An Osteotomy is performed when the patient needs to have their upper and lower teeth re-aligned and the use of conventional orthodontic work won’t have the desired effect. The procedure involves cutting either the upper, lower or both jaws to re align them so the teeth meet. Additionally, if the upper jaw is moved forward, many patients say it helps in adding “structure” to their face, as some adults with a cleft feel they have a “flat” face. There are numerous types of procedures to carry out an Osteotomy and different surgeons have different methods. Osteotomies are a major procedure and have long recovery times.