A broken facial bone is not only a matter of appearance. The jaw has to close correctly, the eye has to sit level and the airway has to stay clear. Fixation aims at all three.
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Road accidents account for most of this work, followed by falls, assaults and injuries at the workplace.
The full pathway for injuries to the facial skeleton.
Read more →Cheekbone, nasal and mid face fractures and how they are fixed.
Read more →Lower jaw fractures, plate fixation and getting the bite right.
Read more →Fractures around the eye causing double vision or a sunken eye.
Read more →Facial cuts, tissue loss and scarring after an accident.
Read more →Timings, location and the emergency route for fresh injury.
Read more →A fresh facial injury should be brought in without waiting for the swelling to settle. Bring any X ray or CT film already taken elsewhere, along with the casualty papers, since the scan usually decides whether fixation is needed.
If the injury happened weeks or months ago and the face or the bite has changed shape, send photographs from before the accident if you have them. They help a great deal when planning a correction.
203, Trinity Business Park, OPP G3 Store, Madhuvan Circle, LP Savani Road, Adajan, Surat, Gujarat 395009.
Timings Mon to Sat · 10:00 to 19:00 · OPD by appointment
320, Times Square, Canal Road, Bharthana, Nr. G.D.Goenka International School, Vesu, Surat, Gujarat 395007.
Timings Mon to Sat · 10:00 to 18:00 · Emergency 24×7
Dr. Ashutosh Shah is a Plastic, Reconstructive and Cosmetic Surgeon (DNB) practising in Surat, Gujarat. The work covered by this site is reconstructive, which means restoring form and function after birth differences, burns, injury, cancer surgery, infection and chronic wounds.
Consultations are unhurried. You are told what the problem is, which options genuinely apply, what each involves, and what it will realistically achieve, including where an operation is not the right answer.
Cost depends on how many bones are involved, how many plates are needed and whether the injury also involves the eye or soft tissue. A written estimate is given before admission.
Facial injuries reach the clinic from across the city and from the highway corridor running through the districts around Surat.
Each page below covers one kind of work at the Surat clinic, with the questions patients ask about it, the cost band and how to reach the team.
These are the questions asked most often in the days after a road accident or a fall. If yours is not here, send it on WhatsApp and the team will reply, usually the same day.
Ask your question →Most facial fractures are fixed within the first week or two, while the bones still move freely. After that they begin uniting in the wrong position, and correcting them becomes a larger operation. Some settling of swelling before surgery is expected.
A changed bite is one of the clearest signs of a jaw fracture, because even a small shift in the bone moves the teeth out of line. It needs an X ray or a scan, and fixation aims to bring the bite back to how it was.
Many fractures are fixed through cuts placed inside the mouth or within the eyelid crease and hairline, so nothing shows on the open face. Where an external cut cannot be avoided, it is placed along a natural line and closed carefully.
Usually not. The titanium plates used for facial bones are meant to stay, and they cause no trouble for most people. Removal is considered only if a plate becomes infected, loose or uncomfortable, and that is a smaller second procedure.
Double vision after a blow to the eye suggests the thin bone of the orbital floor has given way and tissue has dropped through it. It needs urgent assessment with a scan and an eye examination, because timing changes what surgery can achieve.
A soft or liquid diet for several weeks, and longer if the jaws are held together. Family are shown what to prepare before discharge, since keeping weight and strength up matters for healing. Normal chewing returns gradually and is checked at review.
Fixation after a road accident or an assault is usually considered under mediclaim subject to policy terms, and motor accident cover may also apply. Bring the police intimation if one exists, since insurers often ask for it during pre authorisation.
