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21성형외과의원 · 21성형외과 21Plastic Surgery · 2026년 6월 25일
If you have a fuller face or naturally thicker facial muscles, even if a lot of bone is removed, the visible change may still be minimal. In those cases, Botox, fat reduction, or even weight loss is often more important...
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If you have a fuller face or naturally thicker facial muscles, even if a lot of bone is removed, the visible change may still be minimal. In those cases, Botox, fat reduction, or even weight loss is often more important than bone contouring itself. I've heard that after facial contouring, your face eventually sags, and you'll end up needing a facelift anyway.
This is probably the question I hear most often during consultations. My answer is always the same: removing bone doesn't automatically cause sagging. What really matters is how the bone is reshaped and how it's stabilized, because those factors determine the long-term shape of your face. Hello, I'm Dr. Jong-In Park from 21 Plastic Surgery.
Think of it like a balloon. When you let some air out, the surface becomes a little wrinkled. The same principle applies to your face. When the underlying bone is reduced, the skin and fat that once covered it have a little extra space, which can lead to some sagging. However, the amount of sagging varies greatly depending on your skin elasticity
and how much bone is removed. For patients who are more likely to experience noticeable sagging, combining contouring surgery with a lifting procedure can often provide better results. Inside the jawbone, there's a major nerve called the inferior alveolar nerve, which provides sensation to your lower teeth and lips.
Its location varies from person to person. If the nerve sits higher, there's generally more room to remove bone safely. If it's positioned lower, the amount of bone that can be removed becomes more limited. After surgery, temporary tingling or numbness can occur. This usually happens because the tiny surrounding nerves
have been temporarily irritated during surgery, and it's considered a normal part of the healing process. Most patients gradually recover over the course of three to six months. As long as we carefully evaluate the nerve's location with a CT scan before surgery and operate within safe limits, permanent numbness is very uncommon.
The short answer is no. The fixation plates used in facial contouring surgery are made of titanium, the same biocompatible material used in dental implants. They can safely remain in your body for a lifetime. They may show up on dental X-rays, but they won't trigger airport security scanners, so there's no need to worry.
If you still prefer to have them removed after the bone has completely healed, usually about one year later, they can be removed with a simple procedure. Removing more bone doesn't automatically make your face smaller. Your face isn't made of bone alone. You also have the masseter muscles, fat, and skin covering the bone.
If you have a fuller face or thicker facial muscles, even significant bone reduction may not produce dramatic results. In those cases, treatments like Botox, fat reduction, or weight loss may be much more effective.
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