Facial plast Surg 2017; 33(05): 519-525
DOI: 10.1055/s-0037-1606334
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Facial Soft Tissue Effects of Orthognathic Surgery

Daljit S. Gill
Maxillofacial and Dental Department, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom
Orthodontics, UCLH Eastman Dental Hospital, London, United Kingdom
Timothy Lloyd
Oral and Maxillofacial Surgery, UCLH Eastman Dental Hospital, London, United Kingdom
Charles East
Craniofacial Unit, UCLH NHS Foundation Trust, London, United Kingdom
Farhad B. Naini
Orthodontics/Maxillofacial, St George's Hospital and Medical School, London, United Kingdom
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29.September 2017 (online)


Orthognathic surgery is undertaken to correct anteroposterior, vertical, and transverse anomalies of the maxilla and mandible. Surgery has significant effects on the overlying soft tissue envelope. Some of these effects are beneficial while others may be detrimental to facial aesthetics. This review aims to update the reader on what soft tissue changes occur following orthognathic surgery to the mandible and maxilla. It is important to anticipate the detrimental effects of orthognathic surgery as this will allow the patient to be warned about them before treatment and in some cases, adjunctive procedures may be planned to limit the unwanted changes.