Facial cosmetic surgery has become an increasingly prominent tenant of oral and maxillofacial surgery training and in practice. This is no doubt due to not only the increasing social acceptance and demand for rejuvenative procedures (both surgical and nonsurgical) but also with the contemporary oral and maxillofacial surgeon’s unique training and focus on esthetics. Esthetic demands are innate in dentistry and the precision, technical demands, and attention to detail involved in even the most basic dental procedures are the exact same qualities required to excel in the arena of facial cosmetic surgery. We all remember the painstaking time and effort required to shape, contour, and color even simple dental restorations in dental school. This is not dissimilar to the basic principles required in cosmetic facial surgery. Moreover, the additional hospital-based medical and surgical training impart a singular advantage to the oral and maxillofacial surgeon who desires to include cosmetic surgery as part of his/her daily practice. Few, if any, other surgical specialties involve such a variation of hard tissue and soft tissue management as oral and maxillofacial surgery. Typically, oral and maxillofacial surgery training is very trauma heavy, which requires complete anatomic and physiologic knowledge of the face and neck, as well as sound surgical principles and judgment. Other traditional surgical procedures, such as orthognathic surgery, have an inherent esthetic component. Thus, the ever-increasing presence of facial cosmetic surgery training in residencies and beyond is quite logical. It is my opinion that facial esthetic procedures should be as common for the oral and maxillofacial surgeon as it is for the otolaryngologist, plastic surgeon, dermatologic surgeon, and ophthalmic surgeon.