Double jaw surgery, also known as bimaxillary osteotomy, is a surgical procedure that involves repositioning both the upper and lower jaw to correct severe misalignment or irregularities. It is a more extensive procedure than single jaw surgery, and it is often performed in cases where there are significant functional problems such as difficulty with biting and chewing, as well as significant aesthetic concerns.

Here are the general steps involved in the procedure:

• Orthodontic preparation: Prior to surgery, the patient may undergo orthodontic treatment to align the teeth and prepare them for the repositioning of the jaws.
• Anesthesia: The surgery is performed under general anesthesia, which means the patient is unconscious and does not feel any pain during the procedure.
• Incision: The surgeon makes incisions inside the mouth to access the jawbone.
• Repositioning of the jaws: Both the upper and lower jaws are repositioned using specialized instruments.
• Fixation: Once the jaws are in the correct position, screws, plates, or wires are used to fix the jawbones in place.
• Closing the incision: The incisions are then closed with sutures, and the patient is taken to the recovery room.
• Recovery: After the surgery, the patient may need to stay in the hospital for a few days to ensure that there are no complications. Pain medication will be prescribed to manage any discomfort, and the patient may be instructed to follow a special diet and avoid certain activities for several weeks while the jaws heal.

A good candidate for double jaw surgery is someone who has a severe misalignment of both the upper and lower jaws that affects their bite, speech, or overall facial appearance. Other factors that may be considered include age, overall health, and the severity of the jaw misalignment. As with any surgical procedure, it's important to book an online or face-to-face consultation to determine if double jaw surgery is appropriate and to discuss the potential risks and benefits.