This patient visited On Clinic for facial contouring revision surgery. They had previously undergone facial contouring surgery at another hospital but were not satisfied with the results due to jawline asymmetry and protruding cheekbones.
Detailed Analysis and Surgical Plan
Dr. Myungjun Oh meticulously analyzed the patient's facial structure during the consultation. He identified severe asymmetry, with the right jaw angle being short and the left jaw being long. This imbalance made the facial contour appear less refined.
Furthermore, the patient's midface appeared large and long, not due to a lack of cheekbones, but because the central midface, particularly the zygoma, was excessively prominent. Dr. Oh explained that the goal was to reduce the zygoma inward in harmony with the orbital bones, thereby improving the midface protrusion. This is a crucial step in creating the small, soft face shape popular on social media today.
Difficulty Due to Thin Skin
Dr. Oh emphasized that the patient's thin skin was a major factor increasing the surgical difficulty. While a thicker-skinned person might not show minor bone irregularities even if the osteotomy is somewhat uneven, for patients with thin skin, even subtle bone imbalances can easily become apparent. Therefore, creating an extremely precise and smooth bone contour is essential.
V-line and Zygoma Revision Surgery Strategy
In the previous V-line surgery, only the outer cortical bone was osteotomized, reducing only the outer aspect of the jawbone. This left the inner cortical bone intact, resulting in a jawline that still appeared thick. Dr. Oh explained that while inner cortical osteotomy is much more challenging and complex than outer cortical osteotomy, it is an essential step for a truly slim and defined V-line. At On Clinic, we performed surgery to reduce and smoothly refine the jawline comprehensively by osteotomizing both the outer and inner cortical bones simultaneously.
For the zygoma, we focused on reducing the facial width by moving the outwardly flared zygoma inward, aligning it with the orbital bone line. CT scans confirmed that the zygoma was significantly more prominent than the orbital bone, and by repositioning it inward to match the orbital bone, we improved the overall facial balance and width.
Patient's Post-Surgery Impressions
After the surgery, the patient achieved very satisfying results. Their facial asymmetry significantly improved, and they transformed into a much younger-looking person with a softer impression. Someone even mistook them for a student, highlighting the remarkable anti-aging effect of the surgery. Dr. Oh also expressed his delight at the successful revision surgery results, noting that the patient's face looked 'baby-like' and their overall impression became very gentle and kind.
"After the surgery, my face looks so much younger, and my impression is much softer. Someone even asked me if I was a student!"
This case clearly demonstrates the complexity and intricacy of facial contouring revision surgery, highlighting how crucial precise diagnosis and skilled surgical techniques, considering each patient's unique characteristics (especially skin thickness), are in overcoming the limitations of previous surgeries and achieving natural and satisfying results.
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Dr. Myungjun Oh, On Clinic | Last Reviewed 2024-07-29