Complex Cases
    Specialized Expertise

    Complex & Revision Surgery

    When previous surgery hasn't achieved the desired results, Dr. Krajekian offers expert revision procedures using the most advanced technology available. We specialize in the cases other surgeons may not take on.

    When Standard Approaches Fail

    Revision surgery requires a higher level of expertise, advanced technology, and meticulous planning. Scar tissue, altered anatomy, and previous hardware all present unique challenges. Dr. Krajekian's experience with VR surgical planning and custom 3D-printed solutions allows him to navigate these complexities with precision.

    Revision Specialties

    Areas of Revision Expertise

    Comprehensive revision surgery for complex maxillofacial conditions

    TMJ Revision Surgery

    When previous TMJ surgery hasn't provided relief or complications have developed, Dr. Krajekian offers expert revision procedures.

    Recovery: 4-8 weeks initial; 3-6 months full recovery

    Conditions Treated

    • Failed total joint replacement
    • Implant loosening or migration
    • Heterotopic ossification (abnormal bone growth)
    • Persistent pain after previous surgery
    • Failed arthroscopy or arthrocentesis
    • Ankylosis recurrence
    • Alloplastic implant failure

    Our Approach

    Using advanced 3D imaging, VR surgical planning, and custom 3D-printed titanium components, we can address failures from previous surgeries with precision that wasn't possible before.

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    Orthognathic Revision

    Corrective jaw surgery that didn't achieve optimal results can be revised to improve function and aesthetics.

    Recovery: 6-8 weeks initial; 6-12 months full healing

    Conditions Treated

    • Relapse after jaw surgery
    • Asymmetry or malocclusion
    • Incomplete correction of bite
    • Airway compromise post-surgery
    • Nerve damage requiring intervention
    • Hardware complications
    • TMJ dysfunction following surgery

    Our Approach

    Virtual Surgical Planning (VSP) allows us to analyze what went wrong and create a precise plan for correction. Custom cutting guides and 3D models ensure accurate repositioning.

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    Sleep Apnea Surgery Revision

    When initial sleep apnea surgery hasn't resolved symptoms, revision procedures can target remaining obstructions.

    Recovery: 2-6 weeks depending on procedure

    Conditions Treated

    • Persistent apnea after MMA surgery
    • UPPP failure or scarring
    • Incomplete airway expansion
    • Tongue base obstruction
    • Nasal obstruction complications
    • Hyoid suspension failure
    • Multi-level obstruction

    Our Approach

    Drug-induced sleep endoscopy (DISE) combined with advanced imaging helps identify residual obstruction sites. We tailor revision surgery to address specific anatomical failures.

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    Secondary Trauma Reconstruction

    Complex reconstruction for facial injuries that weren't properly treated initially or have healed with deformity.

    Recovery: Varies by complexity; typically 4-8 weeks

    Conditions Treated

    • Malunion of facial fractures
    • Non-union of bone segments
    • Post-traumatic malocclusion
    • Facial asymmetry from trauma
    • Orbital floor deformity
    • Nasal deformity from fractures
    • TMJ injury from trauma

    Our Approach

    Using mirror imaging technology and custom implants, we can restore facial symmetry and function even years after the original injury.

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    Why Choose Us

    Advanced Technology for Complex Cases

    Revision surgery demands the highest level of precision and planning

    VR Surgical Planning

    Rehearse complex revisions in virtual reality before surgery

    3D-Printed Solutions

    Custom titanium implants designed for your unique anatomy

    Revision Expertise

    Specialized training in complex and failed surgical cases

    Multidisciplinary Team

    Collaboration with specialists for comprehensive care

    Don't Give Up on Relief

    If previous surgery hasn't given you the results you hoped for, schedule a consultation to explore your revision options with Dr. Krajekian.