Facial Fracture Repair in NYC

Expert Reconstruction by Dr. Robert Schwarcz

Facial fracture repair is a specialized reconstructive procedure designed to restore the structural integrity, appearance, and function of the face following trauma or injury. Whether caused by accidents, falls, or sports-related incidents, facial fractures can significantly impact breathing, vision, and facial symmetry. As a double board certified oculofacial plastic surgeon, Dr. Robert Schwarcz brings over 20 years of experience in facial trauma repair and cosmetic restoration to each case, offering meticulous, natural-looking results that prioritize both form and function.

Facial fracture surgery is performed by Dr. Schwarcz in our JCAHO-certified surgical suite in Manhattan, with consultations and follow-ups available in both Manhattan and Rye, NY.

What Is Facial Fracture Repair?

Facial fracture repair refers to surgical correction of broken or displaced bones in the face. These injuries can involve one or more of the following:

• Orbital fractures (bones around the eye socket)

• Nasal fractures (broken nose)

• Zygomatic fractures (cheekbone)

• Maxillary fractures (upper jaw)

• Mandibular fractures (lower jaw)

• Frontal sinus or brow fractures

Depending on the location and severity, the goal of treatment is to restore the natural contours of the face, protect vital structures like the eyes and sinuses, and ensure proper function of the mouth, nose, and vision.

Who Is a Candidate for Facial Fracture Repair?

You may be a strong candidate for facial fracture repair in NYC if you:

• Have experienced facial trauma or blunt-force injury

• Notice visible deformity, asymmetry, or swelling

• Are experiencing double vision, difficulty breathing through your nose, or jaw instability

• Have a confirmed facial fracture via imaging (X-ray, CT scan)

• Are in stable health and able to undergo anesthesia and surgery

Prompt evaluation and treatment are essential—repairing fractures early can reduce long-term complications and improve cosmetic outcomes.

Who Should Delay or Avoid Surgery?

Surgical repair may be postponed or adjusted for individuals who:

• Have severe swelling that needs to subside before reconstruction

• Are medically unstable or not cleared for anesthesia

• Are recovering from active infections

• Have complex, non-displaced fractures that may heal with observation

Dr. Schwarcz will review your imaging and medical history to determine the safest and most effective approach.

How to Prepare for Facial Fracture Surgery

Your surgical plan will depend on the injury, but general preparation includes:

• Medical Clearance: Bloodwork and medical evaluations may be required

• Imaging: A CT scan helps define the extent and location of the fracture

• Medication Review: Stop blood thinners, aspirin, and supplements that increase bleeding risk

• Smoking Cessation: Smoking impairs healing and should be avoided

• Arrange Transportation: You’ll need a responsible adult to take you home and assist afterward

Dr. Schwarcz and his surgical team will provide comprehensive pre-operative instructions and support.

What to Expect During the Procedure

Facial fracture repair is performed in our Manhattan surgical suite under general anesthesia or deep sedation, depending on the extent of injury. The procedure may take 1–3 hours or longer if multiple areas are involved.

What happens during surgery:

• Precise Access: Incisions are carefully placed inside the mouth, eyelids, or hairline to minimize visible scarring

• Repositioning Bones: Fractured bones are gently moved back into their correct position

• Fixation: Small titanium plates or screws may be used to stabilize the bones

• Soft Tissue Repair: Damaged muscles, ligaments, or skin may be repaired simultaneously

Dr. Schwarcz prioritizes symmetry, functional restoration, and aesthetic balance in every procedure.

Recovery and Aftercare

Recovery depends on the location and complexity of the fracture, but here’s a general timeline:

• First Week: Swelling, bruising, and discomfort are common. Pain is managed with medication. Cold compresses help reduce swelling. Soft diet may be required.

• 1–2 Weeks: Sutures may be removed. Facial swelling gradually improves.

• 3–6 Weeks: Return to normal activities, though strenuous activity should be avoided until cleared.

• 3–6 Months: Final healing and resolution of swelling; any residual scars continue to mature and fade.

Dr. Schwarcz will monitor your recovery closely with scheduled follow-ups in Manhattan or Rye to ensure healing is on track and the final result is optimized.

Results

The goal of facial fracture repair is restoring normal anatomy, function, and appearance. Dr. Schwarcz’s expertise in both reconstructive and aesthetic surgery allows him to deliver results that are both medically sound and visually seamless. With his artistic eye and precision, patients often find that not only is their injury corrected—but their overall facial balance and confidence are restored as well.

Complementary Treatments

To further enhance your outcome, Dr. Schwarcz may recommend additional treatments after initial healing:

• CO2 Laser Resurfacing: To minimize any residual scarring or skin damage

• Scar and Keloid Revision: If needed after significant trauma

• Fat Transfer or Fillers: To restore lost volume in areas affected by trauma

• Blepharoplasty: For eyelid contour restoration after orbital injuries

These procedures can be discussed once the primary repair has healed.

Why Choose Dr. Robert Schwarcz?

With advanced fellowship training in oculofacial plastic and reconstructive surgery, Dr. Schwarcz is a leader in treating complex facial trauma cases in New York City. His dual board certification, 20+ years of experience, and attention to detail make him uniquely equipped to handle even the most delicate facial fractures—especially those involving the eyes, midface, and brow.

All surgeries are performed in our JCAHO-certified Manhattan surgical suite, ensuring safety, sterility, and state-of-the-art care.

Ready to restore your facial structure with expert care? Click the Request an Appointment button below to schedule your consultation with Dr. Schwarcz and begin your recovery journey with confidence.