Until recently, orthognathic surgery and cosmetic soft tissue surgery have been separate clinical endeavors. This article presents examples of soft tissue surgical procedures carried out with orthognathic surgery to enhance the overall result. Video imaging techniques have been integrated into the planning process to more clearly defi ne functional and esthetic goals. The technical achievement of combined orthognathic and esthetic procedures, as well as the timing of treatment between the orthodontist, oral surgeon, and plastic surgeon, is discusse