Surgery of craniofacial deformities is a complex task that requires careful preoperative planning. In this field Nobel-Guide-System made a great impact of predictable implantology. Using these for computer-aided surgery (CAS) the patient outcome of extreme dental and facial makeovers can be anticipated. The following case report shows new indications for dental implants by using Nobel-Guide- System for fixation of a prefabricated "Implant Guided Palatinal Distractor" (IGPD) and for an implant bridge. Thus - embedding dental implantation in maxillofacial procedures like LeFort-Osteotomy,forced guided palatinal distraction, chin augmentation and septorhinoplasty can be performed in a single-step operation. Operation time and costs can be reduced. Schlagwörter: Esthetic facial surgery, Nobel-Guide, facial implants, palatinal distraction, dental implants