Combined orthognathic and facial aesthetic surgery with case reports.

There are multiple hard- and soft-tissue considerations in facial surgery. The expertise of the oral and maxillofacial surgeon in treating patients with multiple facial injuries has shown time and time again that hard- and soft-tissue reconstruction can be performed either as simultaneous or as delayed procedures. The benefits of a total facial analysis approach to facial surgery are based upon aesthetic, functional, rejuvenative, and self-esteem issues. Proper diagnosis coupled with a comprehensive treatment plan utilizing a team approach provides for both simultaneous and delayed procedures to be completed and can provide for safer and more predictable outcomes. The expanding range of possibilities exists to provide patients with treatment options for improvement in the aesthetic, functional, and rejuvenative aspects of their facial features. A rather fast metamorphosis has taken place from the late 1960s to the present period. This has carried orthognathic surgery from its infantile state of a technical procedure to a sophisticated surgical procedure(s) creating an outcome that is unsurpassed by any other specialty.