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[ARTICLE] Revision Facial Contouring Surgery Requires Precise Diagnosis to Restore Facial Balance Through Structural Reconstruction

Revision facial contouring surgery requires thorough evaluation of bone structure, resection extent, causes of facial asymmetry, and nerve location As more patients experience unsatisfactory outcomes following facial contouring surgery—including insufficient improvement, facial asymmetry, sagging cheeks, or bone defects caused by excessive bone reduction—the number of people seeking revision facial contouring surgery continues to rise. Because revision surgery involves correcting facial bones and soft tissues that have already undergone surgery, it is significantly more complex than the initial procedure and requires meticulous surgical planning and advanced technical expertise. In recent years, the approach to revision facial contouring has shifted away from simply removing additional bone to make the face appear smaller. Instead, the focus has moved toward analyzing the structural changes caused by the previous surgery and restoring facial balance. Modern revision procedures empha...

*Surgery Diary - 4 - "Patient's health always comes first"

 [Doctor's Surgery Diary] - 4 - 

"Patient's health always comes first"


I'd like to tell you the story of my patient who visited from Europe for facial contouring surgery a while ago.

Usually receiving dental treatment, she came to Korea after completing all preparations with CT scans and medical treatment before entering Korea.

After arriving at ARC clinic, she took the pre-test for the final diagnosis before surgery, and the results are as follows.



***

[1]

This is the X-ray panorama and the front view of CT.


1_1


1_2

 At first glance, it can just be passed. However, if you look closely, you slightly can see that the density of the right mandible image looks different from the normal left.

So, I checked the CT image again in a different mode.



***

[2]

You can definitely see the difference between left and right.

2_1

2_2


The yellow drawing indicates the right side of the face, and the condition of the bone surface is completely different from that of the green drawing (left side), and it's slightly inflated.


***

[3]

3

 In the cut-sectional picture, it is confirmed that the cortical bone, which determines the hardness of the bone, is very thin, and the status inside is also different from the normal spongy bone on the left.



***


As a result, facial contouring surgery was put on hold because normal progress seemed to be impossible.

In the cooperative dental clinic even suspected that it might be a malignant tumor, however, a professor of radiology at a university hospital strongly suspected it was a benign disease.

So, our clinic decided to proceed with taking a biopsy for her.

Eventually, she received a detailed diagnosis result and returned home safely without anxiety.

As seen in this patient, successful surgery requires comprehensive observation as well as the area and the strength of several experts.



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