Facial Fracture Reconstruction illustration from New Leaf’s procedure page

Facial Fracture Reconstruction

In Fort Worth, TX

Restoring Structure and Function.

Facial Fracture Reconstruction at New Leaf

Facial injuries can affect more than appearance. Evaluation considers the location of a fracture, the stability of the bones, and any effects on vision, breathing, or chewing.

Facial fractures are breaks in bones of the face that may affect alignment, appearance, vision, or bite. Not every fracture requires surgery. Evaluation considers imaging, symptoms, bone position, and injuries to nearby structures before a repair plan is made.

Overview / Facial Fracture Reconstruction

What Is Facial Fracture Reconstruction?

Facial fracture reconstruction is the evaluation and treatment of broken facial bones. The purpose is to restore proper alignment, support healing, and reduce the risk of long-term functional or cosmetic problems.

Depending on the injury, treatment may include observation, closed reduction, or surgical repair. More complex injuries may require open reduction and internal fixation, often using small plates, screws, or other fixation methods to hold the bones in the correct position while they heal.

Facial fracture treatment is not just cosmetic. In many cases, reconstruction helps restore bite alignment, improve jaw movement, protect the eyes, improve nasal breathing, reduce pain, and preserve facial symmetry. Because the face is closely connected to important functions, careful planning is important.

Candidates / Facial Fracture Reconstruction

Who May Need Facial Fracture Reconstruction?

Patients of many ages may need treatment for a facial fracture. Some injuries happen during sports or physical activity. Others occur after falls, accidents, or trauma. Older patients may be at greater risk of fracture after a fall, especially when bone density is reduced.

You may need facial fracture evaluation or reconstruction if you have:

  • A confirmed fracture of the jaw, cheekbone, nose, orbital bones, or other facial bones
  • Facial asymmetry after an injury
  • Difficulty chewing, speaking, or opening the mouth
  • Changes in bite alignment
  • Eye symptoms after trauma
  • Numbness, swelling, bruising, or pain that suggests a deeper injury
  • Breathing changes after nasal or midface trauma
  • A fracture that was treated initially but still needs reconstructive correction

The right treatment depends on the injury pattern, the patient’s health, the timing of the injury, and whether function has been affected.

Dr. Candis Lovelace can evaluate the fracture pattern and help determine whether observation, closed reduction, or surgical repair is appropriate.

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Options / Facial Fracture Reconstruction

Common Types of Facial Fractures

Facial fractures can involve one area or several areas at once. Symptoms and treatment vary depending on which bones are injured.

Jaw Fractures

Fractures of the upper or lower jaw may affect the bite, chewing, speech, and the ability to open or close the mouth normally. Some jaw fractures require stabilization so the teeth and jaw can heal in proper alignment.

Cheekbone Fractures

Cheekbone fractures may change facial contour, create flattening, cause numbness, or affect the area around the eye. Treatment depends on whether the bone has shifted and whether nearby structures are involved.

Nasal Fractures

Nasal fractures can affect the shape of the nose and may also interfere with breathing. Some nasal injuries can be treated with closed reduction, while more complex injuries may require additional reconstruction.

Orbital Fractures

Orbital fractures involve the bones around the eye. These injuries require careful evaluation because they may affect eye movement, vision, eye position, or sensation in the surrounding area.

Multiple Facial Fractures

High-impact trauma may cause fractures in several areas of the face. These cases often require more detailed imaging and a coordinated treatment plan to restore function and appearance as safely as possible.

Procedure / Facial Fracture Reconstruction

What Happens During Facial Fracture Surgery?

When surgery is needed, the approach depends on the location and complexity of the fracture. Incisions are planned carefully to provide access to the injured bones while protecting nearby nerves, blood vessels, eyes, teeth, and other important structures.

During surgery, bone fragments are repositioned into better alignment. Small plates, screws, or other fixation techniques may be used to stabilize the bones while they heal. In some cases, more than one area of the face must be repaired during the same procedure.

The goal is to restore stability, improve function, and support a natural facial appearance. Surgical planning is based on both the immediate injury and the long-term healing outcome.

Recovery / Facial Fracture Reconstruction

Recovery After Facial Fracture Treatment

Recovery depends on the severity of the injury, the area treated, and whether surgery was required. Swelling, bruising, soreness, numbness, and tightness are common during the early healing period.

  • Sleep with the head elevated to help reduce swelling
  • Avoid strenuous activity during early healing
  • Follow soft diet instructions if the jaw is involved
  • Avoid pressure or trauma to the treated area
  • Take medications only as directed
  • Follow wound care instructions if incisions were used
  • Attend follow-up visits to monitor healing and alignment

Some patients may need additional rehabilitation, dental follow-up, vision evaluation, or therapy depending on the fracture type and symptoms. Healing is usually gradual, and swelling may take time to fully resolve.

Planning / Facial Fracture Reconstruction

Symptoms That May Suggest a Facial Fracture

Facial trauma should be evaluated when symptoms suggest a deeper injury. Some fractures are obvious right away, while others may be hidden by swelling or bruising.

  • Facial swelling or bruising
  • Pain after trauma
  • Changes in facial symmetry
  • Numbness or tingling in the face
  • Difficulty chewing or speaking
  • A bite that feels different than before
  • Difficulty opening or closing the mouth
  • Double vision or eye movement problems
  • Changes in nasal breathing
  • Flattening of the cheek or visible facial deformity
  • Loose or damaged teeth after injury

If vision changes, severe bleeding, loss of consciousness, airway problems, or major trauma are present, emergency evaluation is important.

Before You Decide

Answers for your planning

Risks and Safety Considerations

Facial fracture reconstruction carries risks, especially because trauma can involve bones, nerves, teeth, eyes, airways, and soft tissues. These risks vary depending on the location and severity of the injury.

  • Bleeding
  • Infection
  • Scarring
  • Delayed healing
  • Asymmetry
  • Numbness or altered sensation
  • Persistent pain
  • Hardware irritation or visibility
  • Changes in bite alignment
  • Vision-related complications
  • Breathing problems if the nose or midface is involved
  • Need for additional surgery
  • Unsatisfactory cosmetic or functional result

Careful imaging, surgical planning, and follow-up care help reduce risk and support the best outcome possible.

Cost of Facial Fracture Reconstruction in Fort Worth

The cost of facial fracture reconstruction depends on the severity of the injury, imaging and testing needs, whether surgery is required, anesthesia and facility fees, the complexity of repair, and follow-up care.

Because facial trauma varies so much from patient to patient, an accurate estimate can only be provided after consultation and evaluation. Insurance coverage may also vary depending on the injury, treatment plan, and policy requirements.

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Meet the practice

Dr. Candis Lovelace, MD, FACS is certified by the American Board of Plastic Surgery. Her practice includes cosmetic surgery of the breast, body, and face, as well as reconstructive care.

New Leaf Plastic & Reconstructive Surgery
4400 Heritage Trace Parkway, Suite 200
Fort Worth, TX 76244
817-380-1087

The office welcomes patients from Fort Worth and nearby communities, including Keller and Southlake. Contact the practice to plan your visit.

Prepare for your consultation

Bring your goals, relevant medical history, medication list, and questions about alternatives, risks, recovery, and costs. Ask which options are appropriate for you and what help or follow-up you may need.

Further reading

General patient education; an individual examination is needed for treatment advice. Content updated .

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