Due to cleft defect, there was reverse over jet as the growth of the maxilla was comparatively less and this causes a “long face”.  Disproportionate jaws may cause problems in speaking, biting, chewing, swallowing and breathing, undue stress on the jaw joint (TMJ) and facial muscles, and also affects facial appearance. Mandibular setback is done to surgically reduce excess bone in the lower jaw and create more balanced facial features. Results are immediate and there is no scarring as the procedure is done inside the mouth.
When the appearance is enhanced, it also boosts self esteem. Such surgeries hold the key for youngsters who go through a lot of psychological stress over their facial appearance.