Smart Two-Jaw Surgery | REMA, JSRO & Elastic Fixation

At Faceline Plastic Surgery, Smart Two-Jaw Surgery is an integrated approach to orthognathic surgery that combines functional bite correction with facial contour considerations and a recovery protocol designed around patient comfort.

The approach brings together three components developed and refined by Faceline’s surgical and orthodontic team:

  • REMA (Reverse Estimating Method of Analysis) — Uses the patient’s current facial structure and intended outcome to help determine the required jaw movement before surgery.
  • JSRO (Jawline Setup Ramus Osteotomy) — Combines bite correction with mandibular angle and jawline shaping during two-jaw surgery.
  • Elastic fixation — Uses medical elastic bands as part of the postoperative fixation protocol, with the aim of making the early recovery period more comfortable.

Who May Consider Smart Two-Jaw Surgery?

Smart Two-Jaw Surgery may be considered for patients who:

  • Are candidates for two-jaw surgery due to malocclusion
  • Want functional bite correction and facial contour refinement together
  • Are concerned about jawline width or mandibular angle shape
  • Want detailed surgical planning before their procedure
  • Prefer a coordinated plastic surgery and orthodontic treatment approach
  • Are interested in a surgery-first treatment sequence
  • Have concerns about the discomfort associated with conventional rigid fixation

A Coordinated Surgical & Orthodontic Approach

Smart Two-Jaw Surgery is supported by collaboration between Faceline’s plastic surgery and orthodontic specialists.

Dr. Jin-soo Lee has performed more than 20,000 double-jaw and facial contouring procedures and developed the REMA planning method and JSRO technique.

Dr. Tae-hee Lee contributes to facial harmony and surgical assessment, while Dr. Shin-jung Lee, a certified orthodontic specialist with more than 25 years of experience, supports bite analysis and postoperative orthodontic management.

What Does Smart Two-Jaw Surgery Address?

  • Bite alignment — Coordinates jaw movement with orthodontic planning to address malocclusion.
  • Jawline contour — JSRO incorporates mandibular angle and jawline shaping into the surgical plan.
  • Surgical predictability — REMA-based analysis helps the surgical team plan bone movement according to the intended facial outcome.
  • Recovery experience — Elastic fixation is designed to provide support during the early postoperative period while allowing greater comfort with activities such as speaking and eating compared with rigid fixation.

How Does the Treatment Process Work?

  1. Consultation & imaging — The patient’s facial structure and bite are evaluated.
  2. REMA planning — Required jaw movements are analyzed based on the patient’s anatomy and planned outcome.
  3. Orthodontic coordination — Jaw movement direction and amount are coordinated with bite correction.
  4. Health screening — Preoperative medical examinations are completed.
  5. Two-jaw surgery with JSRO — The jaws are repositioned for functional correction while the mandibular contour is addressed according to the surgical plan.
  6. Elastic fixation & orthodontic finishing — Postoperative fixation is followed by orthodontic treatment to refine and stabilize the corrected bite.

Why Choose Faceline for Smart Two-Jaw Surgery?

Faceline’s approach brings together surgical planning, jawline refinement, and postoperative management within one coordinated treatment pathway.

With more than two decades of collaboration between its plastic surgery and orthodontic specialists, the clinic aims to evaluate each patient’s bite, skeletal structure, facial proportions, and treatment goals together rather than treating these concerns independently.

Smart Two-Jaw Surgery is not a separate alternative to two-jaw surgery. It is an integrated system applied to appropriate two-jaw surgery cases, with the specific techniques and protocols determined according to each patient’s diagnosis.

Individual results, recovery experiences, and treatment timelines vary. A comprehensive diagnostic evaluation is required to determine whether Smart Two-Jaw Surgery is appropriate for each patient.