Although patients seeking treatment

Although patients seeking treatment for their OSA generally do not desire a facial aesthetic improvement, it is important to communicate the anticipated facial changes before surgery. The magnitude of facial soft-tissue changes of the lips and chin has been shown to correlate with 90% of the underlying dental and skeletal movement. Because the majority of OSA patients exhibit normal craniofacial skeletal morphology, profound advancements should not result in an unacceptable deformity of a patient’s facial aesthetics. A surgical technique involving a so called “counterclock- wise” rotation of the occlusal plane, which has previously been used in correcting severe “bird-face” deformity, may be used to achieve both aesthetic goals and to fulfill the main objective in the treatment of OSA patients, an optimal increase in airway patency.