Dr Francisco Riba — Madrid, Spain

Conditions

A compact guide to facial, maxillofacial and dental conditions that may require specialist assessment, advanced 3D planning or complex surgical treatment.

This directory is designed to help patients identify their main concern and request an individual assessment with Dr Riba’s team.

Facial structure Facial asymmetry Facial ageing Dental bone loss Request assessment
Explore conditions Request assessment
01 Facial structure
and profile 02 Asymmetry
and deformity 03 Midface and
under-eye area 04 Facial ageing
and soft tissue 05 Dental bone loss
and implants
Conditions directory

Conditions and concerns assessed by Dr Riba

This page groups common concerns by clinical area. Each condition requires individual assessment before deciding whether facial implants, facial surgery, dental implant rehabilitation or another approach may be appropriate.

Area 01

Facial structure and profile

Concerns related to facial projection, skeletal support, profile balance and facial proportions.

Receding chin Weak chin projection Weak chin Lower-face imbalance Small chin Reduced lower-third support Short chin Vertical deficiency Long chin Excess vertical length Poor profile balance Profile disharmony Weak jawline Limited mandibular definition Undefined jawline Soft lower-face contour Narrow jaw Reduced lower-face width Flat facial profile Limited facial projection Facial skeletal deficiency Insufficient bone support Lower-face imbalance Chin and jaw proportion
Area 02

Facial asymmetry and deformity

Conditions involving asymmetry, congenital differences, previous trauma, previous surgery or facial contour deformities.

Facial asymmetry One side differs from the other Chin asymmetry Asymmetric chin contour Jaw asymmetry Uneven mandibular contour Cheekbone asymmetry Uneven midface volume Post-traumatic facial deformity After injury or fracture Facial fracture sequelae Residual contour changes Congenital facial deformity Developmental facial difference Hemifacial microsomia One-sided facial underdevelopment Facial implant complications Previous implant problems Poor previous facial implant result Revision assessment Facial contour irregularity Irregular facial shape Post-surgical facial deformity After previous surgery
Area 03

Midface, cheekbones and under-eye area

Conditions involving the cheekbones, midface projection, under-eye support, paranasal area and central facial structure.

Flat cheekbones Reduced malar projection Midface deficiency Lack of central facial support Under-eye hollowing Structural under-eye depression Infraorbital deficiency Reduced lower orbital support Tear trough deformity Under-eye groove Paranasal deficiency Poor support around the nose Sunken midface Loss of facial projection Flat upper lip support Reduced subnasal support Poor cheek definition Limited malar contour Facial volume deficiency Structural volume loss Orbital rim deficiency Lower rim support issue Midface asymmetry Uneven cheek or under-eye area
Area 04

Facial ageing and soft tissue concerns

Age-related or soft tissue concerns that may require facial surgical assessment, alone or combined with structural planning.

Facial laxity Loss of tissue firmness Sagging lower face Lower-face ageing Jowls Jawline soft tissue descent Neck laxity Loose neck skin or tissues Poor neck definition Jawline-neck transition Heavy eyelids Upper eyelid excess Eye bags Lower eyelid fullness Tired eye appearance Periocular ageing Deep nasolabial folds Central facial ageing Loss of facial definition Age-related contour change Previous facelift concerns Revision assessment Previous eyelid surgery concerns Second opinion
Area 05

Nose, profile and airway-related concerns

Concerns involving nasal shape, previous rhinoplasty, profile balance or selected functional nasal issues.

Dorsal hump Nasal bridge prominence Crooked nose Nasal deviation Wide nasal tip Tip definition concern Drooping nasal tip Tip position issue Previous rhinoplasty concerns Revision assessment Nasal asymmetry Uneven nasal shape Nose and chin imbalance Profile proportion issue Facial profile disharmony Nose, chin and jaw balance
Area 06

Dental bone loss and complex implant cases

Conditions that may require advanced implantology, full-arch rehabilitation, zygomatic implants, bone regeneration or revision treatment.

Severe dental bone loss Insufficient bone volume Atrophic maxilla Upper jaw bone loss Atrophic mandible Lower jaw bone loss No bone for implants Complex implant limitation Failed dental implants Implant failure Peri-implant bone loss Bone loss around implants Peri-implantitis Inflammation around implants Loose dental implants Implant mobility Failed bone graft Regeneration failure Failed sinus lift Upper jaw implant difficulty Sinus pneumatization Reduced posterior maxillary bone Insufficient bone for fixed teeth Full-arch planning issue
Area 07

Missing teeth and full-mouth rehabilitation

Functional and prosthetic problems involving missing teeth, failing dentition, loose dentures or the need for fixed full-arch rehabilitation.

Missing teeth Single or multiple teeth Multiple missing teeth Partial rehabilitation Complete tooth loss Full-arch rehabilitation Failing dentition Teeth with poor prognosis Loose dentures Poor denture stability Uncomfortable dentures Functional discomfort Cannot chew properly Functional limitation Severe dental wear Full-mouth assessment Collapsed bite Loss of vertical support Old failing dental bridges Complex replacement Full-mouth rehabilitation need Comprehensive planning Second opinion dental rehabilitation Complex case review
Area 08

Oral and maxillofacial concerns

Selected oral and maxillofacial problems that may require specialist surgical assessment or coordination with dental implant planning.

Impacted wisdom teeth Surgical assessment Impacted canine Tooth eruption issue Jaw cysts Maxillofacial assessment Oral cysts Surgical review Jawbone defects Bone reconstruction planning Dental trauma Tooth and bone injury Oral surgery complications Second opinion Complex extraction need Surgical planning
How conditions are assessed

From the visible concern to the right treatment pathway.

A condition does not always have a single treatment. Assessment may include facial analysis, medical imaging, 3D planning, dental evaluation or hospital-based surgical planning depending on the case.

Clinical diagnosis The starting point is a specialist assessment of the patient’s concern and medical background.
3D planning when needed Digital planning may be used for selected facial implant, reconstructive or dental implant cases.
Individual treatment plan The treatment pathway is adapted to the diagnosis, anatomy, function and patient goals.
View treatments
Assessment with Dr Riba in Madrid Spain
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Tell us about your case

Send your initial information and Dr Riba’s team will help guide you towards the most appropriate consultation pathway.

    Please include your international prefix, e.g. +34, +44, +1.

    Choose whether you prefer an in-person consultation in Madrid, Aravaca-Pozuelo or an online consultation.

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    Request an assessment with Dr Riba

    If you are not sure which condition or treatment area applies to your case, the first step is an individual assessment.

    Request assessment Do you have a facial, maxillofacial or complex dental implant concern? Your case can be assessed individually in Madrid, Spain.