Cosmetic surgery of the lips and facial rejuvenation

Abstract

Cosmetic surgery to rejuvenate the aging face including surgical procedures to augment and rejuvenate the lips, will be discussed. Oral and maxillofacial surgeons are in a unique position to evaluate and manage patients seeking facial rejuvenation and cosmetic treatment. Facial cosmetic surgery represents a natural extension and a complement to our orthognathic skills. Most of our treatment decisions regarding orthognathic procedures are predicated on existing facial esthetic norms and cephalometric analysis. The oral and maxillofacial surgeon is also able to provide esthetic services on a routine basis in an outpatient setting using local anesthesia with intravenous sedation. There are a number of methods and techniques used to augment, recontour, or rejuvenate the lips and the face. These include implantation of alloplastic materials, grafting of autologous tissues, and recontouring of adjacent hard and soft tissues. We will discuss patient selection, augmentation materials, anesthetic technique, operative technique, and postoperative management associated with the procedures. This presentation is intended to be an introduction and brief overview of procedures utilized in my practice that can easily be incorporated into the practice of most oral and maxillofacial surgeons.