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About Profiles

The surgeons at Profiles are nationally and internationally recognized specialists in the fields of oral and facial surgery. They have trained over 100 oral and maxillofacial surgeons who practice in the United States and several who practice in Oklahoma.

When choosing your surgeon the most important factor is experience. The Profiles oral and facial surgery teams are without a doubt the most experienced surgeons in Oklahoma. Our practice focus is on corrective jaw surgery, TMJ reconstruction, cleft lip and palate repair and treatment of Craniofacial deformities. This is not a hobby that is practiced every now and then. This is our passion.

Our surgeons have written textbooks, authored many publications and lectured around the world on the surgery we specialize in. They have refined techniques, invented medical devices to enhance patient outcomes and taught the FacesFirst treatment planning protocol to hundreds of surgeons.

Oral & Maxillofacial Surgeons

Drs. Steven M. Sullivan, Paul S. Tiwana and Fabio G. Ritto are using leading-edge techniques to change lives. By combining training with innovative technology to perform advanced Oral and Facial reconstruction for traumatic and congenital anomalies. Common procedures include Orthognathic (Jaw Surgery) Cleft Lip and Palate Surgery, and Temporomandibular Joint (TMJ) Surgery.

Introduction: Profiles Oral And Facial Surgery Center

Oral and maxillofacial surgery requires up to 6 additional years of hospital based surgical and anesthesia training. As oral and maxillofacial surgeons, our doctors manage a wide variety of problems relating to the mouth, teeth and facial regions. Drs. Sullivan, Tiwana and Ritto practice a full scope of oral and maxillofacial surgery with expertise ranging from cleft surgery to corrective jaw surgery and wisdom tooth removal. They can also diagnose and treat facial pain, facial injuries and TMJ disorders, and performs a full range of dental implant procedures.

Our staff is trained in assisting with I.V. sedation within our state of the art office setting. Patients are continuously monitored during and after surgery. In addition, general anesthesia provided by a board certified anesthesiologist is available within our facility.


What Is Facesfirst?

Corrective jaw surgery treatment planning has three essential goals

  • Get the teeth in a normal bite
  • Orient the upper and lower jaws so they are spatially correct
  • Normalize the soft tissue expression, changing the spatial relationships of the jaw to get the most pleasing results possible. 

Our FacesFirst philosophy makes the expression of the face the highest priority.

The Difference?

Oral and maxillofacial surgeons tend to treat the x-ray that they are looking at rather than the face itself. For many of these surgeons, numbers drive treatment planning, rather than having a firm understanding of how the surgical movements of the upper and lower jaw impact the final form of the face. This is important not only looking at the front view, but also in the profile view.


FacesFirst is our unique philosophy. It places the emphasis on the final position of the upper jaw. The upper jaw, or maxilla, is what dictates the smile. It is incredibly important to place the upper incisors in their ideal position. The vertical position of the upper jaw will dictate how much tooth is shown at rest as well as smiling. Maximizing the width of the upper jaw fills out the smile line, making it far more aesthetic and eliminating areas where the cheek can be seen when one is smiling broadly. The smile is everything.


The upper jaw dictates the final position of the lower jaw and therefore the facial profile. With FacesFirst, the upper jaw determines the smile aesthetics and the lower jaw determines the profile aesthetics. Harmonious positioning is the key to the best possible aesthetic outcome.