San Diego - While surgeons have learned to do things with fewer incisions and less aggressive exposure in certain cases, not all facial fractures are alike, according to Larry H. Hollier, Jr., M.D., assistant professor of plastic surgery, department of plastic surgery, Baylor College of Medicine, Houston. "In some facial fractures, particularly those that are severe, we need to have wide exposure and degloving of the entire skeleton involved. In some less severe fractures, we can perhaps perform the surgery with a less aggressive approach," he said.