Many people wonder if it is necessary to dissolve their fillers before orthognathic surgery. Although strictly speaking, facial fillers do not have any effect or influence on surgical movements and subsequent recovery, they can have an effect on the planning, at the moment when the surgeon analyzes the patient's features and visualizes the changes that will occur on the patient's face.
In our practice, we always recommend our patients who have several facial surgeries in mind, to always go first for orthognathic surgery, since it has various effects on the middle and lower thirds of the face that are commonly addresed with fillers:
- Projection of the tip of the nose
- Projection of the lips
- Stretching of soft tissues
- Volumization of the middle third of the face
- Definition of the jaw line
- Chin projection
It is always best to wait to see the end results of your orthognathic surgery and then tweak any remaining details, than getting an exaggerated effect as the results of two different surgeries or treatments.
The same can be said of the fillers: if the surgeon is not able to see the actual volumes of a patient's face, he will not be able to accurately calculate the final effects on the soft tissues once the maxillomandibular complex is mobilized.
The best course of action when planning a facial surgery is to wait for the facial fillers to dissolve on their own (for temporary fillers) and try to present yourself to your appointment in the most natural way possible, so that the specialist can really appreciate the "raw material" with which they will be working. This is the best way to get optimal results.
It is always best to consult with your surgeon, who will be able to assess the situation and provide guidance on fillers. Either way, it is very important to provide your surgeon with a complete medical history, including any cosmetic procedures you have undergone, to ensure the safest and most effective outcome from your surgery, and above all, remember: do not resort to any type of filler before orthognathic surgery if you haven't already got them.