What Is a Bone Lift?

A facelift is a facial rejuvenation procedure performed when the “facial mask”—that is, the combination of skin, muscles, and facial fat—has been affected by gravity and a loss of structural support over the years.

However, certain anatomical characteristics of the facial bones can cause the face to lack support, not due to aging, but because the maxilla and mandible—two facial bones that play a major role in supporting the facial soft tissues—are set back relative to the forehead, nose, lips, or chin. In other words, they are positioned too far back and do not project enough, while also failing to support the soft tissues or facial mask. This results in an excess of facial tissue, with signs such as a double chin, jowls, and laxity in the perilabial area.

In this situation, we are talking about a retrusive profile. The most natural solution in this case is to perform a maxillary and mandibular advancement—a maxillomandibular advancement—through bimaxillary orthognathic surgery. This advancement will provide the necessary support for the face, resulting in a lifting and rejuvenating effect through bone lifting. It is the ideal treatment for young people with facial soft-tissue laxity that is not typical for their age. Naturally, it is often combined with other procedures, such as a lip lift or the placement of facial implants.

Frequently Asked Questions About Bone Lift Surgery

A bone lift works on the structure of the facial skeleton—cheekbones, jaw, and chin—to restore support and projection to the face. Unlike a traditional facelift, which targets the skin and soft tissues, a bone lift addresses the actual cause of aging: the loss of bone volume. At Clínica Birbe in Barcelona, we use digital planning to achieve a natural and harmonious result.

Patients who notice a loss of facial contour, sagging cheeks, or a tired appearance despite taking good care of their skin. It is also recommended for people with structural asymmetries or those who prefer a more long-lasting solution than that provided by fillers. An evaluation by Dr. Joan Birbe, an ABOMS-certified oral and maxillofacial surgeon, determines whether the procedure is appropriate and which areas to treat.

When modifying the bone structure using biocompatible materials or your own bone, the results are very stable in the long term. The skin and soft tissues will continue to age naturally, but the structural support remains. That is why many patients combine it with less invasive complementary treatments in subsequent years to maintain overall harmony.

The procedure is performed in the operating room under general anesthesia. After surgery, swelling is the main source of discomfort and subsides significantly within 10–14 days. Social integration usually occurs within 2 weeks, and the final result is visible between 6 and 8 weeks. We provide detailed postoperative instructions and schedule follow-up appointments.

Dr. Joan Birbe: Bone Lift from a Maxillofacial Perspective (ABOMS)

The facial aging begins at the bone level: loss of maxillary projection, chin retraction, and mandibular resorption. A bone lift addresses this issue at its root. Dr. Birbe’s ABOMS certification attests to his expertise in working on the facial skeleton to restore support to soft tissues, rather than adding external volume without reconstructing what has been lost.

Why Get a Bone Lift at Clínica Birbe?

A bone lift goes beyond the skin. Reconstructing the skeletal framework provides a stable and long-lasting facial rejuvenation.
• 3D facial scan to identify areas of the skull that have lost projection.
• Combined procedures (mentoplasty, maxillary advancement, implants) as part of a single treatment plan.
• ABOMS-certified oral and maxillofacial surgeon responsible for virtual planning.
• Coordination with soft-tissue surgery (facelifts, blepharoplasty) when it adds value.
• Structural results that improve the appearance of the face as it ages in the medium and long term.


→ Request your consultation at Clínica Birbe Barcelona and find out if a bone lift is right for you.

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