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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 - 2 - "Detailed Design = Basics of Facial Contouring Surgery"

 [Doctor's Surgery Diary] - 2 -

*Detailed Design = Basics of Facial Contouring Surgery*


One of the biggest concerns for those planning cheekbones surgery is "cheek skin sagging".



As shown in Figure 1, there are ligaments around the cheekbones that protect against sagging.

Looking at Figure 2, you can see that the osteotomy line in green is located in the area where these ligaments are located.


Therefore, the extent of detachment, location of the osteotomy, and bone fixation should be determined in consideration of the current patient's bone structure and skin condition.

It is not always for the patient by just simply fixate on it high.

Surgery should be differentiated to suit individual needs, as can be seen in the CT of patients who performed surgery in ARC.

Of course, accurate bone fixation is fundamental.


(These four pictures are postoperative photos corresponding to the above.)






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