Because of their surgical and dental background, oral and maxillofacial surgeons are uniquely qualified in the treatment of the face, mouth, teeth and jaws. Extensive education and training in surgical procedures involving both the soft tissue (skin and muscle) and hard tissue (bone and cartilage) of the maxillofacial area make the oral and maxillofacial surgeon finely attuned to the importance of harmony between facial appearance and function.

Common cosmetic maxillofacial surgery procedures that our oral and maxillofacial surgeon is qualified to perform include:

  • Cheekbone implants (malar augmentation) to achieve higher, more prominent cheekbones and improved facial balance.
  • Chin surgery (mentoplasty/ genioplasty) to increase or decrease the chin’s length and projection.
  • Ear surgery (otoplasty) to change the shape, size or placement of ears.
  • Eyelid surgery (blepharoplasty) to remove fat and excess skin from upper and lower eyelids.
  • Facelift (rhytidectomy) to provide a younger-looking appearance by tightening facial skin and muscles, and removing excess skin.
  • Facial and neck liposuction to sculpt the face by removing excess fat; neck liposuction often is done in conjunction with procedures such as corrective jaw surgery.
  • Forehead/Brow lift to improve brow positioning, minimize frown lines and reduce forehead wrinkles.
  • Lip enhancement to reshape the upper and lower lip for a more attractive/youthful look; lip augmentation employs various materials to “plump” lips, creating fullness and decreasing vertical lines.
  • Nasal reconstruction (rhinoplasty) to reduce or increase nose size, alter shape of nose tip or bridge, narrow the span of the nostrils, or change the angle between the nose and upper lip.

Additionally, our oral and maxillofacial surgeon can perform techniques such as botox injections, chemical peels, dermabrasion, collagen injections and lasers to treat skin that is wrinkled or damaged.The scope of the facial cosmetic procedures performed depends on the surgeon. Many oral and maxillofacial surgeons work in conjunction with a plastic surgeon to achieve optimal results.

Remember, the decision to have cosmetic maxillofacial surgery is not one to be entered into lightly. If you are interested in learning more about these procedures and determining if you are a candidate for cosmetic surgery, please contact our office. We will be happy to answer your questions and arrange for an initial consultation.

Cheekbone Implants (Malar Augmentation)

Malar augmentation can give definition to a face that has a flat contour because of underdeveloped cheekbones. The best candidate is the individual with a long narrow face or very round face and flat cheeks. This surgery can help to create the appearance of higher, more prominent cheekbones.

During the procedure an incision is made either inside the mouth or immediately below the lower eyelids. Most frequently, using the internal approach, the surgeon makes an incision between the upper gums and the cheek. The surgeon then elevates the soft tissue, creating a small pocket over the cheekbone. A prosthesis, similar in consistency to the natural cheekbone and usually triangular in shape, is then inserted and placed over the cheekbone.

Chin Surgery (Mentoplasty/Genioplasty)

Mentoplasty can increase or reduce the size of the chin. The best candidate for a chin surgery is the individual with a receding or protruding chin and a normal dental bite. For those whose bite needs correction, jaw surgery, in conjunction with mentoplasty may be necessary.

There are two basic procedures used in mentoplasty: one involves moving the chin bone forward or backward and the other, the use of an artificial chin prosthesis to add size to a receding chin. To move the bone forward or backward, the surgeon cuts through the chin bone. The lower portion of the bone is then moved forward or backward and wired or fixed to keep it securely in position.

A chin prosthesis can also be used to create a more prominent jaw. Using this technique, a prosthesis, similar in consistency to the natural chin and sized to fit the patient, is placed in front of the bone to increase the chin’s prominence.

Cosmetic Surgery of the Eyes (Blepharoplasty, Forehead/Brow Lift)

Blepharoplasty can correct sagging eyelids, pouches beneath the eyes and excess folds around the eyes. Brow and forehead lifts raise eyebrows and reduce ridges and furrows on the forehead, creating a smoother, younger appearance.

A blepharoplasty may be performed on either the upper or lower eyelids, or both during the same operation. Excess fat, muscle and skin is removed to eliminate sagging eyelids. Incisions are made in the natural skin creases around the eyelids, making scars inconspicuous.

A forehead and brow lift is often done in conjunction with blepharoplasty to improve brow positioning and reduce forehead wrinkles. During a forehead and brow lift, an incision is made across the top of the head behind the hairline. The forehead and brows are elevated and excess skin is removed from behind the hairline to hide the resulting scar.

Facelift (Rhytidectomy)

The natural aging process, genetic influences, exposure to sun and other factors cause the skin to wrinkle and sag as it fits the body more loosely. Skin folds become more prominent, especially around the chin, jaw line and neck. A rhytidectomy, or facelift, can give you a more youthful appearance by tightening facial skin and muscles and removing excess skin.

When a facelift is performed, connective tissue and sagging muscles are tightened. In some cases, fat deposits are reduced from beneath the chin and neck, allowing the skin to reposition in a more ideal manner.

Facial Liposuction

A double chin, saggy jowls or a very round face may plague even people who are not overweight. Fat deposits in these locations may be hereditary or due to the natural aging process. These areas are often resistant to exercise and weight loss. Facial liposuction can benefit those who want to remove unsightly fat deposits from localized areas of the face. Individuals who are in good physical condition with good skin elasticity are the best candidates for this surgery.

The surgeon makes small incisions along the jaw line, in the cheeks or below the chin, depending upon which fat deposits are to be removed. A tube attached to a high pressure suction device is inserted deep in the fat. The surgeon moves the tube back and forth to loosen excess fat from surrounding tissue and then “vacuums” the loose fat from the face with the suction device.

Nasal Reconstruction (Rhinoplasty)

Those displeased with the size and/or shape of their nose can improve their appearance through nasal reconstruction, or rhinoplasty. Rhinoplasty is one of the most commonly performed cosmetic procedures today.

During a rhinoplasty procedure, corrections are made by removing, rearranging or reshaping bone or cartilage. The procedure can straighten crooked noses, narrow or widen noses or remove humps. Rhinoplasty is usually not performed until a person has reached their mid-teens, when growth is nearly complete.

Treatment of Facial Wrinkling (Chemical Peel)

Chemical peel is a procedure for treating skin that is wrinkled, scarred or otherwise damaged and is used for both cosmetic and therapeutic purposes. The procedure is helpful for wrinkles, light acne scarring, and irregular pigmentation such as freckles and age spots. Pre-cancerous conditions such as keratoses (thick, rough, reddish growths) also respond well to chemical peel.

There are several types of chemical peels: a light peel to remove superficial wrinkles, a medium depth peel, and a deep peel for more severe conditions. After thoroughly cleansing the skin, the surgeon uses a small applicator to apply the chemical solution to an area of the face. Excess solution is removed and the surgeon repeats the procedure on other areas.

The amount of improvement varies and depends upon the initial condition of the patient’s skin. Significant improvement of damaged skin has been achieved, which can produce dramatic results.

Treatment of Facial Scarring (Dermabrasion)

Dermabrasion is a surgical procedure in which skin that has been scarred from trauma, acne, pox or other causes, is “sanded” with a rotary abrasive instrument. This “sanding” evens out the skin to give it a smoother texture. Dermabrasion also may be used to treat tattoos, age (liver) spots, wrinkles and certain skin lesions.

Remember, the decision to have cosmetic maxillofacial surgery is not one to be entered into lightly. If you are interested in learning more about these procedures and determining if you are a candidate for cosmetic surgery, please contact our office. We will be happy to answer your questions and arrange for an initial consultation.