In the world of reality television, few families have captured as much attention as the Biermann-Zolciak clan. Known for their appearances on Bravo's Don't Be Tardy, the family, particularly Kim Zolciak-Biermann's eldest daughter, Brielle Biermann, has often been in the spotlight. While cosmetic enhancements are not uncommon in the entertainment industry, Brielle's decision to undergo double jaw surgery in 2021 sparked significant public interest, not just for the dramatic before-and-after photos, but for the very personal and health-driven reasons behind it. This wasn't a superficial choice; it was a major medical procedure aimed at improving her quality of life.
Brielle's journey through this complex surgery and her subsequent recovery has been openly documented, offering fans and curious onlookers a raw, unfiltered look at what it truly entails. From the initial reveal of her swollen face to the long road of healing, Brielle has been remarkably transparent, sharing every step of her experience. Let's delve into the details of her double jaw surgery, understanding why she chose this path, the challenges she faced during recovery, and the lasting impact it has had on her life.
The Big Reveal: What Happened?
The news of Brielle Biermann's major surgery first broke in late August and early September 2021. The Don't Be Tardy star, then 24 years old, revealed on her Instagram on September 6, 2021, that she had undergone double jaw surgery, officially known as a bi-maxillary osteotomy, on August 23, 2021. This wasn't a minor procedure; it was a grueling six-hour operation that would significantly alter her facial structure and, more importantly, address underlying health issues.
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Her initial posts were quite striking, featuring photos and videos of her face post-operation, heavily swollen and bruised. It was a stark contrast to her usual glamorous appearance, immediately drawing attention and concern from her followers. Her mother, Kim Zolciak-Biermann, also took to Instagram to share updates on Brielle's health, reassuring fans about her daughter's recovery.
The term "double jaw surgery" often conjures images of purely cosmetic alterations, especially for someone in the public eye. However, Brielle was quick to clarify that her reasons were far from superficial, emphasizing the medical necessity of the procedure.
Why the Surgery? More Than Just Aesthetics
One of the most crucial aspects Brielle Biermann wanted to convey to her audience was that her double jaw surgery was not primarily for aesthetic enhancement. While the before-and-after photos are indeed dramatic and show a more refined jawline, her primary motivations were rooted in significant health concerns. She explicitly stated, "this was NOT for" cosmetic reasons, aiming to dispel any misconceptions.
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Addressing a 9mm Overbite and TMJ
The main culprits behind her decision were a severe 9mm overbite (also referred to as an overjet) and chronic Temporomandibular Joint (TMJ) issues. These conditions can lead to a host of uncomfortable and debilitating symptoms, including:
- Difficulty chewing or biting
- Jaw pain and stiffness
- Headaches and earaches
- Clicking or popping sounds in the jaw
- Limited jaw movement
Brielle revealed that she believed her overbite was caused by thumb sucking until the age of 9, a habit that can indeed impact jaw development over time. Correcting such a significant overbite and addressing TMJ goes beyond just appearance; it's about improving basic functions like eating and speaking, and alleviating chronic pain.
Improved Breathing and Alignment
Beyond the overbite and TMJ, Brielle also highlighted another significant benefit: improved breathing. She noted, "I already feel more aligned and can breathe way better, especially at night when I would snore and have to breathe [through] my mouth." This indicates that her previous jaw alignment was likely impacting her respiratory function, particularly during sleep. Orthognathic surgery, by repositioning the jaw, can often open up airways, leading to better breathing and reducing issues like snoring and mouth breathing.
The Grueling Recovery Process
Brielle Biermann's transparency extended deeply into her recovery process, which she described as "grueling" and "pretty rough." Her Instagram posts during this period showed her with a very swollen face, often in a hospital bed or recovering at home. It was a raw and honest portrayal of the immediate aftermath of such a major surgery.
Initial Challenges and Adjustments
The surgery required a significant period of adjustment. One notable detail Brielle shared was that she had to get her lip injections dissolved before the procedure, a necessary step for proper surgical access and healing. Post-surgery, she was on a strict liquid diet, which led to her shedding 1

