Dr. Norayr AtanesovichFIAOMS · Maxillofacial Surgeon
Unique specialization · CIS

Facial skeleton reconstruction
with titanium alloy

Full restoration of facial bones — mandible, zygomatic bones, orbital walls, maxilla — after combat injuries, severe trauma and failed prior surgeries. Custom titanium alloy implants manufactured from a 3D model of the specific patient.

Bones
Mandible and maxilla, zygomatic arches, orbital walls, nasal bones
Functions
Chewing, swallowing, breathing, speech, facial symmetry
Material
Titanium alloy · custom 3D implant for each patient
Experience
10+ surgeries · presentation at ICOMS 2025 Singapore
Cost
Individual

Calculated after CT scan and case review. Free preliminary analysis.

Clinical cases · Video

Real surgeries — real results

Trauma · Jaw reconstruction

Facial restoration with individual 3D titanium implant

After severe jaw trauma with impaired chewing and breathing functions

Combat injury · Face reconstruction

Facial restoration with individual 3D titanium implant

After severe facial injury sustained during combat operations

Real case · 2023

Orbital and zygomatic arch reconstruction

97%
precision of result matching the 3D model
КТ до операции — дефект орбиты
01 · Pre-op CT

Orbital bone defect and zygomatic arch. Disruption of facial symmetry and eye function.

3D моделирование + титановый имплант
02 · 3D modelling + implant

Custom titanium mesh shaped to the defect. Physical fitting on a 3D skull model.

Операция и результат
03 · Surgery → result

Implant placement. Patient — a few months later. Facial symmetry restored.

Ревизионный кейс — до и после
Revision case · Re-reconstruction

Left — result of previous surgeries at another clinic (CT). Center — 3D modeling of correction. Right — our result with 97% accuracy. These are the cases presented by Dr. Atanesovich at ICOMS 2025 in Singapore.

Indications

Who seeks treatment

🎖

Combat injuries

Gunshot and shrapnel wounds to the face with bone destruction. Soldiers from Armenia, Russia, and other countries.

🚗

Severe trauma

Road accidents, industrial injuries, falls from height. Fractures and facial skeleton defects with functional impairment.

🔄

Revision cases

Failed prior surgeries at other clinics. Re-reconstruction — correction after incorrect treatment. Patients fly in from USA, Europe, CIS.

Technology

Reconstruction stages

01

CT and 3D modelling

High-precision CT scan. Digital 3D skull model construction. Virtual surgery planning based on the patient's anatomy.

02

Custom titanium implant

Manufacturing a personal titanium alloy implant to the exact defect parameters. Each implant is unique — made for one patient only.

03

Reconstructive surgery

6–18 hours depending on the extent. Bone skeleton, soft tissue and function restoration. A team of several specialists.

04

Rehabilitation and follow-up

5–14 days in hospital. Gradual restoration of chewing, swallowing and breathing. Long-term online follow-up.

World recognition

Presentation at ICOMS 2025
Singapore

26th World Congress on Oral and Maxillofacial Surgery. Dr. Atanesovich presented a series of 10+ cases of facial skeleton reconstruction after combat injuries using custom titanium implants. The only speaker from Armenia.

PARCS 2023 · Dubai — first international presentation on the subject
ICOMS 2025 · Singapore — 26th World Congress of OMS
Belfast 2026 — invited for a master-class
ICOMS 2025 Singapore
ICOMS 2025 · Singapore
Presentation at the World Congress of OMS
FAQ

Common questions

Who needs 3D reconstruction?
Patients with facial bone destruction after combat injuries, severe road accidents, or industrial trauma. Those refused by other clinics. Those who had failed surgeries and need re-reconstruction.
Why titanium alloy?
Titanium alloy is the gold standard in facial reconstructive surgery. Biocompatible, does not cause rejection, durable. Each implant is made from a 3D skull model of the specific patient.
How long does the surgery take?
6 to 18 hours depending on the extent of destruction and complexity of reconstruction.
Can I send a CT scan for preliminary evaluation?
Yes. Send CT images (DICOM or cloud link). The doctor will conduct a free preliminary analysis and advise on surgical feasibility.
Do you accept patients from Russia and other countries?
Yes. Most patients in this field are international. Yerevan is visa-free for Russian citizens. We help with transfers and accommodation.
Next step

Send your CT scan — free case review

Describe the situation or attach CT images. The doctor will personally respond within 24 hours.

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