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Facial Contouring Surgery, A to Z from Start to Finish

Ipche Plastic Surgery Clinic · 진솔하고 담백한 안면윤곽이야기 · May 7, 2024

Provided by: 입체성형외과의원 Facial contouring surgery with balance in mind The start of a slim face: V-line square jaw reduction Jaw tip surgery that creates a more defined facial shape...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Ipche Plastic Surgery Clinic

Original post date: May 7, 2024

Translated at: April 23, 2026 at 2:54 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Provided by: 입체성형외과의원

Facial Contouring Surgery, A to Z from Start to Finish image 1

Facial contouring surgery with balance in mind

The start of a slim face: V-line square jaw reduction

Jaw tip surgery that creates a more defined facial shape

A choice for a softer impression: zygoma reduction

230-degree three-dimensional zygoma reduction that more conveniently improves facial shape

Accurate diagnosis, thorough surgical management, post-operative facial contouring care

Facial Contouring Surgery, A to Z from Start to Finish image 2

You have beautiful, harmonious facial features, but your face shape is angular and uneven?

You may be remembered by others as someone whose appearance feels somewhat unbalanced and leaves only disappointment behind.

Recently, more people have been looking into facial contouring surgery for a smaller face as well as refined facial features.

In this post, we will take a full look at facial contouring surgery.

Unlike other plastic surgeries, facial contouring surgery is an operation that corrects the bones. Through sufficient consultation with a board-certified plastic surgeon,

it is necessary to understand the condition of the bones and find the surgical method and process that best suits the individual,

and then proceed with a safe operation.

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Facial contouring surgery

Facial contouring refers to surgery that corrects the facial bones. By operating on a square jaw, protruding cheekbones, or a chin tip,

it is a procedure that helps the face appear softer aesthetically.

Facial contouring surgery can largely be divided into three types: square jaw surgery, zygoma reduction, and chin tip surgery.

Facial contouring is a surgery that can be performed in a more harmonious way, without damaging the structure of the face,

allowing for a more natural result.

The highlight of facial contouring

Square jaw reduction

Square jaw reduction, also called square jaw resection,

has the advantage of producing significant effects from the front and side after surgery.

Square jaw reduction is usually performed through an intraoral incision,

with an incision of about 3 cm in the mucosa between the lower gums and the lips.

After moving aside the masseter muscle surrounding the outside of the jaw bone and dissecting the periosteum,

the exposed jawbone is operated on while avoiding major nerves and blood vessels.

The average operation time is within about 1 hour and is performed under general anesthesia.

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In the past, square jaw reduction surgery often involved resecting only the protruding square jaw,

which led to reported side effects such as the formation of a secondary angle.

However, in recent square jaw reduction procedures, the field of view is wider and it is possible to operate while seeing the jaw bone clearly,

so long curved resection, which removes the square jaw along a long curve, is often performed.

In the case of long curved resection, surgery is safer compared to conventional square jaw reduction.

★ Of course, bone resection varies depending on the individual, but because visibility is clearly secured, a high level of effect can be expected ★

Chin tip surgery (T-osteotomy)

In the case of chin tip surgery, as the number of patients wanting a V-line has increased rapidly recently,

T-osteotomy is being performed to make the chin tip more pointed and smooth.

T-osteotomy has the advantage of allowing both advancement and setback of the chin tip at the same time,

and it is a surgery with the major benefit of safely protecting the nerve line.

Patients who do not undergo square jaw reduction can also have T-osteotomy alone.

The surgery takes about 1 hour to 1 hour and 30 minutes,

is performed under general anesthesia, requires stitch removal,

and is also a procedure that does not significantly interfere with daily life after a recovery period of about 3 to 5 days.

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The most common side effect that comes to mind with chin tip surgery is the concern that the nerve sensation may not return.

In fact, if the nerve line is distributed low, long curved square jaw surgery may be difficult to perform,

but most chin tip surgeries, including T-osteotomy, can be performed without difficulty.

If the nerve line is abnormally low and shifted too far toward the front,

chin tip surgery is still possible, but the results may be difficult to achieve to a satisfactory degree.

However, this is a very rare case, so there is no need to worry too much about the relationship between chin tip surgery and the nerve line.

Zygoma reduction

Zygoma reduction is a surgery in which the cheekbones protruding forward and to the side are cut and pushed inward,

and its advantage is that it can produce strong effects from both the side and the front after surgery.

In general, zygoma reduction is performed by making an intraoral incision, dissecting the zygoma incision area,

and then the surgery is carried out through an incision in front of the ear or through a scalp incision for the bone osteotomy.

The anesthesia method is general anesthesia, and the operation takes about 1 hour.

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The part many patients worry about the most is cheek sagging.

In the case of cheek sagging, if the medical staff has abundant know-how and skill, there is no need to worry too much,

but if the dissection is minimized during zygoma reduction and the zygoma body and arch are firmly fixed to the maxilla so that they do not move,

the likelihood of cheek sagging after zygoma surgery becomes significantly lower.

230-degree three-dimensional zygoma reduction

Considering the long recovery time, which is a drawback of conventional zygoma reduction,

quick zygoma reduction has recently received a great response as it shortens the recovery period while achieving the same effect.

In the case of quick zygoma reduction, surgery is performed through a scalp incision and endoscopy, and it has the advantage that there is no discomfort when speaking or eating after surgery.

However, it had the drawback of having effects limited to the side cheekbones, so only a limited number of people could benefit from it.

230-degree three-dimensional zygoma reduction, created to supplement those drawbacks, is a surgical method designed to provide the advantages of the existing quick zygoma reduction, such as scalp incision and rapid recovery,

while also allowing effects on the front, side, and 45-degree semi-side views through 45-degree zygoma shaving.

230-degree three-dimensional zygoma reduction is performed under sedation anesthesia, and the surgery takes about 20 minutes.

The scalp incision is small, around 1 cm, and the procedure is performed through endoscopy.

Because the scar area is not exposed externally, it also has the advantage of no risk of visible scarring.

Unlike conventional zygoma reduction, 230-degree three-dimensional zygoma reduction uses a natural adhesion fixation method without plate fixation,

and one advantage is that it does not show that you had surgery even during airport security checks or X-ray imaging.

Of course, if plate fixation is desired, fixation is also possible.

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Because 230-degree three-dimensional zygoma reduction is performed without fixation,

there are many cases where people worry that the bone may not unite or may protrude upward,

but recently, the cutting surface is made obliquely during the process of pushing the cheekbone inward so that the bone does not pop up,

so there is no need to worry.

입체성형외과의원 carefully checks the patient’s condition before surgery based on direct examination and surgery by a board-certified plastic surgeon, as well as the surgeon’s experience and know-how,

so safe and highly refined results can be expected.

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With the unique know-how of 입체성형외과의원, you can expect natural and highly refined results.

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