If you’re like this, don’t get contouring surgery!! An absolute no-go face?

Hello, this is Director Jo Hyun-woo of 3D Plastic Surgery Clinic.

The title may sound a little provocative, but through several columns so far, I’ve talked a lot about which people tend to get good results from contouring surgery.

Today, I’d like to talk about people who may get less benefit from it.

When I consult with patients, if a patient wants the surgery, I usually try to perform it to help solve their concerns. But for patients I judge are more likely to have the surgery work against them, I strongly advise against it.

The first group is people who say, “My face is too wide from the side, so I want to reduce it with cheekbone surgery.” However, many of these people actually have larger temples and a larger head shape than the width of the cheekbones.

In cases like this, cheekbone surgery should not be done.

In the face shown in the illustration, if the width of the cheekbones is reduced, the cheekbones will look slimmer, but the area above the cheekbones, from the temples upward, may look even more protruded, creating a chestnut-like(?) face shape. They came because they wanted a slimmer face, but there are quite a few people who regret having surgery to reduce cheekbone width.

If the head shape is not large but the temple muscle is large, temple Botox may help a little.

However, cases like this do not seem to be very common.

In actual cases, when the cheekbone bone moves inward, the temple muscle can sometimes look more prominent, so you have to be careful.

Similarly, there are people whose cheekbone-to-temple line already falls straight down, yet they still want a narrower face width.

I also do not recommend surgery for these patients. It would not make the face beautiful.

If the temples and side line are already straight, but the 45-degree cheekbone area is especially large, surgery is possible.

Case in which only the 45-degree cheekbone area was treated with 3D cheekbone reduction surgery

If you perform 3D cheekbone surgery without moving in the side cheekbones and only push the 45-degree cheekbone area inward, only the 45-degree cheekbone is reduced, which can prevent the face shape from changing in an odd way.

Case in which, after 3D cheekbone reduction surgery at another hospital 8 years ago, pin removal surgery was performed at our clinic, along with re-osteotomy and re-fixation of only the 45-degree cheekbone area upward

This kind of surgery is also possible through 230-degree 3D cheekbone reduction.

If only shaving is done in the 45-degree cheekbone area, the reduction will be less than with 3D cheekbone surgery, but you can still clearly feel that it has been sufficiently reduced.

Case in which only shaving of the 45-degree cheekbone area was performed

The second group is people with a lot of facial fat.

When we take a CT scan of patients, there are people whose facial bones are very small, but their face looks large from the outside.

If the facial bones are small and there is a lot of fat, even if the bone is reduced, it does not show externally at all.

For these people, contouring surgery does not easily make the face smaller. I recommend losing weight with strong determination and send them home.

As the saying goes, the best cosmetic surgery is dieting, and there was even a patient who lost facial fat, came back, and thanked us. So it may be good to trust that and try it once.

The third group is people with a thick neck.

Their concerns are often things like, “My jawline isn’t visible,” or “If I shave the jawbone, will the jawline show better?” They ask this kind of question a lot.

But it is exactly the opposite.

If you have a thick neck line, shaving the jawbone will make the jawline less visible.

Virtual jaw surgery simulation for a person with a thick neck line: the angle of the jaw becomes less visible

No matter how square the bone may be, for people like this it is better not to undergo square jaw surgery.

Even though contouring surgery can be effective and dramatic, it is not万能.

Today, we looked at the types of people for whom contouring surgery is not recommended.

Everyone wants a smaller face and improved facial lines, but it may not apply to everyone.

It seems that satisfaction after surgery is high only when you carefully analyze your own face and proceed with surgery.

If there is a lot of fat in certain parts of the face, combining the surgery with liposuction, or if sagging is already present, planning the surgery with a lift in mind can lead to good results.

I recommend getting a thorough analysis through a consultation with a specialist.

Thank you.