Hemifacial Microsomia / Goldenhar Syndrome Before & After Photos

Hemifacial/craniofacial microsomia includes a wide spectrum of severity and conditions, with many names including Goldenhar syndrome and oculo-auriculo-verterbral spectrum.
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Some children are born with a slightly smaller lower jaw or ear. Other children may have severe asymmetry affecting multiple areas including the eye, ear, cheek, upper and lower jaw, and nerve function. Other organ systems may also be affected, including the heart, kidneys, spine, and arms/hands, and need to be evaluated as well.
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As each and every child is unique, their treatment plan must also be tailored to their needs. The goals are always to offer the best chance at a happy and healthy life, while minimizing the number of surgeries and the risks involved.
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For this gentleman, the occlusion of his teeth was severely slanted, with TMJ pain and popping.
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To correct this, we performed upper and lower jaw surgery with TMJ replacement at the same time. We waited to do this until he reached skeletal maturity and had a long enough break from contact sports to heal.
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After the first few months of recovery, his jaw is free of popping and pain, and his symmetry is improved. Further procedures like fat grafting may be offered to further fine tune any asymmetry if desired.
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As you can see, we love our patients, especially ones we have cared for since they were little!

6 weeks after jaw surgery (and one night after a sister with a hair straightener) for hemifacial microsomia.

Swelling is still ~50%, but already the chin is more centered, and the jaw line more symmetric.

Key goals:
✅ Level, class I occlusion
✅ Bony foundation more symmetric
✅ Protect tooth roots and nerves
🚀 Confidence to the moon

We’re looking forward to his swelling coming down and braces coming off to better see his big smile! Stay tuned for updates!