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[ARTICLES] Even Decades-Old Contouring Pins Can Be Safely Removed

Pins inserted during facial contouring surgery to fix the bones in place do not always need to be removed. However, many patients consider removal due to discomfort, concerns about inflammation, or personal reasons. In particular, those who had surgery more than 10–20 years ago often worry, “Has it been too long to remove them safely?” Specialists advise that the more important factor is not how much time has passed, but whether the procedure is performed by an experienced surgeon. Even if the pins have fused with the bone, safe removal is possible when supported by precise analysis through 3D CT scans and a surgeon with extensive experience. The original surgeon is not required—any skilled professional can perform the procedure without issue. The pins used in contouring surgery serve to stabilize the repositioned facial bones so that they heal securely. They can typically be removed after six months, and removal within two years is often recommended. Still, this does not mean remo...

*Surgery Diary - 5 - "Revision Genioplasty Case"

[Doctor's Surgery Diary] - 5 - 

"Revision Genioplasty Case"


Surprisingly, a lot of people who have a concern about having a long chin come to me. And some as many people come for revision surgery as there are for the first surgery.

Let's take a look at one of those cases.



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1-1

1-2


[1]  This is the case that the surgery was performed by reducing only "the chin tip" for the patient concerned about having a long chin.

As the surgery was performed completely by dissection of the skin from the bone, the shortening effect decreased and the chin tip looked wider than pre-op.


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2-1

2-2

[2]  In this case, as well, it literally was performed by reducing only the chin tip without considering the harmony of the connective jawline.

Both of them have thin skin, so the secondary angle was not only palpable but also visible on the outside.

In addition, as only one part was reduced, the skin and bone didn't get harmonized well as well as the skin of the area seemed sagging like a jowl. 


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3_1  #post-op of case 2

3_2  #post-op of case 2

[3]  This is the post-op CT of <Case_2> patient.

The patient wanted to remove the existing wires and remove the secondary angles as well as the angular feeling overall, so the revision surgery was processed by making the line smoother and connecting it to the angle under the ear.

Also, she had zygoma reduction surgery together.



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You don't always have to do two or three types of facial contouring surgery at once, but it's desirable to plan surgery in consideration of getting connected with facial lines.

Plus, proceeding with the surgery considering the condition of the skin surrounding the bone at all times can produce satisfactory results without unnecessary further surgery.







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