Facial Contouring Surgery

 689. <Facial Contouring Surgery>

Facial contouring surgery aims to create a balanced, harmonious, and attractive facial shape by adjusting the contours of the face. It can be divided into upper, mid, and lower facial contouring.

Upper face contouring includes forehead or temporal contouring using fat grafts or implants to add volume. Autologous bone grafts can also be used—often by crushing bone from jaw or cheek surgeries and grafting it onto the forehead.

Midface contouring typically involves zygoma (cheekbone) surgery. Zygoma reduction reduces protruding cheekbones for a slimmer midface, while augmentation enhances flat anterior zygoma for a more dimensional look.

Lower face contouring includes square jaw reduction and chin surgery. Chin contouring can involve reducing, elongating, advancing, or setting back the chin. Combining jaw angle reduction with chin contouring helps create a slimmer, V-line facial profile—popular in modern aesthetics.

1:1 facial photos and 3D-CT scans are essential. These help analyze bone and soft tissue to determine the amount of reduction needed while avoiding nerve damage. If maxillary sinus inflammation is present, it must be treated before zygoma surgery to prevent complications.

Since zygoma reduction involves separating and fixing parts of the bone, habits like teeth grinding or prolonged chewing may affect bone healing. Botox or other treatments may help prevent nonunion in such cases.

V-line jaw surgery reduces the jaw angle and width while refining the chin. In cases with sleep apnea, genioglossus advancement moves both the chin and tongue forward to widen the airway and improve breathing.

If the skin is significantly loose—especially in patients over 40—facelift surgery may be combined. When done together, the same incision in front of the ear can be used to fix the zygomatic arch, eliminating the need for a separate sideburn incision. The detachment during bone exposure also severs ligaments between skin and bone, making skin lifting easier and more effective—even with a minimal incision. Especially for chin advancement in older patients, the lifting effect can be more pronounced.

Facial contouring surgery thus reshapes the facial bones to create a slimmer and more harmonious appearance.

[Facial contouring shapes facial balance through bone refinement]
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