Maxillofacial Surgery at Face Clinic

Specialist unit in oral and maxillofacial surgery, facial structural abnormalities, advanced oral surgery, maxillomandibular reconstruction, 3D planning and assessment of complex cases.

Oral and maxillofacial surgery unit

A medical specialty for oral, jaw, maxillary and facial structure problems

Oral and maxillofacial surgery is the medical-surgical specialty that diagnoses and treats disorders of the mouth, jaws, mandible, temporomandibular joint, facial bones and related tissues.

At Face Clinic, this unit is one of the group’s core areas. It is aimed at patients who require specialist assessment for functional, structural, reconstructive, traumatic or dentofacial problems, or for issues related to previous treatments.

The approach is not limited to “looking at the symptom”. We analyse the anatomical origin of the problem, the relationship between teeth and bone, bone stability, the airway, facial aesthetics and the real treatment options.

Maxillofacial surgery at Face Clinic
Our maxillofacial approach

How our maxillofacial surgery team works

At Face Clinic, maxillofacial cases are assessed with an integrated medical approach: structural diagnosis, functional analysis, digital planning when appropriate and coordination between specialists to define the most suitable treatment.

01

Structural assessment

We assess the maxilla, mandible, bite, bone, facial symmetry and medical history to understand the real origin of the problem.

02

Advanced oral surgery

We treat impacted teeth, complex wisdom teeth, cysts, oral lesions and procedures that require specialist surgical judgement.

03

3D planning

In selected cases, we use three-dimensional assessment and digital planning to improve surgical accuracy and predictability.

04

Reconstruction and implants

We assess severe bone loss, zygomatic implants, complex rehabilitations and maxillary or mandibular reconstruction.

05

Mandibular function

We study bruxism, TMJ disorders, jaw pain, locking, muscle overload and functional bite-related disorders.

06

Second opinion

We review rejected cases, complications, previous surgeries, revision procedures or doubts before complex treatment.

Common problems

Problems that may require maxillofacial assessment

A consultation with a maxillofacial surgeon may be indicated when there is a disorder of the mouth, mandible, maxilla, facial bone, temporomandibular joint or a previous surgery that requires expert review.

Not every case requires surgery. Assessment helps determine when conservative treatment is sufficient, when dentistry, orthodontics or physiotherapy should be coordinated, and when surgery may be a reasonable option.

Mandibular prognathism Forward-positioned mandible, bite disorders and maxillomandibular imbalance.
Retrognathia Recessed mandible, lack of mandibular projection or structural profile imbalance.
Facial asymmetry Mandibular deviation, laterognathia or imbalance between the two sides of the face.
TMJ, bruxism and jaw pain Muscle overload, clicking, locking, facial pain or functional disorders.
Maxillary or mandibular bone loss Severe bone atrophy, lack of bone for implants or failure of previous treatments.
Rejected or highly complex cases Patients who need a second opinion before accepting that there is no alternative.

When should you see a maxillofacial surgeon?
When there is persistent jaw pain, bite disorders, facial asymmetry, lack of bone, oral lesions, joint problems, maxillary deformities or doubts about oral, facial or reconstructive surgery.

Maxillofacial clinic at Face Clinic
Related treatments

Main maxillofacial surgery treatments at Face Clinic

These treatments are indicated after an individual assessment. In some cases, they are combined with dentistry, orthodontics, facial plastic surgery, aesthetic medicine or advanced oral rehabilitation.

Orthognathic surgery

Surgical treatment of maxillary and mandibular disorders affecting the bite, oral function, facial symmetry and the relationship between the maxilla and mandible.

Zygomatic implants

An advanced alternative for patients with severe bone loss in the upper jaw when conventional implants are not viable.

Full-mouth oral rehabilitation

Planning of cases involving extensive tooth loss through implantology, fixed prostheses and coordination between maxillofacial surgery and advanced dentistry.

Maxillary bone reconstruction

Assessment of bone defects, loss of maxillary or mandibular support and structural reconstruction when the case requires it.

Pre-prosthetic surgery Oral and bone preparation before rehabilitations.
Bruxism and mandibular function Assessment of overload, pain and bite function.
Neuromodulators for bruxism Treatment in selected patients.
Complex cases and second opinions

Assessment of rejected cases, complications and maxillofacial revision surgery

An important part of the unit focuses on patients with highly complex cases: previously rejected treatments, severe bone loss, surgeries with insufficient outcomes, implant complications, complex asymmetries, traumatic sequelae or doubts before undergoing a major procedure.

Assessment does not guarantee that every case is operable, but it makes it possible to study whether there is a reasonable, safe and correctly planned alternative.

Rejected cases Patients who have been told there is no surgical or implant-based option without an advanced assessment.
Previous complications Assessment after failed implants, previous surgeries, poor progress, persistent pain or loss of support.
Second opinion Medical review before accepting a complex plan, major surgery or an indication that raises concerns.
Revision procedures Assessment of unsatisfactory outcomes, residual asymmetries or the need for surgical correction.
Clinical process

How we assess a maxillofacial surgery case

The process is adapted to each patient. Complex cases may require imaging tests, digital planning, coordination with other units and joint review of the surgical plan.

Phase 01 First medical assessment

Review of the reason for consultation, medical history, symptoms, clinical examination, facial analysis, bite and the patient’s previous documentation.

Phase 02 Diagnosis and necessary tests

Depending on the case, a 3D CT scan, panoramic X-ray, photographic study, digital models, virtual planning or assessment by other specialties may be indicated.

Phase 03 Individualised treatment plan

Options, limitations, risks, stages, approximate timings, budget and the most appropriate setting are explained: consultation room, our own operating theatre or a hospital centre.

