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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...
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*Surgery Diary - 9 - "Everything about Revision surgery of Facial Contouring "

 [Doctor's Surgery Diary]

- 9 -

"Everything about Revision Surgery of Facial Contouring"


I will talk about various cases of revision facial contouring surgery. 

For revision facial bone surgery, the cases are diverse from simple pin removal to some serious cases with functional problems.


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[1st Case]

This patient made a decision to reduce the lower face more after taking a CT scan for pin removal.

Primary           --->            Revision


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[2nd Case]

This patient only had genioplasty to reduce the length of the chin, and then decided to go for a long curved mandibular angle reduction surgery because he/she didn't like the lower face line.


Primary           --->            Revision


As you see the CT, you can figure out that he/she did cheekbone reduction together to make the overall face slimmer from the front.


***


[3rd Case]

In this case, the patient already had done facial contouring twice on the lower face, however, he/she decided to go for a third revision surgery as last time because he/she was very stressed out with his/her bumpy jawline.

Primary           --->            Revision



***


[4th Case]

This patient underwent mandibular angle reduction surgery and sliding genioplasty, however, the asymmetry of his/her face got even more severe.

Primary           --->            Revision


So he/she decided to go for a revision surgery of the two areas and add cheekbone reduction together.


***


[5th Case]

In the previous surgery, he/she was recommended to go for mandibular angle reduction to make the face slimmer and got the surgery, however, he/she couldn't get the effect from the front view. Rather, his/her chin seemed more blunt.

Primary           --->            Revision

As his/her asymmetry was quite serious on the CT and the length of the mid-chin was short, the length was extended to create a slim facial line with my operation.


***


In summary, these kinds of cases are pretty common in revision facial contouring consultations you don't know exactly what kind of surgery you had done and what your current status is because you have not taken a CT during the progress check step.

I think it is essential to make sure that the diagnosis and surgery in the previous surgery were appropriate and if there were further things to improve.






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