{"id":15943,"date":"2026-02-12T14:38:51","date_gmt":"2026-02-12T12:38:51","guid":{"rendered":"https:\/\/content.www.institutomaxilofacial.com\/es\/?p=15943"},"modified":"2026-02-18T12:01:10","modified_gmt":"2026-02-18T10:01:10","slug":"federico-hernandez-alfaro-lios-cirugia-ortofacial","status":"publish","type":"post","link":"https:\/\/content.www.institutomaxilofacial.com\/en\/2026\/02\/12\/lios-the-low-impact-orthofacial-surgery-philosophy-by-prof-federico-hernandez-alfaro\/","title":{"rendered":"LIOS: The Low Impact Orthofacial Surgery Philosophy by Prof. Federico Hern\u00e1ndez-Alfaro"},"content":{"rendered":"<div class=\"kk-star-ratings kksr-auto kksr-align-right kksr-valign-top\"\n    data-payload='{&quot;align&quot;:&quot;right&quot;,&quot;id&quot;:&quot;15943&quot;,&quot;slug&quot;:&quot;default&quot;,&quot;valign&quot;:&quot;top&quot;,&quot;ignore&quot;:&quot;&quot;,&quot;reference&quot;:&quot;auto&quot;,&quot;class&quot;:&quot;&quot;,&quot;count&quot;:&quot;6&quot;,&quot;legendonly&quot;:&quot;&quot;,&quot;readonly&quot;:&quot;&quot;,&quot;score&quot;:&quot;3.7&quot;,&quot;starsonly&quot;:&quot;&quot;,&quot;best&quot;:&quot;5&quot;,&quot;gap&quot;:&quot;5&quot;,&quot;greet&quot;:&quot;Rate this post&quot;,&quot;legend&quot;:&quot;3.7\\\/5 - (6 votes)&quot;,&quot;size&quot;:&quot;30&quot;,&quot;title&quot;:&quot;LIOS: The Low Impact Orthofacial Surgery Philosophy by Prof. Federico Hern\u00e1ndez-Alfaro&quot;,&quot;width&quot;:&quot;127&quot;,&quot;_legend&quot;:&quot;{score}\\\/{best} - ({count} {votes})&quot;,&quot;font_factor&quot;:&quot;1.25&quot;}'>\n            \n<div class=\"kksr-stars\">\n    \n<div class=\"kksr-stars-inactive\">\n            <div class=\"kksr-star\" data-star=\"1\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 30px; height: 30px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"2\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 30px; height: 30px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"3\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 30px; height: 30px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"4\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 30px; height: 30px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"5\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 30px; height: 30px;\"><\/div>\n        <\/div>\n    <\/div>\n    \n<div class=\"kksr-stars-active\" style=\"width: 127px;\">\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 30px; height: 30px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 30px; height: 30px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 30px; height: 30px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 30px; height: 30px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 30px; height: 30px;\"><\/div>\n        <\/div>\n    <\/div>\n<\/div>\n                \n\n<div class=\"kksr-legend\" style=\"font-size: 24px;\">\n            3.7\/5 - (6 votes)    <\/div>\n    <\/div>\n<p><\/p>\n<p data-start=\"276\" data-end=\"611\">Orthofacial surgery has evolved toward more precise, less invasive, and patient-centered models. In this context, <strong data-start=\"390\" data-end=\"431\">LIOS (Low Impact Orthofacial Surgery)<\/strong> emerges as a comprehensive philosophy developed under the direction of <a href=\"https:\/\/www.institutomaxilofacial.com\/en\/dr-federico-hernandez-alfaro\/\" target=\"_blank\" rel=\"noopener\">Prof. <span class=\"hover:entity-accent entity-underline inline cursor-pointer align-baseline\"><span class=\"whitespace-normal\">Federico Hern\u00e1ndez-Alfaro<\/span><\/span><\/a>, redefining how orthognathic surgery is planned and experienced.<\/p>\n<p data-start=\"613\" data-end=\"778\">LIOS is not a single surgical technique. It is an integrated treatment approach designed to reduce the overall physical, functional, and emotional impact of surgery.<\/p>\n<blockquote>\n<h2 data-start=\"785\" data-end=\"801\"><strong>What Is LIOS?