Plastic surgery combined with orthodontic and orthognathic procedures.

In contemporary orthognathic surgery, correcting the functional aspects of dentofacial deformities is our main focus, but, if the esthetic outcome is not improved, we often face serious patient dissatisfaction. Many adjunctive soft tissue procedures can be used to either enhance the esthetics of orthognathic surgical cases or overcome the deleterious effects of our surgical procedures. Procedures that we include in our orthognathic treatment planning regimen include rhinoplasty, submental liposuction, malar augmentation, and lip lift and augmentation, but the most common procedure performed simultaneously with orthognathic surgery is rhinoplasty. Indications and advantages of combining rhinoplasty with orthognathic surgery include the following: