The coronal or bitemporal incision is used to approach the anterior cranial vault, the forehead, and the upper and middle regions of the facial skeleton.
Buccal sulcus approach
The skeleton of the lower midface is commonly exposed using a transoral approach in the maxillary vestibule.
Lower eyelid - transconjunctival
Transconjunctival lower-eyelid approaches are performed in several ways.
Le Fort I level (CLP)
The maxillary vestibular approach is modified to improve the blood supply and to facilitate more radical mobilization.
Transoral approach to chin
The transoral approach to the chin is the usual access for chin osteotomies.
The preauricular approach can be used to access and treat fractures in the mandibular condylar head and neck region.
Transoral to mandibular angle
The transoral approach is used for the majority of angle, posterior body, and ramus osteotomies.
This approach is selected for access to the angle and ascending ramus in selected cases when a transoral approach is not appropriate.
Lateral mandibular body
The transoral approach to the lateral mandibular body is used for the majority of mandible body osteotomies.
Le Fort I level (orthognathic)
The Le Fort I level is approached through a buccal sulcus approach.
Facelift (rhytidectomy) approach
The facelift approach provides the same exposure as the retromandibular and preauricular accesses combined. The only difference is that the skin incision is placed in a more cosmetically acceptable location.