Abstract Background: The daily usage of maxillofacial prostheses causes them to mechanically deteriorate with time. This study was aimed to evaluate the reinforcement of VST50F maxillofacial silicone by using yttrium oxide (Y2O3) nanoparticles (NPs) to resist aging and mechanical deterioration. Materials and Method: Y2O3 NPs (30–45nm) were loaded into VST50F maxillofacial silicone in two weight percentages (1 and 1.5 wt%), which were predetermined in a pilot study as the best rates for improving tear strength with minimum increase in hardness values. A total of 120 specimens were prepared and divided into the control and experimental groups (with 1 and 1.5 wt% Y2O3 addition). Each group included 40 specimens, 10 specimens for each parameter tested (i.e., tear strength, surface roughness, hardness, tensile strength and elongation percentage). Specimens were artificially aged in a weathering chamber for 150 h and then tested. Data were analyzed by ANOVA and Tukey’s honestly significant difference (HSD). Statistical significance was set to P ≤ 0.05. Scanning electron microscopy (SEM) and Fourier transform infrared (FTIR) spectroscopy were also conducted. Results and Discussion: SEM results showed that Y2O3 NPs were distributed well within the silicon matrix. FTIR results indicated that the NPs were physically dispersed within VST50F silicone without chemical interaction. After 150 h of accelerated artificial aging, adding Y2O3 NPs significantly increased the tear strength, hardness, surface roughness, and elongation percentage. Tensile strength increased non significantly. Conclusion: Adding Y2O3 NPs as fillers improved the mechanical properties of artificially aged maxillofacial silicone elastomer. Keywords: maxillofacial silicone, Y2O3, nanoparticles, fillers, artificial aging.