Phase 04 Procedure and follow-up

After the procedure, the team carries out follow-up visits focused on stability, function, recovery, healing and medium-term progress.

Why Face Clinic

Why have your maxillofacial case assessed at Face Clinic

The unit combines surgical experience, advanced structural planning, multidisciplinary work and the capacity to address both conventional cases and situations of high anatomical or reconstructive complexity.

25+

Years of clinical and surgical experience of Dr Riba

3D

Digital planning and advanced structural analysis

Team

Coordinated maxillofacial surgeons and specialists

Clinics

In-person assessment and video consultation for patients travelling from outside Spain

Cases

Second opinions, reviews and complex cases

Specialist medical team

Specialists in oral and maxillofacial surgery

The unit is led by Dr Francisco Riba García and includes oral and maxillofacial surgeons specialising in structural planning, precision surgery and the management of complex cases.

Dr Francisco Riba García, oral and maxillofacial surgeon at Face Clinic
Medical director

Dr. Francisco Riba García

Medical director and founder of Face Clinic. Specialist in Oral and Maxillofacial Surgery, with experience in maxillofacial surgery, facial aesthetics, advanced planning, reconstruction and complex surgical cases.

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Dr Matías Cuesta Gil, oral and maxillofacial surgeon at Face Clinic

Dr. Matías Cuesta Gil

Specialist · Maxillofacial Surgery Unit

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Dr Eduardo Monteserín Martínez, oral and maxillofacial surgeon at Face Clinic

Dr. Eduardo Monteserín

Specialist · Maxillofacial Surgery Unit

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Dr Gema Arenas de Frutos, oral and maxillofacial surgeon at Face Clinic

Dra. Gema Arenas

Specialist · Maxillofacial Surgery Unit

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Clinical cases

Examples of maxillofacial cases treated at Face Clinic

The following examples reflect the integrated approach of the maxillofacial unit: custom facial implants, orthognathic surgery and full-mouth oral rehabilitation. Each case requires individual assessment and results cannot be extrapolated to other patients.

Before
After
Custom chin facial implant

Structural planning case with a custom-designed chin implant to improve support, projection and facial balance while respecting the patient’s anatomy and proportions.

Before
After
Orthognathic surgery with maxillary advancement

Treatment of a maxillomandibular disorder through maxillary advancement, indicated in selected patients to improve the relationship between the maxilla, mandible, bite and facial harmony.

Before
After
Upper and lower All-on-Four with immediate loading

Full-mouth oral rehabilitation with upper and lower All-on-Four, immediate loading in a single session and conscious sedation, following individualised surgical and prosthetic planning.

Where we assess your case

Maxillofacial surgery at Face Clinic

Choose the clinic that is most convenient for your first assessment, to answer your questions, receive personalised planning and understand the treatment estimate. You can also request a video consultation if you live outside Spain or need initial guidance.

Frequently asked questions

Frequently asked questions about maxillofacial surgery

General guidance only. Each case must be assessed by a specialist before tests, treatment or surgery are indicated.

What does a maxillofacial surgeon do?
A maxillofacial surgeon diagnoses and treats problems of the mouth, mandible, maxilla, face, temporomandibular joint and related structures. They can manage complex oral surgery, dentofacial deformities, bone reconstruction, facial trauma, bite disorders, severe bone loss, facial implants and cases requiring advanced surgical planning.
What conditions does a maxillofacial surgeon treat?
They treat disorders such as maxillary and mandibular deformities, facial asymmetry, prognathism, retrognathia, open bite, impacted teeth, cysts, oral lesions, infections, traumatic sequelae, maxillary or mandibular bone loss, TMJ disorders, bruxism, jaw pain and complications related to previous surgery or implants.
What surgeries can a maxillofacial surgeon perform?
They can perform advanced oral surgery, complex wisdom tooth extraction, pre-prosthetic surgery, orthognathic surgery, maxillary or mandibular reconstruction, bone grafting, zygomatic implants, surgery for severe atrophy, TMJ surgery in selected cases, treatment of facial trauma and custom facial implants, among other procedures.
When should you see a maxillofacial surgeon?
It is advisable to attend when there is persistent jaw pain, clicking or locking of the jaw, bite disorders, facial asymmetry, a protruding or recessed mandible, bone loss, difficulty placing implants, oral lesions, recurrent infections, facial fractures, surgical complications or doubts before a maxillofacial procedure.
When should you seek a maxillofacial second opinion?
A second opinion is advisable if the case has been rejected at another centre, if there are doubts about a proposed surgery, if the result has been unsatisfactory, if there are complications after implants or oral surgery, or if the case is complex and requires 3D planning, bone reconstruction or coordination between several specialties.
Does maxillofacial surgery always require an operation?
No. A maxillofacial assessment does not necessarily involve surgery. In some cases, conservative treatments, splints, follow-up, physiotherapy, dentistry, orthodontics, aesthetic medicine or clinical monitoring are indicated. Surgery is only considered when there is a reasonable clinical indication and the benefit-risk balance is appropriate.
Can I request an online consultation or video consultation?
Yes. Patients from outside Madrid or Salamanca, including international patients, can request an initial video consultation to discuss the case, review available documentation and assess whether an in-person appointment with additional diagnostic tests is advisable.
Personalised medical assessment

Request a maxillofacial surgery assessment at Face Clinic

We will review your case to guide you on the appropriate specialist, clinic, necessary tests and treatment options according to your situation.

Do you have a dentofacial deformity? Have you been told that you do not have enough bone, or do you need a maxillofacial second opinion? Request your appointment.

Healthcare Registration Numbers of Face Clinic Spain clinics

Madrid: CS15810    Aravaca: CS14389    Salamanca: NICA 37-C24-0223    Huelva: NICA 27216    Badajoz: NICA 06104822

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