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Types of Facial Reconstruction Surgery Procedures and Techniques Explained

05/14/2025 by Dr. Benjamin Swartout

Facial reconstruction surgery helps repair areas of the face affected by injury, illness, or congenital defects. It’s often used to restore both function and appearance in a way that supports confidence and quality of life. These procedures may address facial fractures, nerve damage, skin loss, or deformities from trauma, disease, or surgery.

Dr. Swartout, a facial plastic surgeon in Beverly Hills, has extensive experience with these procedures. His approach focuses on safe techniques, clear planning, and tailored solutions that match each patient’s needs. Here’s a look at the most common options and how they work.

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Close-up of nose before and after nasal reconstruction showing improved nostril symmetry and structure.
Nasal reconstruction surgery restores both nasal function and appearance after trauma or deformity.

Skin Grafting for Facial Defects in Plastic Surgery 

Skin grafting is a fundamental technique in facial reconstruction surgery. It involves taking healthy skin from one part of the body (the donor site) and transferring it to an area where skin is missing due to injury, burns, or tumor removal. The new skin gradually integrates with the surrounding tissue.

There are several types of skin grafts:

  • Split-thickness grafts: Include only a few layers of skin
  • Full-thickness grafts: Contain the entire dermis for better cosmetic results
  • Composite grafts: Include skin plus underlying tissue like cartilage

Dr. Swartout carefully selects the appropriate graft type depending on the defect’s size, location, and depth, aiming for natural appearance and minimal scarring.

Back view showing healing donor site after skin grafting procedure used for facial reconstruction surgery.
Skin grafting transfers healthy skin to restore areas affected by burns, trauma, or surgery.

Local Flap Reconstruction for Nearby Tissue Repair in Facial Surgery 

Unlike skin grafts, local flap techniques use tissue that remains partially attached to its original blood supply. This method is ideal for reconstructing smaller areas, particularly around the nose, lips, or eyelids, where texture and color matching are essential.

There are various types of flaps:

  • Advancement flaps: Slide nearby tissue forward
  • Rotation flaps: Pivot skin around a defect
  • Transposition flaps: Lift and rotate tissue from adjacent areas

These methods offer a precise way to reconstruct facial features with fewer risks of graft rejection or mismatched skin tone.

Close-up of nose with raised skin lesion before local flap reconstruction to restore facial appearance and function.
Local flap reconstruction preserves blood supply and offers better texture and color match in facial surgery.
Benjamin G. Swartout, Facial Plastic Surgery

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Bone Grafting to Restore Facial Structure 

When bone loss occurs from trauma, tumor removal, or congenital conditions, bone grafting becomes necessary. This procedure helps rebuild structural integrity and contour, especially in the jaw, cheekbones, or eye sockets.

Bone can be harvested from the patient’s own body (autograft), such as the hip or rib, or may come from a donor (allograft). In facial plastic surgery, autografts are often preferred for better integration and long-term success.

Dr. Swartout uses bone grafting as part of complex reconstructive and maxillofacial surgery, including nasal reconstruction, jaw surgery, and facial fracture repair. As an experienced reconstructive surgeon, he carefully plans each procedure to restore both appearance and structural support., including nasal reconstruction, jaw surgery, and facial fracture repair.

Close-up of bone graft material in sterile container used for facial reconstruction and structural support procedures.
Bone grafting restores facial structure after trauma, congenital issues, or tumor-related bone loss.

Nerve Repair and Grafting to Regain Facial Movement in Reconstructive Surgery

In cases of facial paralysis or nerve damage due to trauma or tumor removal, nerve repair techniques aim to restore movement and expression. This is often called facial reanimation surgery.

Options include:

  • Direct nerve repair: Reconnecting severed nerve ends
  • Nerve grafting: Transplanting nerves from other areas, such as the leg
  • Cross-facial nerve grafts: Using nerves from the opposite side of the face

These procedures require high precision and detailed knowledge of facial anatomy. Dr. Swartout’s background in otolaryngology and facial plastic surgery supports successful outcomes.

Cleft Lip and Palate Repair for Congenital Conditions 

Cleft lip and palate are common congenital conditions affecting the nose, lips, and mouth. Reconstruction helps close the gap, restore function, and improve appearance.

Cleft surgery is typically performed in stages and may involve:

  • Soft tissue reconstruction
  • Nasal reshaping (rhinoplasty)
  • Speech and feeding support

Dr. Swartout provides long-term surgical planning to ensure children and adults with cleft conditions regain full function and confidence.