<\/strong><\/h2>\n<\/blockquote>\n<p data-start=\"803\" data-end=\"1001\">LIOS stands for <em data-start=\"819\" data-end=\"851\">Low Impact Orthofacial Surgery<\/em>. The concept, developed within the clinical and academic environment of <a href=\"https:\/\/www.institutomaxilofacial.com\/en\/\" target=\"_blank\" rel=\"noopener\"><span class=\"hover:entity-accent entity-underline inline cursor-pointer align-baseline\"><span class=\"whitespace-normal\">Instituto Maxilofacial<\/span><\/span><\/a>, is built on three fundamental pillars:<\/p>\n<ol data-start=\"1003\" data-end=\"1158\">\n<li data-start=\"1003\" data-end=\"1047\">\n<p data-start=\"1006\" data-end=\"1047\">Advanced diagnosis and digital planning<\/p>\n<\/li>\n<li data-start=\"1048\" data-end=\"1109\">\n<p data-start=\"1051\" data-end=\"1109\">Minimally invasive surgery coordinated with orthodontics<\/p>\n<\/li>\n<li data-start=\"1110\" data-end=\"1158\">\n<p data-start=\"1113\" data-end=\"1158\">Early recovery after surgery (ERAS protocols)<\/p>\n<\/li>\n<\/ol>\n<p data-start=\"1160\" data-end=\"1254\">The objective is clear: <strong data-start=\"1184\" data-end=\"1253\">maximize outcomes while minimizing the global impact of treatment<\/strong>.<\/p>\n<blockquote>\n<h2 data-start=\"1261\" data-end=\"1303\"><strong>Digital Planning and Surgical Precision<\/strong><\/h2>\n<\/blockquote>\n<p data-start=\"1305\" data-end=\"1527\">The first pillar is <strong>comprehensive facial diagnosis supported by advanced 3D digital planning<\/strong>. Before entering the operating room, surgery is virtually simulated to determine the precise final position of facial structures.<\/p>\n<p data-start=\"1529\" data-end=\"1554\">This approach allows for:<\/p>\n<ul data-start=\"1556\" data-end=\"1677\">\n<li data-start=\"1556\" data-end=\"1591\">\n<p data-start=\"1558\" data-end=\"1591\">Greater surgical predictability<\/p>\n<\/li>\n<li data-start=\"1592\" data-end=\"1608\">\n<p data-start=\"1594\" data-end=\"1608\">Reduced risk<\/p>\n<\/li>\n<li data-start=\"1609\" data-end=\"1643\">\n<p data-start=\"1611\" data-end=\"1643\">Improved patient communication<\/p>\n<\/li>\n<li data-start=\"1644\" data-end=\"1677\">\n<p data-start=\"1646\" data-end=\"1677\">More stable long-term results<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"1679\" data-end=\"1787\">In the model promoted by Prof. Hern\u00e1ndez-Alfaro, low-impact surgery begins long before the actual procedure.<\/p>\n<blockquote>\n<h2 data-start=\"1794\" data-end=\"1852\"><strong>Minimally Invasive Surgery and Orthodontic Coordination<\/strong><\/h2>\n<\/blockquote>\n<p data-start=\"1854\" data-end=\"2017\">The second pillar integrates scientifically developed and published surgical techniques known as <strong>the Barcelona Protocol for Minimally Invasive Orthofacial Surgery<\/strong>.<\/p>\n<p data-start=\"2019\" data-end=\"2050\">These techniques aim to reduce:<\/p>\n<ul data-start=\"2052\" data-end=\"2131\">\n<li data-start=\"2052\" data-end=\"2071\">\n<p data-start=\"2054\" data-end=\"2071\">Surgical trauma<\/p>\n<\/li>\n<li data-start=\"2072\" data-end=\"2086\">\n<p data-start=\"2074\" data-end=\"2086\">Blood loss<\/p>\n<\/li>\n<li data-start=\"2087\" data-end=\"2113\">\n<p data-start=\"2089\" data-end=\"2113\">Postoperative swelling<\/p>\n<\/li>\n<li data-start=\"2114\" data-end=\"2131\">\n<p data-start=\"2116\" data-end=\"2131\">Recovery time<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"2133\" data-end=\"2361\">However, LIOS emphasizes a key element: proper pre- and post-surgical orthodontic management is essential for long-term stability and optimal functional results. Orthognathic surgery is understood as a multidisciplinary process.<\/p>\n<blockquote>\n<h2 data-start=\"2368\" data-end=\"2412\"><strong>Early Recovery and the Patient Experience<\/strong><\/h2>\n<\/blockquote>\n<p data-start=\"2414\" data-end=\"2535\">The third pillar incorporates <strong>ERAS (Early Recovery After Surgery)<\/strong> protocols to optimize the entire perioperative process.