What Are Facial Injuries?

The maxillofacial surgeon is the specialist who best understands facial anatomy. Facial trauma can affect both soft tissues and facial bones.

The treatment of soft-tissue injuries, such as lacerations, requires suturing techniques that minimize the appearance of unsightly scars. There are specific types of sutures suitable for this purpose. If unsightly scars are already present, they can be treated with chemical peels, dermabrasion, or even surgery.

The facial bones most affected by trauma are the nasal bones, the mandible, and the malar bones.

Types of Fractures

  1. Nasal fractures should be reduced immediately, taking into account the ideal position of the nasal bones and nasal septum. A rhinoplasty is often performed at the same time.
  2. Jaw fractures are unique in that they affect the way the teeth fit together and can also affect the temporomandibular joint. Treatment depends on several factors, such as age, whether the fracture is open or closed, and any accompanying injuries. Typically, the fracture is reduced and rigidly fixed. In other cases, conservative treatment without surgery may be chosen.
  3. Fractures of the zygomatic bone can also affect the orbit and be accompanied by blurred vision (diplopia). They can affect the projection of the cheekbone and result in noticeable deformities of the midface. Reduction is achieved by fixing at least two of the three zygomatic joints with mini-plates.

Our Methodology

Cases of severe facial trauma require evaluation via facial CT scan and a precise assessment of the facial pillars in order to reconstruct the face while preserving its dimensions.

It is common for long-term effects to remain after a facial injury. These can and should be treated as soon as possible, starting at 3 months of age. A radiological and clinical assessment will determine the best treatment for the sequelae of the facial trauma.

Frequently Asked Questions: Facial Injuries

We treat fractures of the mandible, maxilla, zygoma (cheekbone), orbit, and nasal bones, as well as dental trauma (avulsions, dislocations, and fractures). We also treat the aftereffects of old, poorly healed injuries. Each case is evaluated using imaging tests and, when appropriate, 3D planning, to restore both chewing function and the aesthetic harmony of the face.

Yes. Certain symptoms—severe pain, misaligned bite, difficulty opening the mouth, extensive bruising, or nosebleeds—require prompt evaluation to rule out fractures. At Clínica Birbe, we offer priority appointments for patients with recent injuries. Early intervention improves the functional and aesthetic prognosis, since the facial bones begin to heal after 7–10 days.

In cases of displaced fractures, the bone is reduced and fixed using biocompatible titanium miniplates, typically through an intraoral approach or via concealed incisions. The procedure is performed in the operating room under general anesthesia. Digital planning allows you to anticipate the result and position the plates precisely. Dr. Joan Birbe, an ABOMS-certified specialist, performs the procedure using a detailed postoperative care protocol.

When treatment is performed in a timely manner by an expert team, the goal is to restore anatomy and function without any significant visible aftereffects. In cases of old, poorly healed trauma, we may consider secondary surgery to restore symmetry and bite alignment. Each plan is tailored to the individual and includes periodic reviews to monitor progress.

Dr. Joan Birbe: ABOMS certification in facial trauma surgery

Reconstruction following facial trauma requires an in-depth understanding of skeletal and soft-tissue anatomy and the ability to make decisions under pressure. Dr. Birbe’s ABOMS certification attests to his specialized training in midface, mandibular, and orbital fractures, as well as their management in conjunction with other specialties. Each case is planned to restore occlusion, function, and symmetry with the least possible aesthetic impact.

Why Choose Clínica Birbe for Facial Trauma Reconstruction?

We strive to ensure that reconstruction following a facial injury is both functional and aesthetic: that the bite is restored to its proper position and that scars and deformities are minimized as much as possible.
• Initial evaluation with CT/CBCT to plan treatment for fractures of the mandible, maxilla, orbit, or zygoma.
• Osteosynthesis using titanium plates and screws tailored to each type of fracture.
• Coordination with ophthalmology and otolaryngology when the injury affects other structures.
• Priority care for recent cases; flexible scheduling for urgent evaluations.
• Long-term follow-up to correct any remaining aesthetic or functional sequelae.


Contact Clínica Birbe Barcelona to have your facial injury evaluated by a board-certified surgeon.

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