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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 ...

[ARTICLES] Sagging After Facial Contouring Surgery, Improved with Zygoma Lifting

One of the relatively common side effects following facial contouring surgery is sagging in the cheekbone area. In particular, if bone fixation is incomplete or excessive bone reduction creates space between bone segments, the surrounding soft tissue of the zygoma may shift downward. This can result in overall midface sagging, causing the facial structure to appear collapsed or giving an aged impression. The most definitive solution known for such issues has traditionally been facelift surgery. However, many patients are reluctant to undergo this procedure due to the extensive incisions, long recovery period, and the risks of bleeding and swelling. As a result, temporal incision lifting has been gaining attention as an alternative, offering smaller incisions and faster recovery. Temporal incision lifting involves making a minimal incision within the hairline at the temple area, then elevating and securing the sagging midface tissues. Because it selectively approaches only the necessary areas without extensive dissection, the procedure carries less risk of bleeding, swelling, or pain, and allows for quicker recovery. Particularly when combined with an Endotine fixation device—a bioabsorbable material that stabilizes the lifted tissue for a period of time before safely dissolving in the body—the procedure provides secure results without leaving a foreign body sensation. Dr. Taekeun Yoon of ARC Plastic Surgery stated, “Sagging in the cheekbone area caused by volume loss and skin descent after contouring surgery is a common concern among patients. In many cases, temporal incision lifting can be a suitable solution to address this without the need for a full facelift.” He further emphasized, “Since surgical methods vary depending on skin elasticity, the degree and location of sagging, and individual bone structure, a tailored approach based on thorough consultation and anatomical analysis is essential.” Unlike simple skin tightening, temporal incision lifting re-establishes the structural support of the midface. It can simultaneously address issues such as volume loss in the cheek area, nasolabial folds, and deep cheek sagging, making it a functional yet natural option for patients seeking comprehensive improvement. Source: Medi Consumer News (http://www.medisobizanews.com )

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