<\/p>\n<p data-start=\"2537\" data-end=\"2551\">This includes:<\/p>\n<ul data-start=\"2553\" data-end=\"2748\">\n<li data-start=\"2553\" data-end=\"2593\">\n<p data-start=\"2555\" data-end=\"2593\">Preoperative nutritional preparation<\/p>\n<\/li>\n<li data-start=\"2594\" data-end=\"2627\">\n<p data-start=\"2596\" data-end=\"2627\">Advanced anesthetic protocols<\/p>\n<\/li>\n<li data-start=\"2628\" data-end=\"2659\">\n<p data-start=\"2630\" data-end=\"2659\">Intraoperative pain control<\/p>\n<\/li>\n<li data-start=\"2660\" data-end=\"2699\">\n<p data-start=\"2662\" data-end=\"2699\">Cryotherapy and early physiotherapy<\/p>\n<\/li>\n<li data-start=\"2700\" data-end=\"2722\">\n<p data-start=\"2702\" data-end=\"2722\">Lymphatic drainage<\/p>\n<\/li>\n<li data-start=\"2723\" data-end=\"2748\">\n<p data-start=\"2725\" data-end=\"2748\"><a href=\"https:\/\/www.institutomaxilofacial.com\/en\/psychological-support-unit\/\" target=\"_blank\" rel=\"noopener\">Psychological support<\/a><\/p>\n<\/li>\n<\/ul>\n<p data-start=\"2750\" data-end=\"2867\">This structured approach reduces pain, swelling, and anxiety, significantly improving the overall patient experience.<\/p>\n<blockquote><p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-15973\" src=\"https:\/\/content.www.institutomaxilofacial.com\/wp-content\/uploads\/2026\/02\/prof-federico-hernandez-alfaro-filosofia-cirugia-ortofacial-bajo-impacto.webp-530x794.webp\" alt=\"Prof. Federico Hern\u00e1ndez-Alfaro explaining his philosophy of low-impact orthofacial surgery (LIOS) at the Maxillofacial Institute\" width=\"291\" height=\"436\" srcset=\"https:\/\/content.www.institutomaxilofacial.com\/wp-content\/uploads\/2026\/02\/prof-federico-hernandez-alfaro-filosofia-cirugia-ortofacial-bajo-impacto.webp-530x794.webp 530w, https:\/\/content.www.institutomaxilofacial.com\/wp-content\/uploads\/2026\/02\/prof-federico-hernandez-alfaro-filosofia-cirugia-ortofacial-bajo-impacto.webp-1125x1686.webp 1125w, https:\/\/content.www.institutomaxilofacial.com\/wp-content\/uploads\/2026\/02\/prof-federico-hernandez-alfaro-filosofia-cirugia-ortofacial-bajo-impacto.webp-1025x1536.webp 1025w, https:\/\/content.www.institutomaxilofacial.com\/wp-content\/uploads\/2026\/02\/prof-federico-hernandez-alfaro-filosofia-cirugia-ortofacial-bajo-impacto.webp-133x200.webp 133w, https:\/\/content.www.institutomaxilofacial.com\/wp-content\/uploads\/2026\/02\/prof-federico-hernandez-alfaro-filosofia-cirugia-ortofacial-bajo-impacto.webp-83x125.webp 83w, https:\/\/content.www.institutomaxilofacial.com\/wp-content\/uploads\/2026\/02\/prof-federico-hernandez-alfaro-filosofia-cirugia-ortofacial-bajo-impacto.webp.webp 1200w\" sizes=\"auto, (max-width: 291px) 100vw, 291px\" \/><\/p>\n<h2 data-start=\"2874\" data-end=\"2915\"><strong>A New Paradigm in Orthognathic Surgery<\/strong><\/h2>\n<\/blockquote>\n<p data-start=\"2917\" data-end=\"3120\">The LIOS philosophy, developed under the direction of Prof. Federico Hern\u00e1ndez-Alfaro, represents a shift from a purely technique-focused surgery to a model centered on the patient\u2019s complete experience.<\/p>\n<p data-start=\"3122\" data-end=\"3299\">As medicine moves toward personalized, evidence-based, and less invasive treatments,<strong> Low Impact Orthofacial Surgery reflects the natural evolution of modern orthofacial surgery<\/strong>.<\/p>\n<p>&nbsp;<\/p>\n<p><em><strong>Related Content:<\/strong><\/em><\/p>\n<p><strong>Video: <\/strong><a href=\"https:\/\/www.youtube.com\/watch?v=kY1vtspNjGs&amp;t=235s\" target=\"_blank\" rel=\"noopener\">LIOS<\/a><\/p>\n<blockquote>\n<h2 data-start=\"170\" data-end=\"246\"><\/h2>\n<h2 data-start=\"170\" data-end=\"246\"><\/h2>\n<h2 data-start=\"170\" data-end=\"246\">Frequently Asked Questions About LIOS<\/h2>\n<\/blockquote>\n<h3 data-start=\"248\" data-end=\"288\">What is LIOS in orthofacial surgery?<\/h3>\n<p data-start=\"290\" data-end=\"602\">LIOS stands for <em data-start=\"306\" data-end=\"338\">Low Impact Orthofacial Surgery<\/em>. It is a comprehensive treatment philosophy that integrates advanced 3D digital planning, minimally invasive surgical techniques, coordinated orthodontic management, and early recovery protocols to reduce the overall impact of orthognathic surgery on the patient.<\/p>\n<h3 data-start=\"609\" data-end=\"644\">Who developed the LIOS concept?