[Cosmetic treatment during orthognathic surgery].

The goal of a combined orthodontic-surgical treatment is to correct the dysgnathia and malocclusion and thereby achieve an improvement of function. As a supplement to osteotomy, enhancement of facial aesthetics is increasingly being used to gain more harmony in the face and/or to achieve facial rejuvenation. In this regard, one might think of contour- or projection improvement by performing an intra-oral zygoma osteotomy or the placement of an alloplastic implant. By means of lipofilling, changes to the contours of the soft tissue can be realised. A sub mental fat surplus can be corrected by liposuction or lipectomy, resulting in a normalisation of the chin-neck angle. Otoplasty and limited rhinolplasty can also be combined with an osteotomy, while a blepharoplasty and a lip lift for older patients can be applied for facial rejuvenation. These aesthetic corrections can often be performed in the same surgical session as the osteotomy and contribute to significant patient satisfaction.