The Le Fort II Osteotomy increases in complexity, as this major surgical operation involves incisions in the mouth, cosmetic incisions behind the lower eyelids (transconjunctival) or through the skin below the lower eyelids (blepharoplasty). The nose is approached with a cosmetic incision over the top of the head from ear to ear (bicoronal approach) and the scalp is raised forwards to get access to the nasal bones. Patients may have considerable facial swelling and black eyes following this procedure. Aesthetic improvement is startling for those patients requiring this type of surgery.

The Le Fort III Osteotomy is performed aiming at bring the correction in the generalized growth failure of the midface involving the upper jaw nose and cheek bones (zygomas). The surgical approach and post operative management is similar as for the Le Fort II procedure. Brow lift procedures may be carried out at the same time as Le Fort II and Le Fort III osteotomies. The lateral view of the Le Fort III osteotomy illustrates the use of an additional plate and bone grafting in the region of the Zygomatic arch.

Genioplasty (Chin Surgery)
Walking with chin high is an adage some times naturally affects a person in the physical sense. The profile of your chin needs correction because the bones of your face and jaws are out of balance with each other. The position of the chin is critical and influences the facial height, facial centre-lines and cosmetic appearance of the nose. Patients seeking rhinoplasty may discover that their perceived cosmetic problem lays elsewhere – the chin. Surgery to change position of the chin is called Genioplasty. The surgery will take place under a general anaesthetic, i.e. you are going to be put to sleep completely. Genioplasty is often carried out at the same time as other corrective surgery on your jaws or separately.

The surgery is carried out making a cut (broken in a controlled manner) through the gum on the inside of the lower lip to gain access to the lower jaw bone and chin. It may be moved backward / forwards / upwards / downwards with an intraoral incision behind the lower lip, to correct an abnormal position. It may also be moved to the facial centre line in cases of facial asymmetry. The new position is held in place with small metal plates and screws. The gum inside the mouth is stitched back into place with dissolvable stitches that can take a fortnight or even longer to fall out.

Liposuction and Liposculpture
The problem that is often referred to as a “double chin” is a commonly noticed feature with many people. The corrective procedure may be performed alone or in combination with the chin and lower jaw. Liposuction may be carried out through a tiny skin incision under the chin. The removal of fatty tissue is carried out using suction (Liposuction) which may be carried out laterally in the neck to provide a better jaw line and for the treatment of jowling (Liposculpture), through additional skin incisions near the angle of the jaw.

Cheekbone Augmentation (Malar Implants)
Since the minimally invasive surgery procedures have become possible for many years now, a growing number of men and women are seeking facial plastic surgery to improve facial harmony, reverse premature signs of aging, or eliminate or minimize problems present from birth or caused by injuries or illness. The results of a subtle change or slight adjustment in facial appearance can improve facial balance along with improving a person’s self-confidence and sense of well-being from looking, feeling, and functioning at their best. These new approaches require little down time, less cost, and less risk. Prominent cheek bones lend a dramatic quality to the face. Flat cheek bones accentuate the "sagging" that occurs with age, and detract from the appearance of the eyes. In cheek implant surgery, the implants are inserted at the same time as another cosmetic jaw procedure. Cheek Augmentation, or Malar implants, can eliminate the “sunken” appearance of the mid-facial area. Deep smile lines are smoothed out and the cheeks are elevated to a more youthful look. Small incisions are made inside the mouth, and a soft implant is placed over the cheekbone. Healing is rapid, and there are no external scars. As with all facial rejuvenation procedures, good health and realistic expectations are prerequisites.