Fractures of the face, i.e. malar, jaw and maxillary fractures are under the domain of plastic surgery.
They generally result from traumas, especially car accidents, falls or physical aggression.
Although they should be assisted immediately, the operation for bone reduction (position and fixation reposition) generally takes place on the fourth to the eighth day after the accident, when the patient no longer runs the risk of other complications, and the edema (swelling) is already receding.
The principle of these surgeries is to identify each bone fragment and put them side by side, as if it were a puzzle game. Once aligned they will be fixated to each other, work that was greatly facilitated with the advent of titanium platelets, allowing for beautiful reconstruction by the surgeon.
Each type of fracture has its own protocol. Nose fractures, for example, have a bloodless treatment, without the need to open the skin, as is also the case with aesthetic rhinoplasty where fractures are almost always an obligatory operation. If there is involvement of the dental area, the plastic surgeon will work in partnership with specialized team that will give the necessary support in this area.
It is important that the treatment takes place before consolidation of the fragments that have been out of position. If not, the treatment becomes more difficult and the results more limited. For this, we refer an ideal period of up to nine days.