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Facial Facture Repair

Facial fractures can arise from accidental falls, sport injuries, motor vehicle accidents or assaults. Most facial fractures require repair due to their aesthetic and/or functional effects. Nose fractures are by far the commonest form of facial fractures. Other facial bones such as the forehead, cheekbones, orbital bones or the jawbones may also be fractured or dislocated from trauma and may require facial reconstructive surgery. Severe facial injuries require emergency evaluation to assess the extent of injuries and to rule out concomitant injuries to the eye, brain or the neck. Primary surgical management of facial fractures is often delayed by seven to ten days to allow reduction of the initial swelling in soft tissues.

Facial Fracture Surgery

Radiographic (CT scan) examination of the face allows precise evaluation of bony injuries, and is commonly performed during an initial ER visit. Dr. Khosh treats both primary facial fractures and secondary deformities from old facial injuries. Nasal fractures are the only type of facial fracture that can be repaired in an office setting under local anesthesia. Other types of facial fractures require repair in the operating room. Dr. Khosh works closely with other specialists such as ophthalmologists, dentists, oral surgeons or neurosurgeons to ensure comprehensive care for individuals with more severe facial fractures.

Dr. Khosh utilizes the most modern surgical techniques and specialized instrumentation to repair facial fractures via hidden incisions inside the mouth, eyelid or hairline, thereby eliminating any visible scars. Secondary facial reconstruction for old fractures can restore forehead or cheekbone depressions, sunken eyeball position or a displaced jawbone with malocclusion. Bone grafts or inert implants are occasionally used in more serious fractures.

Contact our office today to schedule a consutlation with Dr. Khosh or for answers to any questions you may have about this type of procedure.

Facial Facture Repair New York, NY

Case Study

This 41-year-old gentleman requested consultation for repair of cheekbone fracture, in New York, after a fall injury. The facial bones were repaired through hidden incisions inside the mouth and inside the lower eyelid.

  • Patient: 41-year-old candidate for facial bone fracture repair
  • Problem: Displaced orbital rim and cheekbone fracture
  • Procedure: Repair of facial fracture with titanium plates

Disclaimer: These are actual results for patients of Dr. Maurice Khosh. Plastic and cosmetic surgery results can vary between patients.

Frequently Asked Questions

Acute nasal fractures may be repaired under local anesthesia during an office visit. All other facial fractures, and secondary repair of nose fractures are best performed under general anesthesia or deep sedation in an operating suite.

The optimum time for repair of facial fractures is about one week after the injury. This will permit the initial swelling to subside. Waiting beyond two weeks following injury can lead to improper healing of bone fragments, and may necessitate re-breaking the bones to permit proper alignment.

Le Fort classification of mid facial fractures is based on the work of Rene Le Fort, a French anatomist during the late 18th century. Mid face fractures can be broadly classified into three groups. Le Fort I fractures involve the lower portion of the maxilla. Le Fort II fractures involve the junction of the nasal bones and maxilla. Le Fort III fractures cause separation of the mid face from the skull bones.

Numbness following cheek fractures is relatively common. Cheek fractures often involve the bony channel through which the sensory nerve of the cheek travels. If the nerve is not severed due to trauma, the prognosis for return of sensation is quite good.

A sunken eye can develop following an eye socket fracture. The cause is loss of supporting fat, or an increase in the volume of the eye socket due to bone misalignment. A sunken eye can lead to double vision. Surgical correction involves augmentation of the orbital volume with bone grafts or implants.

There are two treatment options. One is repeat surgery to augment the area with a bone graft. The other choice is fat transfer to augment the cheek soft tissues as a way of camouflaging the bony deficit.

Related Procedures

The majority of facial fractures can be repaired with completely hidden incisions inside the mouth or inside the eyelids. Scars from the traumatic facial injury can often be improved with scar revision or laser skin treatments. Fat grafting is occasionally used to improve facial contour following surgical repair of facial fractures.

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What Dr. Khosh's Patients Say

4.9

Based on 55 reviews

Meredith G.
Saw Dr. Khosh for a fractured nose. He reset my nose beautifully (and with little discomfort to me) and then discussed some of my sinus issues with me upon my follow up visit. Never felt like he was rushing me out and felt very confident in his abilities. I would highly recommend to anyone needing plastic or reconstructive options!
Jackie C.
Great front office, really good experience after what was a terrible accident. I was made to feel comfortable. Dr. Khosh is very good at what he does. I'm still healing but I'm confident of the results
Kaitlin M.
Dr. Khosh takes exceptional care of his patients. He has operated on me twice, each time making me feel extremely comfortable and satisfied with the results. His staff is also very kind and knowledgeable.
Diana G.
Dr. Khosh & his staff Susan & Christine are absolutely amazing! They were so supportive & helpful from beginning to end & they are just wonderful people. Thank you guys I truly appreciate everything you guys have done for me. I would recommend them to anyone & everyone!
Joann M.
After visiting and being evaluated by several doctors, I kept going back to Dr. Khosh. His tranquil spirit and professionalism were captivating. Thank you for a job well done and keeping me calm throughout the entire process. A special thanks to your staff Susan and Christine for all of their support as well. Hi highly recommend Dr. Khosh.
Leah G.
Upon hearing of the overwhelmingly positive experience a friend of mine had in choosing Dr. Khosh as her surgeon, I decided to make an appointment for my own septoplasty/rhinoplasty/turbinate reduction. Although I was slightly skeptical as the praise I had heard seemed a bit hyperbolic, all uncertainty dissipated after meeting the Doctor and his staff. My pre- and post-operative experience was excellent in terms of concerns adequately addressed prior to the surgery and mitigation of any bruising in the convalescent period. Despite my apparent predisposition to rather slower healing, a year after the surgery, my nose looks really pretty and my breathing entirely unobstructed! I highly recommend Dr. Khosh!
Courtney G.
AMAZING!!!!!! I had Dr Khosh perform lipo on my chin/neck and my result is unbelievable! Better than I could have expected! I met with a couple of surgeons and the second I met with Dr Khosh I knew he was the one I was going with. He was compassionate and explained every detail of what would take place during the surgery and what to expect during recovery. I even emailed a few times during recovery with various questions and he got right back to me asap which was really comforting! I honestly fully recommend Dr Khosh, he did an amazing job and is an amazing person.
Frieda S.
i can finally breathe!! Dr. Khosh made the entire experience a breeze, it was truly a pleasure to be under his care. I am forever thankful and highly recommend him. Not only does his work speak for himself, but he has excellent bedside manner. His kindness and patience is above and beyond. He takes the time to answer to every question you have to help you understand the process while at the same time making you feel so comfortable. From the first consultation i knew i was in good hands. I am so pleased with the result and forever thankful.
Facial Plastic Surgery logo. Americany Academy of Facial Plastic and Reconstructive Surgery, Inc.Castle Connolly Top DoctorsBest Doctors logoTop Patient Rated New York Plastic Surgeon 2016Top Patient Rated New York Plastic Surgeon 2017Top Patient Rated New York Plastic Surgeon 2018
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Maurice M. Khosh, MD, FACS
Facial Plastic & Reconstructive Surgery
Nasal & Sinus Surgery

580 Park Avenue Suite 1BE,
New York, NY 10065
(212) 339-9988
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Maurice M. Khosh, MD, FACS office lobby. Purple walls, mirror, an orchid on a beautiful table.