<\/h3>\n<p data-start=\"646\" data-end=\"828\">The LIOS concept was developed under the direction of Prof. <span class=\"hover:entity-accent entity-underline inline cursor-pointer align-baseline\"><span class=\"whitespace-normal\">Federico Hern\u00e1ndez-Alfaro<\/span><\/span>, an internationally recognized specialist in orthognathic and maxillofacial surgery.<\/p>\n<h3 data-start=\"835\" data-end=\"899\">How is LIOS different from traditional orthognathic surgery?<\/h3>\n<p data-start=\"901\" data-end=\"1216\">Traditional orthognathic surgery focuses primarily on correcting skeletal discrepancies. LIOS goes further by addressing the entire treatment journey \u2014 including diagnosis, digital simulation, minimally invasive techniques, orthodontic coordination, psychological preparation, and structured postoperative recovery.<\/p>\n<p data-start=\"1218\" data-end=\"1319\">The emphasis is not only on surgical precision but also on improving patient experience and recovery.<\/p>\n<h3 data-start=\"1326\" data-end=\"1390\">What are the main pillars of Low Impact Orthofacial Surgery?<\/h3>\n<p data-start=\"1392\" data-end=\"1435\">LIOS is based on three fundamental pillars:<\/p>\n<ol data-start=\"1437\" data-end=\"1602\">\n<li data-start=\"1437\" data-end=\"1491\">\n<p data-start=\"1440\" data-end=\"1491\">Advanced facial diagnosis and 3D digital planning<\/p>\n<\/li>\n<li data-start=\"1492\" data-end=\"1550\">\n<p data-start=\"1495\" data-end=\"1550\">Minimally invasive surgical and orthodontic protocols<\/p>\n<\/li>\n<li data-start=\"1551\" data-end=\"1602\">\n<p data-start=\"1554\" data-end=\"1602\">ERAS (Early Recovery After Surgery) principles<\/p>\n<\/li>\n<\/ol>\n<p data-start=\"1604\" data-end=\"1706\">Together, these elements aim to enhance predictability, reduce complications, and accelerate recovery.<\/p>\n<h3 data-start=\"1713\" data-end=\"1754\">Where is the LIOS philosophy applied?<\/h3>\n<p data-start=\"1756\" data-end=\"1975\">The LIOS approach is implemented within the clinical and academic framework of <span class=\"hover:entity-accent entity-underline inline cursor-pointer align-baseline\"><span class=\"whitespace-normal\">Instituto Maxilofacial<\/span><\/span> and is presented in international congresses and professional forums dedicated to orthofacial surgery.<\/p>\n<h3 data-start=\"1982\" data-end=\"2041\">Is LIOS suitable for all orthognathic surgery patients?<\/h3>\n<p data-start=\"2043\" data-end=\"2300\">LIOS is a treatment philosophy rather than a specific technique, meaning its principles can be adapted to a wide range of orthognathic cases. However, individual suitability depends on a comprehensive clinical evaluation and personalized treatment planning.<\/p>\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>Orthofacial surgery has evolved toward more precise, less invasive, and patient-centered models. In this context, LIOS (Low Impact Orthofacial Surgery) emerges as a comprehensive philosophy developed under the direction of Prof. Federico Hern\u00e1ndez-Alfaro, redefining how orthognathic surgery is planned and experienced.<br \/>\nLIOS is not a single &#8230;<\/p>\n","protected":false},"author":6,"featured_media":15947,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53,675,52,60],"tags":[908],"class_list":["post-15943","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cirugia-ortognatica-estetica-facial","category-innovacion","category-noticias","category-nuevas-tecnologias","tag-lios"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>LIOS: The Low Impact Orthofacial Surgery Philosophy by Prof. Federico Hern\u00e1ndez-Alfaro - Instituto Maxilofacial LIOS y Federico Hern\u00e1ndez-Alfaro | Cirug\u00eda Ortofacial<\/title>\n<meta name=\"description\" content=\"Discover what LIOS is, the low-impact orthofacial surgery philosophy developed by Prof. Federico Hern\u00e1ndez-Alfaro.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/content.www.institutomaxilofacial.com\/en\/wp-json\/wp\/v2\/posts\/15943\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"[:es]LIOS: The Low Impact Orthofacial Surgery Philosophy by Prof. Federico Hern\u00e1ndez-Alfaro - 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