Clinical Experiences on the Facial Contouring Surgery for the Last 15 Years

Jeong, Kyeong Min; Kim, Jong Hwan; Hong, In Pyo; Kim, Hyun Chul

Abstract

Facial contour consists of facial bony frame, skin and soft tissues overlying facial bone. Facial contouring surgery is a surgery that is perfomed on the face(bone and/or soft tissues) in order to achieve better facial proportion by balancing overall facial lines. During the last 15-years period, we perfomed many facial contouring surgeries. The main surgery perfomed in our clinics were mandible angle resection, zygoma reduction, chin augmentation or reduction, forehead augmentation or reduction. The subsidiary surgery for the purpose of better improving facial balance with main sugery were augmentation or reduction rhinoplasty, double fold formation, epicanthoplasty, augmentation mammoplasty, hair transplantation or removal, facial fat injection or liposuction. It was rare to perfome just one kind of facial contouring surgery. Rather, we perfomed two or more than kinds of facial contouring surgery on different facial parts at the same time together. The reason was that it was convenient to coordinate total balanced facial beauty and achieve a better result. So, we summarized factors to be considered in planning the facial contouring surgery. First, in zygoma reduction, we must do not make a cheek droop. If there was a cheek droop, we must lift the cheek to the line which connecting both tragi. Second, in mandible angle resection, facial contouring line should maintain oval shape without straight line and there should be no remaining angle in the front of mandible. Third, we must consider relationship between face and body (especially breast). Fourth, as much as possible, it is more advisable to perform necessary operations all at the same time.