Established in 1927 as the oldest and largest oral and maxillofacial surgery practice in San Diego County, the Center For Oral-Facial Surgery operates from 306 Walnut Ave at the south edge of Hillcrest under board-certified surgeons Dr. James R. Eckstein, Dr. Brian K. Oleksy, Dr. Derek J. Havas, and Dr. Justin R. Messina. The Walnut Ave surgical suite is set up for IV sedation and outpatient general anesthesia, with continuous monitoring during wisdom-tooth extractions, dental implant placement, and bone grafting referred from periodontal practices such as Hillcrest Periodontal Health: Grant Danielle A DDS. The practice founded the San Diego Mini Residency Implant Study Club, which has trained local dental clinicians in implant diagnosis and treatment planning for more than 27 years. Routine extraction and implant referrals come in from family dental offices including 3rd Avenue Complete Family Dental, with the surgical team handling the operative phase and the referring dentist completing the prosthetic restoration. Corrective orthognathic jaw surgery — repositioning the maxilla and mandible to resolve skeletal-class malocclusions, sleep-apnea anatomy, or facial asymmetry — represents the most extensive multi-hour case the practice schedules in its operating suite.