[Health Column] Contouring Surgery: What are the possible side effects of excessive bone resection?

 

hello. Dr. Hyunwoo Cho, Director of 3D Plastic Surgery no see.

 

contouring surgery Among those who are concerned about “The more you shave, the prettier it looks.” There are many cases where people think about it.

 

But the bones Once deleted, it is difficult to restore. , it may affect nerves, soft tissues, and paranasal sinuses, making recovery difficult.

There was a time, especially in the past, when extensive abstinence was popular, aimed only at dramatic change.

Recently Rather, consultation for reoperation due to discomfort caused by excessive resection There are also many cases of receiving it.

today Cheek reduction surgery, square jaw surgery, chin surgery When the amount of bone resection is large

What problems may arise We will introduce key cases.

 

 

Is it better to cut more of the clavicle reduction surgery?

📌 During rhinoplasty, excessive resection can lead to decreased sensation, nonunion, and sinus problems.

 

cheekbone reduction surgery The bone is cut to reduce the “anterior clown”.
After cutting the bone at this time, The severed front and back bones must be reattached to each other. do.

 

cheekbone reduction surgery The area that is often resected is commonly called the '45° cheekbone line'.

Around here The nerve responsible for sensation around the eyes This is located ( Blue circle in the picture below ),

In the past, a method of resecting this part as well was often used.

 

 

(CT image of cystectomy)

 

 

In this case,
🔸 dull sensation around the eyes
🔸 Reduced distance for rear clown to stick → Nonunion (a condition in which the bones do not heal properly) generation
🔸 If the bone does not heal properly, cover it The skin appears to be sagging due to weakened foundation.
🔸 The sinuses are widely exposed Increased risk of developing sinusitis

Problems like this may occur:

 

Recently, the amount of cheekbone removal has been reduced How to rotate backwards ( Clown Rotation : Simply put, changing the direction of the cut bone and reattaching it. ) It is widely chosen for its safety and preference.

 

 

Square Jaw Surgery: "Will the more I cut off my jaw, the slimmer I'll look?"

📌 The most important thing in square jaw surgery is that the safety line is below the nerve line, and if you remove more than that, there is a risk of sensory loss.

 

Below the square jaw area In Nerve gland responsible for sensation in the lower jaw (The red line in the picture below) passes through.
In normal operation, this nerve line (red line) It is safe to cut the bone with some room below. no see.

 

(CT image of square jaw surgery)

 

 

The problem is,

“Please make me look smaller.”
“Please cut as much as possible.”

With the same request There were cases where the resection was carried out up to the nerve line. is the point.

 

 

Possible outcomes in this case include:

 

⚠️ Loss of sensation (sometimes permanent)
⚠️ Numbness around the lower lip and chin: No sensation even when drooling or food spills
⚠️ Possibility of changes in mouth shape and decreased motor function

 

thus Square jaw surgery silver Surgery that prioritizes nerve protection over resection amount It is important to understand that:

 

Chin Surgery: The Truth Behind "Severe Reduction Makes You Look Slimmer?"

📌Chin surgery As the amount of restraint increases Possible nerve damage and risk of bone resorption This may increase.

 

A typical chin osteotomy is performed below the nerve line (red line in the figure below).

 

(CT image of chin tip surgery)

 

However, if the position of the bone cut is raised to shorten the chin length, it is like square jaw surgery. Affects sensory nerves can give you.

 

 

Also, due to excessive moderation

🔸 Remaining bone area becomes smaller
🔸 Cases where the bone is absorbed and loses its shape
is also observed.

 

 

in other words, If you only look at the short-term results, it may look slimmer,
As time goes by The opposite result may occur, where the outline collapses. It should be noted that:

 

 

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FAQ 🙋‍♀️🙋‍♂️

Q1. What kind of contouring surgery should I get if my face looks wide?

 

A1. If the cheekbone line appears wide, consider the cheekbone and square jaw together. This happens often.

From the side In cases where the jawline is long, the chin area is also reduced. This is also utilized.
However, since the amount of resection is determined by the individual's skeletal range, an actual CT-based evaluation is required during consultation.

 

Q2. Can I request that the bone be shaved as much as I want during contouring surgery?

A2. Bones are not like clay that can be sculpted freely.

Vascular thickness, nerve location, bone fusion extent, etc. Each has its own average limits.
Therefore, patient goals and the actual possible surgical scope may not be the same.

 

Q3. How long does contouring surgery recovery take?

A3. Usually Major swelling lasts for about two weeks It is common for the swelling to subside, and residual swelling may persist for longer.
The average recovery time is Step-by-step changes over several weeks You can expect the flow to go through .

 

 

conclusion

contouring surgery It doesn't simply lead to "the more you delete, the better".

 

✔ Excessive bone removal may result in sensory problems.
✔ Sagging, absorption, and nonunion may occur after recovery.
✔ More than the removal range Safe structural preservation increases long-term satisfaction.

 

 

So rather than “as much as possible” “Within the face shape and safety range” Design the outline A more appropriate approach is to do so.

 

Before making a final decision, please consult with us. CT scan, Location of nerve lines, The range of resection, Prediction results We hope you will be guided along with us.

 

 

 

 

3D plastic surgery

CEO Cho Hyun-woo

Graduated from Yonsei University College of Medicine

Yonsei University Graduate School, Master of Medicine

Severance Hospital plastic surgery specialist

Severance Hospital Plastic Surgery Visiting Professor

 

Regular member of the Korean Society of Plastic and Reconstructive Surgeons

Korean Society of Aesthetic Plastic Surgery regular member

Korean Society of Craniofacial Plastic Surgeons regular member

International Society of Plastic and Reconstructive Surgery (ISAPS) member

Regular member of the Korean Society for Surgery of the Hand

Korean Association of Plastic Surgeons regular member

Executive Director of the Minimally Invasive Plastic Surgery Research Association

Director of Hyun 3D Plastic Surgery Clinic

Experience in facial contouring treatment 21 year

 

 

 

 

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