A-03 “Facial Makeover” – new usage of orthognatHic surgery to improve aesthetics of the face

Orthognathic surgery, i.e. orthopedic procedures on the facial skeleton have been used for a long time for therapy of occlusive disorders. The effect on the improvement of facial aesthetics is so extensive, that we start to indicate this more frequently in aesthetic surgery of the face. The actual change of occlusion does not take place or it is only minimal. Since we are able to change the type of face with these procedures, we introduced the name “Facial Makeover”. Especially anterior shifts of the facial skeleton are able to change hard as well as soft tissues of the face with the effect, which can be called reversed facelift. These operations have a significant anti-aging effect. Our procedures are often combined with other cosmetic procedures, such as rhinoplasty and various augmentation procedures. This lecture describes basic surgical techniques and their effect on the aesthetics of the face. We demonstrate standard 3D planning used in these procedures on a group of more than 1100 patients treated over the last 5 years.