MaxFac London
Professor Simon Holmes

Professor Simon Holmes

PhD, FDSRCS, FRCS (OMFS)

Professor of Craniofacial Traumatology & Consultant Maxillofacial Surgeon

Complex Facial TraumaRevision & ReconstructionOrbital ReconstructionScar RevisionMedico-Legal Expert

Facial trauma is never just physical. It carries profound personal, psychological, and social consequences — particularly when disfigurement, loss of function, or failed earlier surgery are involved. At such moments, patients, clinicians, and legal advocates alike need not just a skilled surgeon, but a deeply experienced, specialised expert who can guide reconstruction with clarity, precision and compassion. I have spent over two decades at the forefront of complex facial trauma surgery — treating thousands of patients with primary and secondary injuries involving the face, orbit, jaw and skull base. As Professor of Craniofacial Traumatology at Queen Mary University of London and Consultant Maxillofacial Surgeon at Barts Health NHS Trust, I lead one of the UK's busiest and most advanced trauma services.

Complex Secondary Trauma & Revision Surgery

Many patients come to me after previous trauma surgery has failed — due to poor alignment, ongoing pain, asymmetry, scarring, or diplopia. I specialise in managing these cases, using advanced imaging, 3D planning, and digital surgical workflows to restore both form and function. This includes orbital reconstruction, zygomatic and midface recontouring, mandibular revision, and correction of traumatic deformities.

Scar Revision & Soft Tissue Optimisation

Scarring — particularly facial — is deeply personal. I work with patients to revise and optimise scars using both surgical and non-surgical techniques. Where appropriate, I combine scar revision with structural correction to address underlying asymmetry or contracture. I have published extensively on this topic, and authored textbook chapters that guide other surgeons on facial soft tissue management after trauma.

Multidisciplinary Reconstructive Care

No facial injury exists in isolation. My approach always considers vision, occlusion, facial expression, airway and aesthetics together. My NHS work is embedded in a team of specialists, and I bring the same coordinated approach to private care — liaising closely with ophthalmologists, ENT, neurologists, dentists and therapists to ensure optimal outcomes.

Medico-Legal & Expert Witness

I regularly provide expert opinion and medico-legal reports for complex facial injuries, delayed diagnosis, surgical complications, or functional loss after trauma. I am instructed by both claimant and defence teams in the UK and internationally, offering authoritative analysis grounded in clinical experience, research, and a clear, unbiased reporting style.

Research & Academic Leadership

I hold a PhD focused on anterior skull base trauma and have authored over 150 peer-reviewed articles, including high-impact research on orbital surgery, trauma scoring, and infection risk in maxillofacial injuries. I am co-author of four major surgical textbooks, including the BMJ Surgical Book of the Year, and a contributor to Gray's Anatomy, Scott-Brown's ENT, and Bailey & Love. I lead the UK's first MSc in Craniofacial Trauma and Reconstruction, and lecture internationally at ICOMS, EACMFS, IAOMS, and Royal College of Surgeons courses.

Areas of Expertise

  • Complex primary and secondary facial trauma
  • Orbital reconstruction and correction of diplopia
  • Zygomatic and midface recontouring
  • Mandibular revision surgery
  • Scar revision and soft tissue optimisation
  • Anterior skull base injury management
  • Medico-legal reporting and expert witness

Book a consultation with Holmes

Whether you've been referred by your dentist or are seeking a specialist opinion, we're here to help. Book a consultation and we'll take it from there.