Facial Cosmetic Surgery

With the development of advanced medical devices and biomaterials, many facial cosmetic procedures are minimally invasive and can be performed in an office setting using local and/or intravenous anesthesia. Some procedures may require use of an outpatient or same day surgery center or hospital

Dr. Gary Warburton and other members of the UMOMSA reconstructive faculty will evaluate each patient to assess their concerns and objectives to help meet their goals for facial rejuvenation

Various procedures offered include:

  • Botox® Injections
  • Cheekbone Implants
  • Chin surgery/Genioplasty
  • Eyelid Surgery
  • Facelift
  • Forehead/Brow lift
  • Injectable Fillers
  • Laser Treatment
  • Nasal Reconstruction

Nerve Injury

Nerve injury to the face and jaws can occur as a result of:

  • Trauma
  • Removal of an impacted wisdom tooth
  • Jaw infection
  • Jaw corrective
  • Tumor growth and its associated surgical removal

Often minor bruising of the nerve can result in temporary paresthesia (loss of feeling) or weakness that will heal over time.

Nerve injuries are managed both through non-surgical methods and surgical techniques using nerve grafts and primary repair.

Complete or partial facial paralysis may require various reconstructive techniques to either restore function or improve cosmesis.

Chronic nerve pain may develop as a result of late injury and the UMOMSA faculty work closely with facial pain specialists at the University of Maryland School of Dentistry for management of such conditions.


Infections within the jaw bones (mandible and maxilla) may occur as a result of dental infection, exposure to radiation for treatment of a head and neck cancer (osteoradionecrosis-ORN) or as a result of exposure to a bisphosphonate medication (MRONJ).

Ultimately the jaw bone may become non-vital (necrosis) and result in chronic infection, pain, bone exposure, foul mouth odor, fistula or pathologic jaw fracture.

The UMOMSA faculty are experts in the management of these conditions and treatment may range from medical therapy to advanced surgical techniques with immediate jaw reconstruction using microvascular free tissue transfer.