The beginning of facial development occurs between the fourth and eighth week of gestation, during this period the cells of the neural crest migrate, forming the four pharyngeal arches that will provide the emergence of most of the structures of the head and neck. During this process, failures may occur such as: epithelial disintegration, absence of fusion, genetic mutations, prognatism or retrognatism, among other factors that cause the appearance of asymmetries in the bones of the face and soft tissues. Aiming at this perspective, the buccal-maxillofacial surgical procedures such as: the treatment of cleft lip and palate, the possibility of bone or alloplastic grafting, in regions of deficit or that have suffered some type of facial trauma, and orthognathic surgery, a theme that will be addressed in this article, have emerged as a new possibility of definitive and resolutive treatment, generating aesthetic harmony and quality of life to the treated patients.