Post-Operative Care

    Sleep Apnea Surgery (MMA) Recovery

    Maxillomandibular advancement surgery is a significant procedure for treating obstructive sleep apnea. Careful adherence to these recovery instructions is essential for optimal outcomes and successful airway improvement.

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    Personalized day-by-day timeline based on your procedure

    Enter your surgery date to see a personalized Sleep Apnea Surgery (MMA) recovery timeline.

    Critical Initial Recovery
    First 48 Hours
    • Apply ice packs: 20 minutes on, 20 minutes off for first 24 hours
    • Keep head elevated at 45-degree angle at all times
    • Jaw may be banded or wired - do not attempt to open
    • Keep wire cutters accessible at all times (for emergencies only)
    • Liquid diet only - use syringe or spoon for feeding
    • Take all prescribed medications as directed
    • Manage nasal congestion with saline spray
    • No CPAP for first 24-48 hours post-surgery
    • Sleep propped up on 2-3 pillows
    • Rest completely - no physical activity
    Peak Swelling Phase
    Week 1-2
    • Maximum swelling typically occurs days 2-5, then gradually decreases
    • Continue ice therapy as needed for swelling management
    • Begin CPAP therapy if tolerating - use humidifier setting
    • Continue liquid/pureed diet - may slowly introduce foods as tolerated
    • Swelling may cause temporary worsening of symptoms - this is normal
    • Sleep on back with head elevated to reduce swelling
    • Take all medications until completed
    • Bruising may extend down neck and chest - this will fade
    • Begin gentle jaw exercises as instructed
    • Attend all follow-up appointments
    Transition Phase
    Weeks 3-4
    • Swelling significantly decreases - major improvement expected
    • Bands/wires may be removed or adjusted by surgeon
    • Begin progressing to soft food diet (eggs, pasta, yogurt)
    • CPAP usage increases - continue every night
    • Physical therapy for jaw mobility begins
    • Perform prescribed jaw opening exercises 3-4 times daily
    • Sleep positioning: back or side sleeping, avoid face-down
    • Gradually increase activity level as tolerated
    • Nasal congestion usually improves - continue saline spray
    • Stitches removed if non-dissolvable
    Progressive Rehabilitation
    Weeks 5-8
    • Majority of swelling resolved - facial contours stabilizing
    • Soft foods progressing to near-normal diet (avoid hard/crunchy)
    • CPAP therapy essential - continue nightly throughout recovery
    • Physical therapy 2-3 times per week
    • Jaw opening significantly improved with exercises
    • Light physical activities can resume
    • Sleep study monitoring as directed by surgeon
    • Continue all follow-up appointments
    • Numbness/tingling begins to improve significantly
    Full Recovery & Long-term Follow-up
    Months 3-6
    • Surgical effects fully realized for sleep apnea treatment
    • Normal diet can be resumed
    • CPAP may still be used as recommended by sleep specialist
    • Full jaw function and comfort achieved
    • Follow-up sleep study scheduled to assess apnea improvement
    • Continue physical therapy if needed
    • Full return to normal activities and exercise
    • Any residual swelling completely resolved
    • Long-term lifestyle adjustments established
    • Regular follow-up appointments with surgeon