Infant with cleft lip showing separation in upper lip and nasal base before surgical reconstruction for congenital defect.
Cleft lip and palate repair restores facial structure and function in children born with congenital conditions.

Nasal Reconstruction and Rhinoplasty After Injury or Cancer 

The nose is central to both appearance and breathing. Nasal reconstruction is often necessary after trauma, infection, or skin cancer treatment, such as Mohs surgery.

Before & After Nose Trauma
Before & After Broken Nose

This complex facial reconstruction surgery may involve:

  • Cartilage grafts from the ear or rib
  • Skin flaps from nearby tissue
  • Structural rebuilding with bone or soft tissue

As a specialist in rhinoplasty and nasal surgery, Dr. Swartout designs detailed plans that address both the cosmetic and functional needs of each patient.

Eyelid Surgery and Reconstruction to Protect Vision and Appearance 

Eyelid surgery is critical when trauma, tumor removal, or congenital defects affect this delicate structure. Reconstruction ensures eyelids close properly, protect the eye, and maintain a natural appearance.

Procedures include:

  • Skin grafts or flaps to repair tissue loss
  • Realignment of eyelid muscles
  • Correction of eyelid malposition

Eyelid reconstruction often overlaps with cosmetic procedures, making a dual aesthetic and functional approach necessary.

Ear Reconstruction for Trauma or Congenital Absence in Facial Plastic Surgery

Missing or malformed ears can result from birth conditions like microtia or from trauma. Reconstructive ear surgery aims to rebuild the ear’s natural shape using cartilage grafts or synthetic implants.

Steps typically include:

  • Cartilage framework creation (often from the rib)
  • Skin grafting to cover the framework
  • Symmetry adjustments with the opposite ear

Dr. Swartout takes a staged approach to ear reconstruction to ensure safe healing and aesthetically pleasing results.

Doctor marking patient’s ear during evaluation for reconstructive surgery to treat microtia or ear deformities.
Reconstructive ear surgery restores ear shape and symmetry after birth defects or traumatic injury.

Lip Reconstruction to Restore Function and Expression 

Lip reconstruction is essential for maintaining speech, eating, and expression. Whether due to cancer surgery, trauma, or congenital deformities, reconstructing the lips requires technical skill and a strong eye for balance.

Reconstructive techniques vary and may include:

  • Local flaps for small defects
  • Free tissue transfer for larger reconstructions
  • Muscle reattachment for movement restoration

Dr. Swartout combines function and facial aesthetics to achieve natural lip appearance and oral function.

Facial Trauma Reconstruction to Restore Form and Function 

Facial injuries from accidents, sports, or trauma often lead to complex damage, including broken bones, soft tissue loss, and nerve injury. Comprehensive facial trauma reconstruction involves restoring bone structure, minimizing scarring, and preserving function.

Techniques used may include:

  • ORIF (open reduction and internal fixation) for facial fractures
  • Soft tissue repair
  • Scar revision and injectable fillers

Prompt care from a skilled facial plastic surgeon like Dr. Swartout ensures better healing and optimal long-term results. His surgical techniques are designed to minimize incisions whenever possible and reduce visible scarring.

Reconstructive and Cosmetic Procedures: What’s the Difference?

While facial reconstruction surgery is typically performed to restore function and appearance after trauma or illness, cosmetic procedures such as facelifts and brow lifts are primarily focused on enhancing aesthetics. However, these two types of procedures can often overlap—especially when reconstructive goals include symmetry, contouring, or rejuvenation.

Facial plastic surgeons like Dr. Swartout are uniquely qualified to perform both reconstructive and cosmetic facial surgery. For example, a facelift might be part of a reconstructive plan for someone with significant facial asymmetry, while a brow lift could complement eyelid reconstruction to ensure natural positioning and expression. Understanding this relationship allows patients to benefit from a more holistic, integrated approach to facial surgery.

Facial Reconstruction Goals and Results with Dr. Swartout in Beverly Hills 

Facial reconstruction surgery is about more than just restoring form – it’s about helping patients feel whole again. Whether you’re recovering from trauma, illness, or a congenital condition, Dr. Swartout works closely with you to develop a treatment plan that matches your goals and respects your individuality.

At his Beverly Hills practice, patients benefit from:

  • Specialized training in facial plastic surgery and otolaryngology
  • Personalized consultations and care
  • Advanced techniques tailored to facial symmetry and function

If you or a loved one needs expert facial reconstruction, don’t wait. Schedule a consultation with Dr. Swartout today to explore your options and take the next step toward healing and confidence. Contact LA Facial Plastic Surgery in Beverly Hills to request your consultation and learn more about available facial reconstruction surgery procedures.

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