In short: The timeline we usually see with the minimally invasive approach we use is a clearly tough first week, a second of rapid improvement and a third of progressive return. Dr. Gutiérrez recommends 3 to 4 weeks off work, a little longer if your work is very physical or depends on your appearance. It isn't a promise of results or a figure that applies equally to every case.
It's the first question almost everyone asks before deciding: how long am I going to feel rough, how much time off do I need, when can I get back to normal life. Let's answer it straight, separating two things that usually get mixed up: what happens in your head and what happens in your body.
The subjective side: the three phases (almost) everyone goes through
In any surgery of this kind, the patient's emotional experience tends to follow a fairly constant pattern, regardless of how well the operation went.
· Motivation. The phase beforehand, while everything is being prepared. It's the moment of greatest energy and determination.
· Regret. It arrives in the immediate postoperative period, usually the first week. It's common to think "I wasn't that bad, why did I have this done" when you look in the mirror. It's an expected phase, not a sign that something has gone wrong.
· Affirmation. Satisfaction with the decision, which arrives as the body recovers and the results settle.
Knowing in advance that "regret" is a normal part of the process, and not an indicator of real remorse, helps you get through that week more calmly.
The objective side: week by week
Week 1: the strangest
It's the phase of adapting to everything new: sleeping in hospital, not feeling your face properly, eating almost like a baby, little desire to talk, go out or move. Swelling is at its peak.
Week 2: things start to normalize
Swelling drops quickly, sensation starts to return, the physiotherapy exercises get easier and the question begins to surface of when to go back to work or exercise.
Week 3: back to routine
This is when most people start getting back to their routine, although Dr. Gutiérrez recommends 3 to 4 weeks off work in total, a little longer if your work is very physical or depends on your appearance. The diet gains consistency (what we tend to call the "croquette diet": fish, pasta, rice, pulses, anything that doesn't demand much chewing or muscle strength. Baguette sandwiches or chops, not yet).
Mentally, the energy your body spends on tissue repair can take its toll: it's normal not to perform at 100% or to need shorter days or more breaks. Those who are self-employed, in practice, tend to be back at it almost from the hospital bed.
Socializing
This is the most individual part of the whole process, but as a reference: by around the third week, the swelling usually goes unnoticed by anyone who doesn't know you've had surgery. Only the people closest to you, who know about the operation, will spot it.
In summary
This is the timeline we usually see with the minimally invasive approach we use: a clearly tough first week, a second of rapid improvement and a third of progressive return. It isn't a promise of results or a figure that applies equally to every case, but the reference we share at the consultation so the decision is made with real information.
Frequently asked questions
How long does recovery from orthognathic surgery take?
With the minimally invasive approach we use, we usually see a clearly tough first week, a second of rapid improvement and a third of progressive return. It isn't a figure that applies equally to every case.
When can I go back to work after orthognathic surgery?
Dr. Gutiérrez recommends 3 to 4 weeks off work, a little longer if your work is very physical or depends on your appearance. It's normal not to perform at 100% or to need shorter days or more breaks.
What can I eat after orthognathic surgery?
For the first two weeks you eat almost like a baby: a blended diet, without chewing. In the third it gains consistency: fish, pasta, rice, pulses, anything that doesn't demand much chewing or muscle strength. Baguette sandwiches or chops, not yet.
When does the swelling go down after jaw surgery?
Swelling is at its peak in the first week and drops quickly in the second. By around the third week, it usually goes unnoticed by anyone who doesn't know you've had surgery.
Is it normal to regret orthognathic surgery in the first week?
Yes. Regret usually arrives in the immediate postoperative period, the first week. It's an expected phase, not a sign that something has gone wrong, and satisfaction with the decision arrives as the body recovers and the results settle.
How much does orthognathic surgery cost at ARQÉA?
Single-jaw orthognathic surgery costs €6,500 and bimaxillary surgery €12,000, with general anaesthesia and the surgical centre included. You can estimate your quote with our price calculator; the final quote is confirmed in writing after your consultation.
As we always say, this article is for general information and doesn't replace an individual medical assessment. If you want to know what your case would look like, book a consultation with our team.
→ Book your free consultation now
