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[ARTICLE] Square Jaw Surgery: Facial Bone Structure and Lower-Face Balance Matter More Than the Amount of Bone Reduction

A square jaw may be a concern when the lower part of the face appears wide from the front or when the angle of the jawbone below the ear is prominent from the side. This facial shape can be influenced by various factors, including not only the size and shape of the mandible, but also the development of the masseter muscles used for chewing and the amount of fat beneath the chin. Square jaw surgery is a type of facial contouring surgery that aims to improve the contour of the lower face by adjusting the shape and width of the mandible. However, the surgical outcome is not determined simply by removing a large amount of bone. It is important to determine the appropriate extent and location of bone reduction based on each individual’s skeletal structure and overall facial proportions. In particular, excessive reduction of the mandibular angle located below the ear may result in an unnatural side profile. On the other hand, reducing only the prominent area visible from the side may not ...

[Column] Revision Facial Contouring Surgery: Careful Consideration with Experienced Professionals

 




In today's society, there is a strong preference for small and slim faces. This has led to an increasing number of people choosing facial contouring surgery to address issues such as protruding cheekbones or angular jawlines.


Facial contouring surgery helps improve skeletal issues and is tailored according to individual facial shapes. Various techniques are employed, such as cheekbone reduction, mandibular angle reduction, or chin reduction or extension, to achieve a slim and small face.


However, due to the complexity of the surgery, a detailed, customized plan must be developed. Since the surgery involves modifying the skeleton, improper execution can lead to complications with facial nerves. Therefore, only necessary surgeries should be conducted under a customized plan to ensure safety.


If the results of the surgery are unsatisfactory or if complications arise post-surgery, secondary facial contouring surgery may be necessary. This type of revision surgery is more challenging due to the adhesion of bones or muscles and reduced space for nerves or bones compared to the initial surgery. It is crucial to be even more cautious than the first surgery, so consulting with experienced and skilled professionals is advisable.


Initially, a detailed examination of the bones and muscles using 3D-CT should be conducted to determine the surgical method and approach. Analyzing the causes thoroughly to prevent the need for further revisions and devising a plan that ensures stability is important.


Additionally, systematic post-operative management should be carried out to enhance satisfaction. Choosing a clinic with a robust post-operative care program ensures a stable completion of the surgery.


Revision facial contouring surgery must be carefully considered and scheduled appropriately. Therefore, it is essential to consult with experienced professionals and establish a customized surgical plan. 

(Dr. Kwon Soon Beom, Director of Gangnam ARC Plastic Surgery Clinic)


Source: Media Fine (미디어파인)

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