Patients with naturally retruded skeleton therefore will benefit profoundly from augmentation of the facial skeleton. The added projection from the skeletal augmentation adds to the 3 dimensionality of the facial features and add depth and character to the facial features.

We now know that the facial skeleton changes profoundly with aging. Certain areas of the facial skeleton are susceptible to resorption with age and the resultant loss of soft tissue support here contributes to the sagging that we see with aging. Accordingly, patients with facial aging would also benefit from skeletal augmentation for a more harmonious result with facial rejuvenation. Skeletal augmentation can be done alone or more commonly with the surgical rejuvenation (known as the ‘lift and fill’ approach).