Orthognathic patients main concern is an overall improval on facial aesthetics, maintaining obviously the function of the jaws.

Surgical planning is carried out, trying to achieve, the correct functional and aesthetic position of the scheletical bases for an optimum projection of the soft tissues. Nevertheless often, additional ancillary procedures are necessary to correct or enhance the results of surgery.

Most of the patients are not available for further retouches, giving the instance of the primary surgery a critical unique opportunity for achieving the best possible result. The former will be highly influenced by the skills of the surgeon, speed of the surgery and personal and patient aesthetic preferences.

We present our experience in the area describing the possible procedures to be combined and final results in our hands.

Conflict of interest: None declared.