Facial Trauma Reconstruction

Facial trauma can be a highly distressing experience, impacting not only a person's appearance but also vital functions such as breathing, seeing, chewing, and speaking. Injuries can range from complex lacerations to severe fractures of the facial skeleton.

Effective reconstruction requires a deep understanding of the intricate anatomy of the face. Serving patients from Dearborn, Troy, and across Wayne County, Dr. Hassan Nasser approaches facial trauma with a dual focus: meticulously repairing the underlying bone structure to restore proper function, while utilizing advanced plastic surgery techniques to optimize the aesthetic outcome and minimize visible scarring. For complex jaw fractures, orthognathic alignment, or dental-implant stabilization, Dr. Nasser collaborates closely with trusted oral and maxillofacial surgeons in Metro Detroit, including Aria Oral Surgery.

What This Procedure Treats

Facial trauma reconstruction addresses a wide spectrum of injuries, including:

Facial Skeleton & Fracture Sites

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Facial skeleton showing common fracture sites addressed in trauma reconstruction. Tap each number to learn more.

1. Frontal Bone2. Orbital Floor3. Nasal Bones4. Zygoma5. Maxilla6. Mandible

• Nasal Fractures (Broken Nose)The most common facial fracture. Repair involves realigning the nasal bones to restore a straight appearance and clear the airway.
• Orbital Fractures (Eye Socket)Fractures around the eye can trap eye muscles (causing double vision) or cause the eye to sink backward. Repair restores the orbital volume and protects vision.
• Zygomaticmaxillary Complex (Cheekbone) FracturesFractures of the cheekbone can flatten the face and interfere with jaw movement. Repair restores facial width and projection.
• Mandible & Maxilla (Jaw) FracturesFractures of the upper or lower jaw require precise realignment (often using plates and screws) to ensure the teeth bite together correctly (occlusion).
• Complex Soft Tissue LacerationsDeep cuts involving muscles, nerves, or tear ducts that require meticulous, multi-layered repair to prevent functional deficits and excessive scarring.

Who is a Good Candidate?

You may require facial trauma reconstruction if you:

• Have sustained a recent injury resulting in facial fractures or severe lacerations.
• Are experiencing functional issues following trauma, such as double vision, difficulty chewing, or nasal obstruction.
• Have an older, healed facial injury that resulted in persistent deformity or functional impairment (requiring secondary reconstruction).
• Are medically stable following the initial trauma.

Your Evaluation

Evaluation of facial trauma often begins in the emergency room but requires specialized follow-up. During your evaluation, Dr. Nasser will:

• Review Imaging: Carefully analyze CT scans to identify the exact location and severity of all facial fractures.
• Assess Function: Evaluate your vision, eye movement, dental occlusion (bite), facial sensation, and facial nerve function.
• Determine Timing: Decide the optimal time for surgery. While some injuries require immediate repair, many are best treated a few days after the injury once initial swelling has subsided.
• Discuss the Surgical Plan: Explain the proposed incisions (often hidden) and the use of any plates or screws.

Procedure Overview

Facial trauma surgery is typically performed under general anesthesia. The specific techniques depend entirely on the nature of the injuries:

Recovery Timeline

Recovery from facial trauma surgery requires time and patience:

• 1
  First Few DaysSignificant swelling and bruising are typical and often peak 48-72 hours after surgery. You will likely be on a liquid or soft diet, especially if jaw fractures were repaired. Pain is managed with prescribed medications.
• 2
  1-2 WeeksSwelling begins to decrease. Any external sutures or splints are usually removed during this time. Most patients can return to work or school, though they may still have visible bruising.
• 3
  4-6 WeeksThe facial bones begin to heal solidly. You will gradually advance your diet back to normal foods as directed by Dr. Nasser. Strenuous exercise and contact sports must be avoided during this critical healing phase.
• 4
  Long-Term (6-12 Months)Residual, subtle swelling fully resolves. Facial sensation, which is often temporarily altered by trauma and surgery, usually normalizes. Scars continue to mature and fade.

Why Patients Choose Dr. Hassan Nasser

Facial trauma reconstruction requires a surgeon who understands both the rigid biomechanics of the facial skeleton and the delicate aesthetics of the soft tissue. Patients trust Dr. Nasser because of his:

• Comprehensive Training: Dual board-certified in Otolaryngology and fellowship-trained in Facial Plastic and Reconstructive Surgery, providing unparalleled expertise in facial anatomy.
• Aesthetic Focus: A commitment to utilizing hidden incisions (inside the mouth or eyelids) whenever possible to prevent visible facial scarring.
• Functional Priority: Ensuring that critical functions—like your bite, vision, and breathing—are fully restored alongside your appearance.
• Compassionate Care: Providing clear guidance and support during what is often a highly stressful period following an accident.

Preparing For Your Visit

To ensure a comprehensive evaluation of your injuries, please prepare the following:

• Imaging (Crucial): Bring physical copies (CDs/USBs) of any CT scans or X-rays taken in the emergency room. Do not rely solely on the written report.
• Medical Records: Bring any discharge summaries or notes from the emergency department or urgent care.
• Medication List: A complete list of current medications, especially any blood thinners or recent pain medications.

Patient Resources

• Patient Education Hub
• Facial Scar Revision
• Nasal Reconstruction
• New Patient Forms
• Areas Served