplasty, Injectable Fillers, and a variety of other facial and neck treatments. Our patient-centered approach ensures that each treatment plan is personally customized to meet your unique needs, with care provided by board-certified surgeon, Dr. Walter Tatch. Discover the difference of tailored aesthetics designed just for you.

orthognathic surgery graphic

Orthognathic Surgery

Orthognathic surgery should be performed by a maxillofacial surgeon, the only specialist indicated to treat both bone and soft tissue of the facial area. There are three types of orthognathic surgery:

  • Maxillary Surgery
  • Mandibular surgery
  • Maxillomandibular surgery, also called bimaxillary surgery
maxillary surgery graphic

Maxillary Orthognathic Surgery

The maxillary surgery is performed to place the upper jaw (maxilla) in the correct position so that facial harmony can be achieved and, most importantly, a recovery of the functionality of this bone, key for chewing, breathing and speaking.

This procedure is performed to correct several facial deformities, such as mandibular prognathism, or Class 3, open bite or gingival smile.

Orthognathic Mono Maxillary Surgery consists of a cut of the maxillary bone called Le Fort I Osteotomy, which allows the advance, retrusion, lengthening, shortening/impaction or rotation of the maxillary bone. Once the jaw is in the desired position, it is fixed in place with titanium plates, a completely biocompatible material.

This procedure is performed in our center and sometimes in a hospital settings with a minimally invasive approach.

mandibular advancement surgery graphic

Mandibular Orthognathic Surgery

Orthognathic mandibular advancement surgery is necessary when people have a small and retracted jaw with respect to the maxilla, a condition known as retrognathia or class 2.

This type of malformation especially affects the harmony of the lower part of the face and causes various functional problems such as sleep apnea.

The mandibular advancement surgery is done by means of a bilateral sagittal split osteotomy, or BSSO, which consists of a cut on each side of the lower jaw, an advancement of the jaw bone and fixation of the bone in the new position by means of titanium plates, a completely biocompatible material.

This is a simple procedure that, thanks to our 3D planning software and our minimally invasive approach(MIOS).

Your Chicago OrthoFacial Surgery Journey Starts at Northshore Medical Aesthetics

As you consider the path toward achieving the balance, function, and aesthetic you desire through ortho-facial surgery, know that NorthShore MedSpa Aesthetics & Star Facial Plastic Surgery is here to bring your vision to life. With our dedicated team of experts and commitment to excellence, we invite you to take the first step towards a new chapter of self-confidence.

Contact us today to schedule your consultation and discover how we can enhance not only your appearance but your quality of life. Let’s embark on this transformative journey together. We are located in Deerfield, IL, and proudly serve patients from Chicago,  Highland Park, Northbrook, Gurnee, Lake Forest, Lake Bluff, Winnetka, Glencoe, Wilmette, Buffalo Grove, Wheeling, and Arlington Heights.

Deerfield, IL Orthofacial Surgery – FAQs

Who performs orthofacial surgery at NorthShore MedSpa Aesthetics & Star Facial Plastic Surgery?

Orthofacial and jaw surgery is performed by Dr. Walter Tatch, a surgeon with specialized expertise in orthofacial and jaw reconstruction, facial implants, and advanced facial cosmetic procedures. He works within NorthShore MedSpa Aesthetics & Star Facial Plastic Surgery’s surgeon-led team to create customized treatment plans for each patient.

Orthofacial surgery can address both functional and aesthetic concerns related to jaw position and overall facial balance. Common reasons patients seek this procedure include difficulty chewing, speaking, or breathing, jaw pain or strain, and dissatisfaction with facial proportions related to jaw alignment.

Orthodontic treatment (such as braces or aligners) moves the teeth within the jaw, while orthofacial surgery repositions the jaw bones themselves. When jaw discrepancies are severe, orthodontics alone may not be enough, and combining orthodontics with orthofacial surgery can provide a more stable bite and a more balanced facial profile.

You may be a good candidate if you have a misaligned bite, jaw asymmetry, difficulty biting or chewing, chronic jaw discomfort, or facial imbalance related to jaw position. The best way to know is to schedule a consultation so Dr. Tatch can evaluate your facial structure, dental relationship, and overall health to determine if orthofacial surgery is appropriate for you.

During your consultation, Dr. Tatch will review your medical and dental history, perform a detailed facial and jaw examination, and review any available imaging or orthodontic records. He will discuss your concerns and goals, explain potential surgical options, and outline a personalized treatment plan that may include coordination with your orthodontist.

Recovery varies by patient and by the extent of surgery, but most people can expect a period of swelling, bruising, and temporary changes in chewing and speaking. You will follow a soft or modified diet for a period of time, and Dr. Tatch will provide specific post‑operative instructions and follow‑up visits to monitor healing and guide your return to normal activities.

Yes, orthofacial surgery often improves facial balance and profile by repositioning the jaws into a more harmonious alignment. While the primary goal is to improve function and bite, many patients also experience a more proportionate and aesthetically pleasing facial appearance as a result of the procedure.

Orthofacial surgery is designed to create long‑term, stable changes in jaw position and bite. Once healing is complete and any adjunct orthodontic treatment is finished, results are typically very long‑lasting, especially when you maintain good oral health and follow your surgeon and orthodontist’s recommendations.

As with any surgery, orthofacial procedures carry potential risks, including infection, bleeding, changes in sensation, and the need for further adjustment in rare cases. Dr. Tatch will review all potential risks and benefits in detail before surgery and use advanced planning, techniques, and post‑operative care protocols to help maximize safety and outcomes.

Preparation often involves coordination with your orthodontist, completing any necessary imaging or pre‑operative testing, and carefully following instructions regarding medications, lifestyle habits, and diet before surgery. The team at NorthShore MedSpa Aesthetics & Star Facial Plastic Surgery will give you detailed guidelines so you feel informed and ready for each step.